CRCR – HFMA EXAM Questions and
Answers
1. (1.1) Which of the following statements are true of HFMA's
Patient Financial Communications Best Practices?
A. The best practices were developed specifically to help patients
understand the cost of services, their individual insurance benefits,
and their responsibility for balances after insurance, if any.
B. Although patients have a primary service provider, other physician
may be involved with the services being provided. It is not
necessary to enumerate these providers, as they typically bill
separately for their services.
C.Providers who are recognized for adopting HFMA's Patient Financial
Commu- nications Best Practices are able to provide service line
price information in a clear and understandable manner.
D. Within the Healthcare Dollars & Sense initiative, HFMA only
developed guid- ance for price transparency and resolution of medical
debt.: A. The best practices were developed specifically to help patients understand the
cost of services, their individual insurance benefits, and their responsibility for balances after insurance,
if any.
HFMA's Patient Financial Communications Best Practices focus on transparency in healthcare pricing,
,helping patients understand:
The cost of services before receiving
care Their insurance coverage and
benefits
Their financial responsibility after insurance
payments Why the other choices are incorrect?
B. "It is not necessary to enumerate other providers" ’LIncorrect. Best practices encourage
transparency about all potential charges, including services from providers who bill separately (e.g.,
anesthesiologists, radiologists).
C. "Providers recognized for best practices provide service line price info clearly" ’LWhile price
transparency is a key aspect, recognition is not solely based on this—it also includes billing clarity,
financial assistance, and collections practices.
D. "HFMA only developed guidance for price transparency and medical debt resolution" ’LIncorrect.
HFMA's initiative also covers financial assistance, billing, collections, and patient communication practices.
2. (1.2) The patient experience includes all of the following except:
A. Recognition that revenue cycle processes must be patient-centric
and effi- cient. This is especially true in the areas of scheduling,
registration, admitting, financial counseling and account resolution
conversation with patients.
B. Patient accounting is responsible for providing statements that
are easy to understand and supported by access to revenue cycle
staff during extended business hours and via a variety of contact
options.
,C. Ensuring that rework is minimized to avoid the adverse impact of
missing authorizations or the provision of care that is not medically
necessary in the place of service where care was provided
D. The average number of positive mentions received by the health
system or practice and the public comments refuting unfriendly posts
on social media sites.: D. The average number of positive mentions received by the health
system or practice and the public comments refuting unfriendly posts on social media sites.
The patient experience focuses on direct interactions between the patient and the healthcare system,
including scheduling, billing, financial counseling, and overall ease of navigation within the healthcare process.
It does not include social media reputation management, as that is more related to marketing and public
relations rather than direct patient care.
Why the other choices are correct:
A. Recognition that revenue cycle processes must be patient-centric and eflcient.
The patient experience includes financial processes, ensuring they are clear, eflcient, and patient-friendly
in areas such as scheduling, registration, financial counseling, and billing.
B. Patient accounting is responsible for providing clear statements and accessible support.
Patients should receive easy-to-understand bills and have multiple ways to contact the revenue cycle
team for clarifi- cation, which improves the patient experience.
C. Ensuring that rework is minimized to avoid issues with authorizations or unnecessary care.
Preventing billing errors, unnecessary treatments, or authorization issues ensures a smoother experience
for the patient.
, Since social media interactions are not a core part of the patient experience within the revenue cycle, D
is the correct answer.
3. (1.3) Corporate compliance programs play a important role
in protecting the integrity of operations and ensuring
compliance with federal and state requirements. The Code of
Conduct is::
A. A critical tool to ensure the compliance with the organizations
compliance standards and procedures
B. An essential and integral component of the organizations culture
C. Fosters an environment where concerns and questions may be
raised with- out fear or retaliation or retribution
D. All of the above: D. All of the above
Explanation:
A Code of Conduct is a fundamental part of a corporate compliance program, ensuring that employees
and stakeholders adhere to ethical and legal standards. It serves multiple purposes:
A. A critical tool to ensure compliance with the organization's compliance standards and
procedures The Code of Conduct sets expectations for ethical behavior and compliance
with laws and regulations.
B. An essential and integral component of the organization's culture
It defines the organization's values and commitment to integrity, making compliance a core part of the
workplace culture.
