CSBI HFMA EXAM PRACTICE QUESTIONS
AND ANSWERS 2023 COMPLETE SOLUTION
ACTUAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
⩥ For scheduled payments, important revenue cycle activities in the
time-of-service stage DO Not include: Answer: Obtaining or updating
patient and guarantor information
⩥ Hospital can only convert an inpatient case to observation if: Answer:
The hospital utilization review committee determines before the patient
is discharged and prior to billing that an observation setting would be
more appropriate.
⩥ Hospital need which of the following information sets to assess a
patient's financial status? Answer: Demographic, Income, Assets and
Expenses.
⩥ HIPAA privacy rules require covered entities to take all, of the
following actions EXCEPT: Answer: Use only designated software
platforms to secure patient date.
,⩥ When Recovery Audit Contractors (RAC) identify improper payments
as overpayment. the claims processing contractor must: Answer: Send a
demand letter to the provider to recover the over payment amount.
⩥ Which HIPPA transaction set provides electronic processing of
8insurance verification requests and responses? Answer: The 270-271
set
⩥ Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to: Answer: Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow.
⩥ A scheduled inpatient represents an opportunity for the provider to do
which of the following? Answer: Complete registration and insurance
approval before service
⩥ The Medicare Bundled Payments for Care Initiative (BCP) is
designed to: Answer: Align incentives between hospitals, physicians,
and non-physician providers in-order to better coordinate patient care.
⩥ To maximize the value derived from customer complaints, all
consumer complaints should be: Answer: Tracked and shared to improve
customer experience
, ⩥ The soft cost of a dissatisfied customer is: Answer: The customer
passing on information about their negative experience to potential
patients or through social media channels.
⩥ Applying the contracted payment methodology to the total charges
yields: Answer: An estimate price
⩥ The importance of medical records maintained by HIM is that the
patient records: Answer: Are the primary source for clinical data
required for reimbursement by health plans and liability payers
⩥ Important Revenue Cycle Activities in the pre-service stage include:
Answer: Obtaining or updating patient and guarantor information
⩥ In the pre-service stage, the cost of the schedule services is identified
and the patient's health plan and benefits are used to calculate: Answer:
The amount the patient may be expected to pay after insurance.
⩥ The disadvantage of outsourcing includes all, of the following Except
Answer: Reduces internal staffing costs and a reliance on outsourced
staff.
⩥ Marinating routine contact with health plan or liability payer, making
sure all required information is provided and all needed approvals are
obtained is the responsibility of who: Answer: Case Management
AND ANSWERS 2023 COMPLETE SOLUTION
ACTUAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
⩥ For scheduled payments, important revenue cycle activities in the
time-of-service stage DO Not include: Answer: Obtaining or updating
patient and guarantor information
⩥ Hospital can only convert an inpatient case to observation if: Answer:
The hospital utilization review committee determines before the patient
is discharged and prior to billing that an observation setting would be
more appropriate.
⩥ Hospital need which of the following information sets to assess a
patient's financial status? Answer: Demographic, Income, Assets and
Expenses.
⩥ HIPAA privacy rules require covered entities to take all, of the
following actions EXCEPT: Answer: Use only designated software
platforms to secure patient date.
,⩥ When Recovery Audit Contractors (RAC) identify improper payments
as overpayment. the claims processing contractor must: Answer: Send a
demand letter to the provider to recover the over payment amount.
⩥ Which HIPPA transaction set provides electronic processing of
8insurance verification requests and responses? Answer: The 270-271
set
⩥ Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to: Answer: Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow.
⩥ A scheduled inpatient represents an opportunity for the provider to do
which of the following? Answer: Complete registration and insurance
approval before service
⩥ The Medicare Bundled Payments for Care Initiative (BCP) is
designed to: Answer: Align incentives between hospitals, physicians,
and non-physician providers in-order to better coordinate patient care.
⩥ To maximize the value derived from customer complaints, all
consumer complaints should be: Answer: Tracked and shared to improve
customer experience
, ⩥ The soft cost of a dissatisfied customer is: Answer: The customer
passing on information about their negative experience to potential
patients or through social media channels.
⩥ Applying the contracted payment methodology to the total charges
yields: Answer: An estimate price
⩥ The importance of medical records maintained by HIM is that the
patient records: Answer: Are the primary source for clinical data
required for reimbursement by health plans and liability payers
⩥ Important Revenue Cycle Activities in the pre-service stage include:
Answer: Obtaining or updating patient and guarantor information
⩥ In the pre-service stage, the cost of the schedule services is identified
and the patient's health plan and benefits are used to calculate: Answer:
The amount the patient may be expected to pay after insurance.
⩥ The disadvantage of outsourcing includes all, of the following Except
Answer: Reduces internal staffing costs and a reliance on outsourced
staff.
⩥ Marinating routine contact with health plan or liability payer, making
sure all required information is provided and all needed approvals are
obtained is the responsibility of who: Answer: Case Management
