HFMA CRCR PRACTICE EXAM
Questions and Answers
1. The 501(r) regulations require not-for-profit providers 501(c) (3) to
do which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible
for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally
billed to all other patients.: A. Complete a community needs assessment and develop a
discount program for patient balances after insurance payment
2. The accurate capture of charges remains critically important
because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.: B. Charges
,remain one of the few consistent indicators available to monitor resource use
3. The ACO investment model will test the use of pre-paid shared
savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.: D.
Encourage new ACOs to form in rural and underserved areas
4. 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:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and
assist in obtaining required patient financial data.
C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient
care and patient flow.: C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
,5. Activities completed when the scheduled, pre-registered patient
arrives for service includes:
A. Verifying insurance, activating the record and directing the
patient to the service area.
B. Scanning the driver's license or other phot identification and
directing the patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D.Registering the patient and directing the patient to the service area.:
C. Activating the record, obtaining signatures and
6. The activity which results in the accurate recording of patient bed
and level of care assessment, patient transfer and patient discharge
status on a real-time basis is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put: A. Utilization
review or
B. Case Management
7. An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
, C. The opportunity to reduce processing times at the time of service.
D.The opportunity to reduce corporate compliance failures within the
registra- tion process.: C. The opportunity to reduce processing times at the time of service.
8. The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
can:
A. Obtain price estimates for medical services
B. Negotiate the price of medical services with providers
C. Purchase qualified health benefit plans regardless of insured's
health status
D. Meet federal mandates for insurance coverage and obtain the
correspond- ing tax deduction: C. Purchase qualified health benefit plans regardless of
insured's health status.
9. All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature: C. Not delivered in a
Medicare licensed care setting
Questions and Answers
1. The 501(r) regulations require not-for-profit providers 501(c) (3) to
do which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible
for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally
billed to all other patients.: A. Complete a community needs assessment and develop a
discount program for patient balances after insurance payment
2. The accurate capture of charges remains critically important
because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.: B. Charges
,remain one of the few consistent indicators available to monitor resource use
3. The ACO investment model will test the use of pre-paid shared
savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.: D.
Encourage new ACOs to form in rural and underserved areas
4. 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:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and
assist in obtaining required patient financial data.
C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient
care and patient flow.: C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
,5. Activities completed when the scheduled, pre-registered patient
arrives for service includes:
A. Verifying insurance, activating the record and directing the
patient to the service area.
B. Scanning the driver's license or other phot identification and
directing the patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D.Registering the patient and directing the patient to the service area.:
C. Activating the record, obtaining signatures and
6. The activity which results in the accurate recording of patient bed
and level of care assessment, patient transfer and patient discharge
status on a real-time basis is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put: A. Utilization
review or
B. Case Management
7. An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
, C. The opportunity to reduce processing times at the time of service.
D.The opportunity to reduce corporate compliance failures within the
registra- tion process.: C. The opportunity to reduce processing times at the time of service.
8. The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
can:
A. Obtain price estimates for medical services
B. Negotiate the price of medical services with providers
C. Purchase qualified health benefit plans regardless of insured's
health status
D. Meet federal mandates for insurance coverage and obtain the
correspond- ing tax deduction: C. Purchase qualified health benefit plans regardless of
insured's health status.
9. All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature: C. Not delivered in a
Medicare licensed care setting
