CRCR Certification
1. False: T/F Consents are signed as part of the post-service process
2. True: T/F Patient service costs are calculated in the pre-serviceprocess for sched-
uled patients
3. False: T/F The patient is scheduled and registered for service is a time-of-service
activity
4. False: T/F The patient account is monitored for payment is a time-of-service
activity
5. False: T/F Case management and discharge planning services are a post-service
activity
6. False: T/F Sending the bill electronically to the health plan is a time-of-service
activity
7. Healthcare Dollars & Sense:pt financial comm. best practices, best prac-
tices for price transparency, medical accounts resolution: Revenue Cycle Ini-
tiatives
8. 6 areas:Annual staff training, training program topics, process observation,
executive level metrics reporting, technology verification, feedback and re-
sponse: PFC Best Practices
9. Health Insurance Marketplace/Health Insurance exchange: Where individuals
and small businesses can compare and purchase qualified health benefit plans
10. developed a best practice workflow that builds off of HFMA's previous pa-
tient friendly billingwork and spansthe patient-centric revenue cycle.: Medical
Debt Task Force
11. Educate patients, coordinate to avoid duplicate patient contacts, be con-
sistent in key aspects of account resolution, follow best practices for com-
munication: The following statements describe best practices established by the
Medical Debt Task Force
12. standardized method for evaluating patients' perspective on hospital care-
: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
13. loss of future revenue: Hard Costs
14. customer's passing on information about their negative experience to
potential patients or through social media channels: Soft Costs
15. include skilled nursing , home health, durable medical equipment, hospice,
and assisted living: Post Acute Services
16. institution (skilled nursing home/rehabilitation center) engaged in pro-
vided skilled nursing care for injured/disabled/sick persons: Skilled Nursing
Facility (SNF)
17. Medical equipment that is prescribed by a doctor for use in the home: -
Durable Medical Equipment (DME)
18. public agency or private organization: Home Health Agency (HHA)
, CRCR Certification
19. usually provide info about performance of a procedures/apply to CPT/con-
sist of 2 numbers: Level 1 Modifier
20. used for OPPS/provide addtl detail ab out an anatomical location or about
a procedure or service/apply to HCPCS codes/consist of either 2 letters or a
1 letter & 1 number: Level 2 Modifiers
21. purpose is to ensure that the most comprehensive groups of codes, rather
than the component parts, are billed. THe program consists of edits that
are implemented within providers' claim processing systems: Correct Coding
Initiative(CCI) E
22. Financial misconduct/Overcharging/Theft of property/ Falsifying records
to boos reimbursement/miscoding claims: Ethics Violations
23. includes provisions to improve the quality of care/reform the healthcare
delivery system/encourage pricing transparency and modernized financing
systems/address the issues of waste,fraud, and abuse: Affordable Care Act
(ACA)
24. delivery system of physicians, hospitals, and other healthcare providers,
who work collaboratively to manage and coordinate the care of a patient pop-
ulation. Includes appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients: Accountable Care
Organization (ACO)
25. initiative was developed by the Center for Medicare and Medicaid Inno-
vation to link payments for multiple services beneficiaries receive during an
episode of care: Bundled Payments for Care Improvement (BPCI)
26. statement is a summary of the organizations wealth as of the date of the
statement. it represents the summary of the organizations assets, liabilities
and accumulated excesses from operations less any accumulated losses.: -
Balance Sheet
27. ties directly to the balance sheet and is the summary of the organizations
revenues and expenses and any excess or loss from operations: Income State-
ment
28. this statement is the summary of how cash was used and where it was
obtained: Cash Flow Statement
29. revenue is recorded when it is earned to permit the alignment of revenue
with the associated expenses.: Accrual Accounting
30. records revenue when payment is received: Cash Accounting
31. record keeping method to manage categories of netassets to ensure com-
pliance with the restrictions on those funds: Fund Accounting
32. the total incurred charges entered for all patients for the services they
received: Gross Revenue
