AND ANSWERS SURE A+
✔✔A recurring/series registration is characterized by
a) A creation of multiple registrations for multiple services
b) The creation of one registration record for multiple days of service
c) The creation of multiple patient types for one date of service
d) The creation of one registration record per diagnosis per visit - ✔✔B
✔✔Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
provider
may not ask about a patient's insurance information if it would delay what?
a) Complete course of treatment
b) Medical screening and stabilizing treatment
c) Admission to observation status
d) Transfer to another facility - ✔✔B
✔✔In resolving medical accounts, a law firm may be used as:
a) An independent auditor of a financial assistance policy
b) Legal counsel to patients regarding financing options
c) An independent broker of patient financial assistance from banks
,d) A substitute for a collection agency - ✔✔D
✔✔The unscheduled "direct" admission represents a patient who:
a) Is admitted from a physician's office on an urgent basis
b) Arrives at the hospital via ambulance for treatment in the emergency room
c) Is an ambulatory patient who collapses in the hospital lobby
d) Arrives on the medical helicopter for trauma services - ✔✔A
✔✔In the balance resolution process, providers should:
a) Stress to the patient that serious consequences may result from refusal to pay
b) Remind the patient of their legal responsibility to pay the balance due
c) Ask the patient if he or she would like to receive information about
payment options and supportive financial assistance programs
d) Tag the patients record for possible financial assistance for bad debt - ✔✔C
✔✔Which of the following in NOT included in the Standardized Quality Measures
a) Clinical outcomes
b) Patient perceptions
c) Health care processes
d) Cost of services - ✔✔D
✔✔In the pre-service stage, the requested service is screened for medical necessity,
health
plan coverage and benefits are verified and:
a) Billing authorization is signed by the patient
b) The patient signs the consents for treatment
c) The patient signs a statement attesting an understanding and acceptance of payment
policies
d) Pre-authorization are obtained - ✔✔D
✔✔Improving the overall patient experience requires revenue cycle leadership and staff
to
simultaneously be:
a) Clear on policies and consistent in applying the policies
b) Careful in screening patient demands
c) Monitoring the costs and charges the patient incurs
d) Inquisitive, responsive and flexible - ✔✔A
✔✔Hospitals need which of the following information sets to assess a patient's financial
status:
a) Income, expenses, debt
b) Patient and guarantor's income, expenses and assets
c) Income, expenses and capacity to take on more debt
,d) Assets liquidity, Income, expenses, credit worthiness - ✔✔B
✔✔For scheduled patients, important revenue cycle activities I the Time of Service
stage DO
NOT INCLUDE:
a) Pre-registration record is activated, consents are signed, and co-payment is collected
b) Positive patient identification is completed, and patient is given an armband
c) Final bill is presented for payment
d) Preprocessed patients may report to a designated "express arrival" desk - ✔✔C
✔✔The Electronic Remittance Advice (ERA) data set is :
a) Used for Electronic Funds Transfers between hospitals and a bank
b) A standardized form that provides 3rd party payment details to
providers
c) Required for annual Medicare quality reporting forms
d) Safeguards the Electronic claims process - ✔✔B
✔✔Appropriate training for patient financial counseling staff must cover all of the
following
EXCEPT:
a) Patient financial communications best practices specific to staff role
b) Financial assistance policies
c) Documenting the conversation in the medical records
d) Available patient financing options - ✔✔C
✔✔All of the following information should be reviewed as part of schedule finalization
EXCEPT:
a) The results of any and all test
b) The service to be provided
c) The arrival time and procedure time
d) The patient's preparation instructions - ✔✔A
✔✔Indemnity plans usually reimburse:
a) Only for contracted Services
b) A claim up to 80% of the charges
c) A certain percentage of the charges after the patient meets the
policy's annual deductible
d) A patient for out-of-pocket charges - ✔✔C
✔✔Because 501(r) regulations focus on identifying potential eligible financial assistants
patients hospitals must:
a) Capture their experience with such patients to properly budget
b) Hold financial conversations with patients as soon as possible
c) Build the necessary processes to handle the potentially lengthy payment schedule
, d) Expedite payment processing of normal accounts receivable to protect cash flow -
✔✔B
✔✔Which option is a benefit of pre-registering a patient for services
a) The patient arrival process is expedited, reducing wait times and
delays
b) The verification of insurance after completion of the services
c) Service departments have the ability to override schedules and block time to reduce
testing volume
d) The patient receiving multiple calls from the provider - ✔✔A
✔✔HIPPA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction EIN's are
assigned by
a) The Social Security Administration
b) The US department of the Treasury
c) The United States department of labor
d) The Internal Revenue Service - ✔✔D
✔✔The nightly room charge will be incorrect if the patient's
a) Transfer from ICU to the Medical/Surgical floor is not reflected in the
registration system.
b) Pharmacy orders to the ICU have not been entered into the pharmacy system
c) Condition has not been discussed during the shift change report meeting
d) Discharge for the next day has not been charted - ✔✔A
✔✔With any remaining open balances, after insurance payments have been posted, the
account financial liability is
a) Written off as bad debt
b) Potentially transferred to the patient
c) Sold to a collection agency
d) Treated as the cost of doing business - ✔✔B
✔✔When there is a request for service the scheduling staff member must confirm the
patient's
unique identification information to:
a) Verify the patient's insurance coverage if the patient is a returning customer
b) Ensure that she/he accesses the correct information in the historical
database
c) Confirm that physician orders have been received
d) Check if any patient balance due - ✔✔B
✔✔Identifying the patient, in the MPI, creating the registration record, completing
medical
necessity screening, determining insurance eligibility and benefits resolving managed