HFMA CERTIFIED REVENUE CYCLE REPRESENTATIVE
UPDATED ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
Question 1.
Routine Activities: Provision of Care: when having a financial discussion with uninsured ED patients, you
should explain the goal of collecting information to identify payment solutions. What is goal?
ANSWER
To find payment solutions or financial assistance options that may help them with their
financial obligations for the ED visit.
Question 2.
Compliance Framework 1/5: What's Process Observation?
ANSWER
Annual observation, monitoring, and tracking of results make up the process of compliance
evaluation required to document compliance with the best practices. The evaluation should be
comprehensive and should cover all scenarios addressed by the practices that are relevant to a
particular organization.
Question 3.
Compliance Framework 1/5: What is the Technology segment?
ANSWER
The compliance framework ensures that technology is in place to support verification of
insurance eligibility for current services, verification of existing prior balance for current
services, and estimated cost of the current services and the patient responsibility portion.
Question 4.
Compliance Framework 1/5: What's the Training Program?
ANSWER
HFMA's best practices call for annual training on the organization's financial assistance policies
for all staff who engage in patient financial discussions, including patient access, financial
counseling, and customer service representatives.
1/7
, Question 5.
Prior Balances: How should practices inform patients of prior balances?
ANSWER
Practices must have clear policies about prior balances, and they should make those policies
public.
Question 6.
Compliance Framework: Training Program: What are the topics that must be covered?
ANSWER
- patient financial communications best practices specific to staff role
-Financial Assistance Policies
-Available patient financing options
-Alternative solutions for the uninsured
-laws/regulations, such as EMTALA, the Fair Debt Collections Practice Act, and the Telephone
Consumer Protection Act - specific to the staff role.
Question 7.
Routine & Complex Scenarios: the best practices specifies that patients should be given the
opportunities to request what to help them with financial discussions?
ANSWER
a patient advocate, family member, or other designee to help them in the discussions.
Question 8.
When should the provider representative review insurance eligibility information with the patient?
ANSWER
During the process of engaging in a financial discussion.
Question 9.
For Routine Scenarios: for patients with insurance coverage or a know ability to pay, who should be
involved in the financial discussions?
ANSWER
the patient or guarantor and properly trained provider representatives.
2/7
UPDATED ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
Question 1.
Routine Activities: Provision of Care: when having a financial discussion with uninsured ED patients, you
should explain the goal of collecting information to identify payment solutions. What is goal?
ANSWER
To find payment solutions or financial assistance options that may help them with their
financial obligations for the ED visit.
Question 2.
Compliance Framework 1/5: What's Process Observation?
ANSWER
Annual observation, monitoring, and tracking of results make up the process of compliance
evaluation required to document compliance with the best practices. The evaluation should be
comprehensive and should cover all scenarios addressed by the practices that are relevant to a
particular organization.
Question 3.
Compliance Framework 1/5: What is the Technology segment?
ANSWER
The compliance framework ensures that technology is in place to support verification of
insurance eligibility for current services, verification of existing prior balance for current
services, and estimated cost of the current services and the patient responsibility portion.
Question 4.
Compliance Framework 1/5: What's the Training Program?
ANSWER
HFMA's best practices call for annual training on the organization's financial assistance policies
for all staff who engage in patient financial discussions, including patient access, financial
counseling, and customer service representatives.
1/7
, Question 5.
Prior Balances: How should practices inform patients of prior balances?
ANSWER
Practices must have clear policies about prior balances, and they should make those policies
public.
Question 6.
Compliance Framework: Training Program: What are the topics that must be covered?
ANSWER
- patient financial communications best practices specific to staff role
-Financial Assistance Policies
-Available patient financing options
-Alternative solutions for the uninsured
-laws/regulations, such as EMTALA, the Fair Debt Collections Practice Act, and the Telephone
Consumer Protection Act - specific to the staff role.
Question 7.
Routine & Complex Scenarios: the best practices specifies that patients should be given the
opportunities to request what to help them with financial discussions?
ANSWER
a patient advocate, family member, or other designee to help them in the discussions.
Question 8.
When should the provider representative review insurance eligibility information with the patient?
ANSWER
During the process of engaging in a financial discussion.
Question 9.
For Routine Scenarios: for patients with insurance coverage or a know ability to pay, who should be
involved in the financial discussions?
ANSWER
the patient or guarantor and properly trained provider representatives.
2/7
