Certified Revenue Cycle Representative (CRCR) Exam Test Questions And Answers Verified 100% Correct

Certified Revenue Cycle Representative (CRCR) Exam Test Questions And Answers Verified 100% Correct HFMA best practices stipulate that a reasonable attempt should be made to have the financial responsibilities discussion - ANSWER -As early as possible, before a financial obligation is incurred The patient should receive written information about the provider's supportive financial assistance programs at - ANSWER -Registration or discharge Unless the patient encounter is an emergency, what is the efficient and effective procedure for obtaining information? - ANSWER -Obtain the required demographic and insurance information before services are rendered The 501(r) regulations require not-for-profit providers (501(c)(3) organizations to do which of the following activities: - ANSWER -Implement a financial assistance program for uninsured and underinsured patients. Because 501(r) regulations focus on identifying potential eligible financial assistants patients, hospitals must: - ANSWER -Hold financial conversations with patients as soon as possible A successful pre-registration program: - ANSWER -Identifies clearly what information must be gathered including demographic data, insurance data, and financial information What activities are completed when a scheduled, pre-registered patient arrives for service? - ANSWER -Registering the patient and directing the patient to the service area. When is an appropriate time to see an Emergency Department patient regarding time of service collections? - ANSWER -After the patient has been triaged and medically stabilized The standard claim form used for billing by hospitals, nursing facilities, and other in-patient services is called the - ANSWER -UB-04 What type of account adjustment results from the patient's unwillingness to pay a self-pay balance? - ANSWER -Bad Debt Adjustment The most accurate way to validate patient information is to - ANSWER -Require clinical staff to verify information at each treatment encounter Scheduler instructions are used to prompt the scheduler to - ANSWER -Complete the scheduling process correctly based on service requested The benefits of a Medicare Advantage Plan is - ANSWER -Patients generally have their entire Medicare-covered healthcare through the plan and do not need to worry about "Part A" or "Part B" benefits Successful account resolution beings with - ANSWER -Educating patients on their estimated financial responsibility An effective discussion between the financial counselor and the patient can include which of the following? - ANSWER -Patients can have more appropriate expectations regarding their financial responsibilities If further treatment can only be provided in a hospital setting, the patient's condition cannot be evaluated and/or treated within 24 hours, or if there is not an anticipation of improvement in the patient's condition with 24 hours, the patient - ANSWER -Will be admitted as an inpatient The purpose of a financial report is to - ANSWER -Present financial information to decision makers What is a best practice for Medical Account Resolutions? - ANSWER -All of the above. The Affordable Care Act (ACA) legislation lays out requirements that must be followed by all legally designated as non-profit under the IRS code 501(c)3 regulations except: - ANSWER -Elective medical care Outsourcing options should be evaluated as - ANSWER -In the same manner as any other business service purchase In order for hospitals to remain compliant with TCPA, the recommended best practice is - ANSWER -Obtain patient's consent to call the patient on their cellular phone HFMA patient financial communications best practices call for annual training for all staff EXCEPT - ANSWER -Nursing The revenue cycle charges are the basis for - ANSWER -Separation of fiscal responsibilities between the patient and health plan The most important aspect of selecting a third-party collection agency is - ANSWER -How the selected agency interacts with patients What best describes a "Silent PPO"? - ANSWER -A health plan that does not offer PPO policies but applies contracted PPO discounted rates to patient's bills that are not part of the PPO network. When an ambulance service is paid separately, all of the following are acceptable payment methods EXCEPT - ANSWER -Suppliers are paid at an all-inclusive base rate reflecting all services, supplies, and mileage. A recurring/series registration is characterized by - ANSWER -The creation of one registration record for multiple days of service Incorrect data gathering can cause all of the following EXCEPT - ANSWER -The inability to engage physicians in quality outcomes