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Certified Revenue Cycle Representative (CRCR) – HFMA – Healthcare Finance – Exam Preparation Material

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This document covers core content for the Certified Revenue Cycle Representative (CRCR) exam, focusing on healthcare revenue cycle processes, billing, compliance, and patient financial services. It is designed to support exam preparation with key concepts typically assessed in CRCR certification. The material aligns with HFMA standards for healthcare finance professionals.

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Which of the following statements are true of HFMA's The best practices were developed specifically to help patients understand the
Patient Financial Communications Best Practices? cost of services, their individual insurance benefits, and their responsibility for
balances after insurance, if any.


The patient experience includes all of the following Recognition that revenue cycle processes must be patient-centric and efficient.
except: This is especially true in the areas of scheduling, registration, admitting, financial
counseling and account resolution conversation with patients.


Corporate compliance programs play an important role in A critical tool to ensure compliance, essential and integral component, fosters an
protecting the integrity of operations and ensuring environment, (all of the above)
compliance with federal and state requirements. The code
of conduct is:


Specific to Medicare free-for-service patients, which of Black lung service programs, veteran affairs program, working aged programs,
the following payers have always been liable for ESRD, and disability
payment?


Provider policies and procedures should be in place to financial misconduct, theft of property, applying policies in inconsistent manner (all
reduce the risk of ethics violations. Examples include: of the above)

, What is the intended outcome of collaborations made To eliminate duplicate services, prevent medical errors and ensure
through an ACO delivery system for a population of appropriateness of care
patients?


What is the new terminology now employed in the explicit price concessions and implicit price concessions
calculation of net patient service revenues?


What are the two KPIs used to monitor performance Elapsed days from discharge to final bill and elapsed days from final bill to
related to the production and submission of claims to claim/bill submission
third party payers and patients (self-pay)?


What happens during the post-service stage? Final coding of all services, preparation and submission of claims, payment
processing and balance billing and resolution.


The following statements describe best practices educate patients, coordinate to avoid duplicate patient contacts, be consistent in
established by the Medicaid Debt Task Force. Select true key aspects of account resolution, follow best practices for communication
statements.


Which option is NOT a main HFMA Healthcare Dollars & Process Compliance
Sense revenue cycle initiative?

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