HFMA CRCR Review Exam Questions and
Answers
1. Which option is NOT a main HFMA Healthcare Dollars and Sense
revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance: D) Process Compliance
2. Approximately what % of billing
information is obtained during the registration process (Patient
Access).: 40%
3. What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital
care.
B) To provide a standardization method for evaluating patients'
perspective on hospital care.
C)To provide clear communication and good customer service, which
will give the provider a competitive edge.
D)To make certain that during registration key information is verified
by means of a picture ID and insurance card.: B) To provide a standardization method
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,for evaluating patients' perspective on hospital care.
4. Which option is NOT a department that supports and
collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services: D) Assisted Living Services
5. What must a SNF have to participate in the Medicare Program?: A
written transfer agreement with one of more participating hospitals providing for the transfer of
patients between the hospital and SNF.
6. In order to qualify for Medicare Coverage of Home Health Service
a patient must meet 2 conditions.: 1) An MD must certify that a patient is confined to
his/her residence (Not necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health coverage.
7. Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice: C) Health Plan Contracting
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, 8. Which of the following are essential elements of an effective
compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing
depart- ment.
D) Reasonable methods to achieve compliance with standards,
including mon- itoring systems and hotlines.
E)Automatic dismissal of any employee excluded from participating in
a federal healthcare program.: A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
9. What is the OIG?: The Oflce of the Inspector General
10. Annually, the OIG publishes a work plan of compliance issues
and objectives that will be focused on throughout the following year.
Identify which option is NOT a work plan task mentioned in this
course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
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Answers
1. Which option is NOT a main HFMA Healthcare Dollars and Sense
revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance: D) Process Compliance
2. Approximately what % of billing
information is obtained during the registration process (Patient
Access).: 40%
3. What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital
care.
B) To provide a standardization method for evaluating patients'
perspective on hospital care.
C)To provide clear communication and good customer service, which
will give the provider a competitive edge.
D)To make certain that during registration key information is verified
by means of a picture ID and insurance card.: B) To provide a standardization method
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17
,for evaluating patients' perspective on hospital care.
4. Which option is NOT a department that supports and
collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services: D) Assisted Living Services
5. What must a SNF have to participate in the Medicare Program?: A
written transfer agreement with one of more participating hospitals providing for the transfer of
patients between the hospital and SNF.
6. In order to qualify for Medicare Coverage of Home Health Service
a patient must meet 2 conditions.: 1) An MD must certify that a patient is confined to
his/her residence (Not necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health coverage.
7. Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice: C) Health Plan Contracting
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, 8. Which of the following are essential elements of an effective
compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing
depart- ment.
D) Reasonable methods to achieve compliance with standards,
including mon- itoring systems and hotlines.
E)Automatic dismissal of any employee excluded from participating in
a federal healthcare program.: A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
9. What is the OIG?: The Oflce of the Inspector General
10. Annually, the OIG publishes a work plan of compliance issues
and objectives that will be focused on throughout the following year.
Identify which option is NOT a work plan task mentioned in this
course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
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17
