HFMA CERTIFIED REVENUE CYCLE
REPRESENTATIVE EXAM SCRIPT VERIFIED
QUESTIONS WITH ACCURATE ANSWERS
●● Because case managers document the clinical reasons for treatment,
they are
Answer: A good resource when developing written appeals and denials.
●● All of the following information describe claim edits EXCEPT
Answer: The claim editing process slowed down the receipt of
payments, increases account receivable outstanding, and decreases cash
flow.
●● What types of services are classified as non-acute?
Answer: Hospice Care, Clinic Services & Skilled Nursing
●● The unscheduled "direct" admission represents a patient who:
Answer: Is admitted from a physician's office on an urgent basis.
●● The process of creating the pre-registration record ensures
Answer: That access staff will have complete and valid information
needed to finalize any remaining pre-access activities.
, ●● An advantage of a pre-registration program is
Answer: The opportunity to reduce processing times at the time of
service.
●● Claim edits are
Answer: Rules developed to verify the accuracy of claims based on each
health plan's policies.
●● Examples of ethic violations that impact the revenue cycle include
all of the following EXCEPT
Answer: Seeking payment options for patient self-pay
●● EMTALA and HFMA best practices specify that, in an Emergency
Department setting
Answer: No patient financial discussions should occur before a patient is
screened and stabilized.
●● Which of the following is usually covered on a Conditions of
Admission form
Answer: Release of information
●● The nuanced data resulting from detailed ICD-10 coding allows
senior leadership to work with physicians to do all of the following
EXCEPT
REPRESENTATIVE EXAM SCRIPT VERIFIED
QUESTIONS WITH ACCURATE ANSWERS
●● Because case managers document the clinical reasons for treatment,
they are
Answer: A good resource when developing written appeals and denials.
●● All of the following information describe claim edits EXCEPT
Answer: The claim editing process slowed down the receipt of
payments, increases account receivable outstanding, and decreases cash
flow.
●● What types of services are classified as non-acute?
Answer: Hospice Care, Clinic Services & Skilled Nursing
●● The unscheduled "direct" admission represents a patient who:
Answer: Is admitted from a physician's office on an urgent basis.
●● The process of creating the pre-registration record ensures
Answer: That access staff will have complete and valid information
needed to finalize any remaining pre-access activities.
, ●● An advantage of a pre-registration program is
Answer: The opportunity to reduce processing times at the time of
service.
●● Claim edits are
Answer: Rules developed to verify the accuracy of claims based on each
health plan's policies.
●● Examples of ethic violations that impact the revenue cycle include
all of the following EXCEPT
Answer: Seeking payment options for patient self-pay
●● EMTALA and HFMA best practices specify that, in an Emergency
Department setting
Answer: No patient financial discussions should occur before a patient is
screened and stabilized.
●● Which of the following is usually covered on a Conditions of
Admission form
Answer: Release of information
●● The nuanced data resulting from detailed ICD-10 coding allows
senior leadership to work with physicians to do all of the following
EXCEPT