1. False: T/F Consents are signed as part of the post-service process
2. True: T/F Patient service costs are calculated in the pre-serviceprocess for sched-
uled patients
3. False: T/F The patient is scheduled and registered for service is a time-of-service
activity
4. False: T/F The patient account is monitored for payment is a time-of-service
activity
5. False: T/F Case management and discharge planning services are a post-service
activity
6. False: T/F Sending the bill electronically to the health plan is a time-of-service
activity
7. Healthcare Dollars & Sense:pt financial comm. best practices, best prac-
tices for price transparency, medical accounts resolution: Revenue Cycle Ini-
tiatives
8. 6 areas:Annual staff training, training program topics, process observation,
executive level metrics reporting, technology verification, feedback and re-
sponse: PFC Best Practices
9. Health Insurance Marketplace/Health Insurance exchange: Where individuals
and small businesses can compare and purchase qualified health benefit plans
10. developed a best practice workflow that builds off of HFMA's previous pa-
tient friendly billingwork and spansthe patient-centric revenue cycle.: Medical
Debt Task Force
11. Educate patients, coordinate to avoid duplicate patient contacts, be con-
sistent in key aspects of account resolution, follow best practices for com-
munication: The following statements describe best practices established by the
Medical Debt Task Force
12. standardized method for evaluating patients' perspective on hospital care-
: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
13. loss of future revenue: Hard Costs
14. customer's passing on information about their negative experience to
potential patients or through social media channels: Soft Costs
15. include skilled nursing , home health, durable medical equipment, hospice,
and assisted living: Post Acute Services
16. institution (skilled nursing home/rehabilitation center) engaged in pro-
vided skilled nursing care for injured/disabled/sick persons: Skilled Nursing
Facility (SNF)
17. Medical equipment that is prescribed by a doctor for use in the home: -
Durable Medical Equipment (DME)
18. public agency or private organization: Home Health Agency (HHA)
, CRCR Certification
19. usually provide info about performance of a procedures/apply to CPT/con-
sist of 2 numbers: Level 1 Modifier
20. used for OPPS/provide addtl detail ab out an anatomical location or about
a procedure or service/apply to HCPCS codes/consist of either 2 letters or a
1 letter & 1 number: Level 2 Modifiers
21. purpose is to ensure that the most comprehensive groups of codes, rather
than the component parts, are billed. THe program consists of edits that
are implemented within providers' claim processing systems: Correct Coding
Initiative(CCI) E
22. Financial misconduct/Overcharging/Theft of property/ Falsifying records
to boos reimbursement/miscoding claims: Ethics Violations
23. includes provisions to improve the quality of care/reform the healthcare
delivery system/encourage pricing transparency and modernized financing
systems/address the issues of waste,fraud, and abuse: Affordable Care Act
(ACA)
24. delivery system of physicians, hospitals, and other healthcare providers,
who work collaboratively to manage and coordinate the care of a patient pop-
ulation. Includes appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients: Accountable Care
Organization (ACO)
25. initiative was developed by the Center for Medicare and Medicaid Inno-
vation to link payments for multiple services beneficiaries receive during an
episode of care: Bundled Payments for Care Improvement (BPCI)
26. statement is a summary of the organizations wealth as of the date of the
statement. it represents the summary of the organizations assets, liabilities
and accumulated excesses from operations less any accumulated losses.: -
Balance Sheet
27. ties directly to the balance sheet and is the summary of the organizations
revenues and expenses and any excess or loss from operations: Income State-
ment
28. this statement is the summary of how cash was used and where it was
obtained: Cash Flow Statement
29. revenue is recorded when it is earned to permit the alignment of revenue
with the associated expenses.: Accrual Accounting
30. records revenue when payment is received: Cash Accounting
31. record keeping method to manage categories of netassets to ensure com-
pliance with the restrictions on those funds: Fund Accounting
32. the total incurred charges entered for all patients for the services they
received: Gross Revenue