C. Fosters an environment where concerns and questions may be raised without fear of retaliation or
Answers
1. (1.1) Which of the following statements are true of HFMA's
Patient Financial Communications Best Practices?
A. The best practices were developed specifically to help patients
understand the cost of services, their individual insurance benefits,
and their responsibility for balances after insurance, if any.
B. Although patients have a primary service provider, other physician
may be involved with the services being provided. It is not
necessary to enumerate these providers, as they typically bill
separately for their services.
C.Providers who are recognized for adopting HFMA's Patient Financial
Commu- nications Best Practices are able to provide service line
price information in a clear and understandable manner.
D. Within the Healthcare Dollars & Sense initiative, HFMA only
developed guid- ance for price transparency and resolution of medical
debt.: A. The best practices were developed specifically to help patients understand the
cost of services, their individual insurance benefits, and their responsibility for balances after insurance,
if any.
HFMA's Patient Financial Communications Best Practices focus on transparency in healthcare pricing,
,helping patients understand:
The cost of services before receiving
care Their insurance coverage and
benefits
Their financial responsibility after insurance
payments Why the other choices are incorrect?
B. "It is not necessary to enumerate other providers" ’LIncorrect. Best practices encourage
transparency about all potential charges, including services from providers who bill separately (e.g.,
anesthesiologists, radiologists).
C. "Providers recognized for best practices provide service line price info clearly" ’LWhile price
transparency is a key aspect, recognition is not solely based on this—it also includes billing clarity,
financial assistance, and collections practices.
D. "HFMA only developed guidance for price transparency and medical debt resolution" ’LIncorrect.
HFMA's initiative also covers financial assistance, billing, collections, and patient communication practices.
2. (1.2) The patient experience includes all of the following except:
A. Recognition that revenue cycle processes must be patient-centric
and effi- cient. This is especially true in the areas of scheduling,
registration, admitting, financial counseling and account resolution
conversation with patients.
B. Patient accounting is responsible for providing statements that
are easy to understand and supported by access to revenue cycle
staff during extended business hours and via a variety of contact
options.
,C. Ensuring that rework is minimized to avoid the adverse impact of
missing authorizations or the provision of care that is not medically
necessary in the place of service where care was provided
D. The average number of positive mentions received by the health
system or practice and the public comments refuting unfriendly posts
on social media sites.: D. The average number of positive mentions received by the health
system or practice and the public comments refuting unfriendly posts on social media sites.
The patient experience focuses on direct interactions between the patient and the healthcare system,
including scheduling, billing, financial counseling, and overall ease of navigation within the healthcare process.
It does not include social media reputation management, as that is more related to marketing and public
relations rather than direct patient care.
Why the other choices are correct:
A. Recognition that revenue cycle processes must be patient-centric and eflcient.
The patient experience includes financial processes, ensuring they are clear, eflcient, and patient-friendly
in areas such as scheduling, registration, financial counseling, and billing.
B. Patient accounting is responsible for providing clear statements and accessible support.
Patients should receive easy-to-understand bills and have multiple ways to contact the revenue cycle
team for clarifi- cation, which improves the patient experience.
C. Ensuring that rework is minimized to avoid issues with authorizations or unnecessary care.
Preventing billing errors, unnecessary treatments, or authorization issues ensures a smoother experience
for the patient.
, Since social media interactions are not a core part of the patient experience within the revenue cycle, D
is the correct answer.
3. (1.3) Corporate compliance programs play a important role
in protecting the integrity of operations and ensuring
compliance with federal and state requirements. The Code of
Conduct is::
A. A critical tool to ensure the compliance with the organizations
compliance standards and procedures
B. An essential and integral component of the organizations culture
C. Fosters an environment where concerns and questions may be
raised with- out fear or retaliation or retribution
D. All of the above: D. All of the above
Explanation:
A Code of Conduct is a fundamental part of a corporate compliance program, ensuring that employees
and stakeholders adhere to ethical and legal standards. It serves multiple purposes:
A. A critical tool to ensure compliance with the organization's compliance standards and
procedures The Code of Conduct sets expectations for ethical behavior and compliance
with laws and regulations.
B. An essential and integral component of the organization's culture
It defines the organization's values and commitment to integrity, making compliance a core part of the
workplace culture.
C. Fosters an environment where concerns and questions may be raised without fear of retaliation or
