CRCR GUIDE CORRECT ANSWERS AND QUESTIONS
SET A+
✔✔Improving the overall patient experience requires revenue cycle leadership and staff
to simultaneously be: - ✔✔Clear on policies and consistent in applying the policies
✔✔Because 501(r) regulations focus on identifying potential eligible financial assistants
patients hospitals must: - ✔✔Hold financial conversations with patients as soon as
possible
✔✔Which of the following is NOT contained in a collection agency agreement? - ✔✔A
mutual hold-harmless clause
✔✔HFMA best practices stipulate that a reasonable attempt should be made to have
the financial - ✔✔As early as possible, before a financial obligation is incurred
✔✔Recognizing that health coverage is complicated and not all pts are able to navigate
this terrain, HFMA best practices specify that - ✔✔Patients should be given the
opportunity to request a patient advocate, family member or other designee to help
them In these discussions
✔✔For scheduled patients, important revenue cycle activities In the Time of Service
stage DO NOT INCLUDE: - ✔✔Final bill is presented for payment
✔✔HFMA's patient financial communication best practices specify that patients should
be told about the types of services provided and - ✔✔The service providers that
typically participate in the service, e.g., radiologists, pathologists, etc.
✔✔Successful account resolution begins with - ✔✔Collecting all deductibles and
copayments during the pre-service stage
✔✔Recognizing that health coverage is complicated and not all patients are able to
navigate this terrain, HFMA best practices specify that - ✔✔Patients should be given the
, opportunity to request a patient advocate, family member, or other designee to help
them in these discussions
✔✔In the balance resolution process, providers should: - ✔✔Ask the patient if he or she
would like to receive information about payment options and supportive financial
assistance programs
✔✔Business ethics, or organizational ethics represent: - ✔✔The principles and
standards by which organizations operate
✔✔Which option is a government-sponsored health care program that is financed
through taxes and general revenue funds - ✔✔Medicare
✔✔Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on; a
monthly fee is known as a - ✔✔HMO
✔✔In a Chapter 7 Straight Bankruptcy filing - ✔✔The court liquidates the debtor's
nonexempt property, pays creditors, and discharges the debtor from the debt
✔✔When there is a request for service the scheduling staff member must confirm the
patient's - ✔✔Ensure that she/he accesses the correct information in the historical
database
✔✔A four digit number code established by the National Uniform Billing Committee
(NUBC)that categorizes/classifies a line item in the charge master is known as -
✔✔Revenue codes
✔✔Appropriate training for patient financial counseling staff must cover all of the
following EXCEPT: - ✔✔Documenting the conversation in the medical records
✔✔The ACO investment model will test the use of pre-paid shared savings to -
✔✔Encourage new ACOs to form in rural and underserved areas
✔✔When recovery audit contractors (RAC) identify improper payments as over
payments the claims processing contractor must - ✔✔Send a demand letter to the
provider to recover the over payment amount
✔✔The purpose of the ACA mandated Community Health Needs Assessment is -
✔✔To identify significant health needs, prioritize those needs and identify resources to
address them
SET A+
✔✔Improving the overall patient experience requires revenue cycle leadership and staff
to simultaneously be: - ✔✔Clear on policies and consistent in applying the policies
✔✔Because 501(r) regulations focus on identifying potential eligible financial assistants
patients hospitals must: - ✔✔Hold financial conversations with patients as soon as
possible
✔✔Which of the following is NOT contained in a collection agency agreement? - ✔✔A
mutual hold-harmless clause
✔✔HFMA best practices stipulate that a reasonable attempt should be made to have
the financial - ✔✔As early as possible, before a financial obligation is incurred
✔✔Recognizing that health coverage is complicated and not all pts are able to navigate
this terrain, HFMA best practices specify that - ✔✔Patients should be given the
opportunity to request a patient advocate, family member or other designee to help
them In these discussions
✔✔For scheduled patients, important revenue cycle activities In the Time of Service
stage DO NOT INCLUDE: - ✔✔Final bill is presented for payment
✔✔HFMA's patient financial communication best practices specify that patients should
be told about the types of services provided and - ✔✔The service providers that
typically participate in the service, e.g., radiologists, pathologists, etc.
✔✔Successful account resolution begins with - ✔✔Collecting all deductibles and
copayments during the pre-service stage
✔✔Recognizing that health coverage is complicated and not all patients are able to
navigate this terrain, HFMA best practices specify that - ✔✔Patients should be given the
, opportunity to request a patient advocate, family member, or other designee to help
them in these discussions
✔✔In the balance resolution process, providers should: - ✔✔Ask the patient if he or she
would like to receive information about payment options and supportive financial
assistance programs
✔✔Business ethics, or organizational ethics represent: - ✔✔The principles and
standards by which organizations operate
✔✔Which option is a government-sponsored health care program that is financed
through taxes and general revenue funds - ✔✔Medicare
✔✔Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on; a
monthly fee is known as a - ✔✔HMO
✔✔In a Chapter 7 Straight Bankruptcy filing - ✔✔The court liquidates the debtor's
nonexempt property, pays creditors, and discharges the debtor from the debt
✔✔When there is a request for service the scheduling staff member must confirm the
patient's - ✔✔Ensure that she/he accesses the correct information in the historical
database
✔✔A four digit number code established by the National Uniform Billing Committee
(NUBC)that categorizes/classifies a line item in the charge master is known as -
✔✔Revenue codes
✔✔Appropriate training for patient financial counseling staff must cover all of the
following EXCEPT: - ✔✔Documenting the conversation in the medical records
✔✔The ACO investment model will test the use of pre-paid shared savings to -
✔✔Encourage new ACOs to form in rural and underserved areas
✔✔When recovery audit contractors (RAC) identify improper payments as over
payments the claims processing contractor must - ✔✔Send a demand letter to the
provider to recover the over payment amount
✔✔The purpose of the ACA mandated Community Health Needs Assessment is -
✔✔To identify significant health needs, prioritize those needs and identify resources to
address them
