HFMA - Certified Revenue Cycle
Representative
According to best practices, when should you make a reasonable attempt to have a financial
discussion with a patient? - ANS-Before a financial obligation is incurred (before care is
provided).
Also, providers should:
A. have both elective and non-elective procedures clearly defined for the public
B. only elective procedures clearly defined, and non-elective are mandatory
C. only non-elective, as they are mandatory. - ANS-A.
Balance Resolution: how should you discuss prior balances for resolution? - ANS-I may
discuss prior balances that are currently being pursued for collection by the provider, a
collection agency, or other organizations. I may also write a list of the prior services
delivered, dates of service, and the resulting prior balance.
Compliance Framework 1/5: What is the Executive Level Metrics Reporting? - ANS-Reports
of organizational performance evaluations should be developed, compiled into an overall
compliance report and presented to the organization's executive leadership team on an
annual basis.
Compliance Framework 1/5: What is the Feedback and Response? - ANS-This evaluation is
designed to ensure that processes are in place to regularly solicit input and receive key
stakeholders'' feedback, measure and respond to input and feedback, and ensure that
patient complaints are resolved.
Compliance Framework 1/5: What is the Technology segment? - ANS-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.
Compliance Framework 1/5: What's Process Observation? - ANS-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.
Compliance Framework 1/5: What's the Training Program? - ANS-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.
Compliance Framework: Training Program: What are the topics that must be covered? -
ANS-- 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.
Representative
According to best practices, when should you make a reasonable attempt to have a financial
discussion with a patient? - ANS-Before a financial obligation is incurred (before care is
provided).
Also, providers should:
A. have both elective and non-elective procedures clearly defined for the public
B. only elective procedures clearly defined, and non-elective are mandatory
C. only non-elective, as they are mandatory. - ANS-A.
Balance Resolution: how should you discuss prior balances for resolution? - ANS-I may
discuss prior balances that are currently being pursued for collection by the provider, a
collection agency, or other organizations. I may also write a list of the prior services
delivered, dates of service, and the resulting prior balance.
Compliance Framework 1/5: What is the Executive Level Metrics Reporting? - ANS-Reports
of organizational performance evaluations should be developed, compiled into an overall
compliance report and presented to the organization's executive leadership team on an
annual basis.
Compliance Framework 1/5: What is the Feedback and Response? - ANS-This evaluation is
designed to ensure that processes are in place to regularly solicit input and receive key
stakeholders'' feedback, measure and respond to input and feedback, and ensure that
patient complaints are resolved.
Compliance Framework 1/5: What is the Technology segment? - ANS-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.
Compliance Framework 1/5: What's Process Observation? - ANS-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.
Compliance Framework 1/5: What's the Training Program? - ANS-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.
Compliance Framework: Training Program: What are the topics that must be covered? -
ANS-- 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.
