Certified Revenue Cycle Representative CRCR Test
NEWEST ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following statements are true of HFMA's Financial
Communications Best Practices - CORRECT ANSWER The best
practices were developed specifically to help patients understand the
cost of services, their individual insurance benefits, and their
responsibility for balances after insurance, if any.
The patient experience includes all of the following except: -
CORRECT ANSWER The average number of positive mentions
received by the health system or practice and the public comments
refuting unfriendly posts on social media sites.
Corporate compliance programs play an important role in protecting
the integrity of operations and ensuring compliance with federal and
state requirements. The code of conduct is: - CORRECT ANSWER All
of the above
Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment? - CORRECT ANSWER
Public health service programs, Federal grant programs, veteran
affairs programs, black lung program services and work-related
injuries and accidents (worker' compensation claims)
Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include: - CORRECT
ANSWER All of the above
Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration
among providers.
,What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients? - CORRECT ANSWER
To eliminate duplicate services, prevent medical errors and ensure
appropriateness of care.
Historically, revenue cycle has delt with contractual adjustments, bad
debt and charity deductions from gross revenue. Although deductions
continue to exist, the definition of net revenue has been modified
through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net
patient services revenues? - CORRECT ANSWER Explicit prices
concessions and implicit price concessions
Key performance indicators set standards for A/R and provide a
method for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
(self-pay)? - CORRECT ANSWER Elapsed days from discharge to final
bill and elapsed days from final bill to claim/bill submission.
Consents are signed as part of the post-services process. - CORRECT
ANSWER True
**False
Patient service costs are calculated in the pre-service process for
schedule patients - CORRECT ANSWER **True
False
The patient is scheduled and registered for service is a time-of-service
activity - CORRECT ANSWER True
**False
The patient account is monitored for payment is a time-of-service
activity - CORRECT ANSWER True
,**False
Case management and discharge planning services are a post-service
activty - CORRECT ANSWER True
**False
Sending the bill electronically to the health plan is a time-of-service
activity - CORRECT ANSWER True
**False
What happens during the post-service stage? - CORRECT ANSWER
**A. Final coding of all services, preparation and submission of claims,
payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated,
and diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor
information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to
the clinical care provided for the patient.
The following statements describe best practices established by the
Medical Debt Task Force. Check the box next to the True statements -
CORRECT ANSWER **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers
about scheduled services
**Be consistent in key aspects of account resolution
Report to healthcare plans when the patient's account is transferred
to collection agency
**Follow best practices for communication
, Which option is NOT a main HFMA Healthcare Dollars & Sense®
revenue cycle initiative? - CORRECT ANSWER A. Patient Financial
Communications
B. Price Transparency
C. Medical Account Resolution
**D. Process Compliance
What is the objective of the HCAHPS initiative? - CORRECT ANSWER
**A. To provide a standardized method for evaluating patients'
perspective on hospital care.
B. To provide clear communication and good customer service, which
will give the provider a competitive edge.
C. To conduct evaluations concerning patients' perspective on
hospital care.
D. To make certain that during registration key information is verified
by means of a picture ID and an insurance card.
Which option is NOT a department that supports and collaborates with
the revenue cycle? - CORRECT ANSWER A. Information Technology
B. Clinical Services
C. Finance
**D. Assisted Living Services
Which option is NOT a continuum of care provider? - CORRECT
ANSWER A. Physician
**B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Which of the following are essential elements of an effective
compliance program? - CORRECT ANSWER **Reasonable methods
to achieve compliance with standards, including monitoring systems
and hotlines
**Established compliance standards and procedures
Automatic dismissal of any employee excluded from participation in a
federal healthcare program
NEWEST ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following statements are true of HFMA's Financial
Communications Best Practices - CORRECT ANSWER The best
practices were developed specifically to help patients understand the
cost of services, their individual insurance benefits, and their
responsibility for balances after insurance, if any.
The patient experience includes all of the following except: -
CORRECT ANSWER The average number of positive mentions
received by the health system or practice and the public comments
refuting unfriendly posts on social media sites.
Corporate compliance programs play an important role in protecting
the integrity of operations and ensuring compliance with federal and
state requirements. The code of conduct is: - CORRECT ANSWER All
of the above
Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment? - CORRECT ANSWER
Public health service programs, Federal grant programs, veteran
affairs programs, black lung program services and work-related
injuries and accidents (worker' compensation claims)
Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include: - CORRECT
ANSWER All of the above
Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration
among providers.
,What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients? - CORRECT ANSWER
To eliminate duplicate services, prevent medical errors and ensure
appropriateness of care.
Historically, revenue cycle has delt with contractual adjustments, bad
debt and charity deductions from gross revenue. Although deductions
continue to exist, the definition of net revenue has been modified
through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net
patient services revenues? - CORRECT ANSWER Explicit prices
concessions and implicit price concessions
Key performance indicators set standards for A/R and provide a
method for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
(self-pay)? - CORRECT ANSWER Elapsed days from discharge to final
bill and elapsed days from final bill to claim/bill submission.
Consents are signed as part of the post-services process. - CORRECT
ANSWER True
**False
Patient service costs are calculated in the pre-service process for
schedule patients - CORRECT ANSWER **True
False
The patient is scheduled and registered for service is a time-of-service
activity - CORRECT ANSWER True
**False
The patient account is monitored for payment is a time-of-service
activity - CORRECT ANSWER True
,**False
Case management and discharge planning services are a post-service
activty - CORRECT ANSWER True
**False
Sending the bill electronically to the health plan is a time-of-service
activity - CORRECT ANSWER True
**False
What happens during the post-service stage? - CORRECT ANSWER
**A. Final coding of all services, preparation and submission of claims,
payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated,
and diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor
information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to
the clinical care provided for the patient.
The following statements describe best practices established by the
Medical Debt Task Force. Check the box next to the True statements -
CORRECT ANSWER **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers
about scheduled services
**Be consistent in key aspects of account resolution
Report to healthcare plans when the patient's account is transferred
to collection agency
**Follow best practices for communication
, Which option is NOT a main HFMA Healthcare Dollars & Sense®
revenue cycle initiative? - CORRECT ANSWER A. Patient Financial
Communications
B. Price Transparency
C. Medical Account Resolution
**D. Process Compliance
What is the objective of the HCAHPS initiative? - CORRECT ANSWER
**A. To provide a standardized method for evaluating patients'
perspective on hospital care.
B. To provide clear communication and good customer service, which
will give the provider a competitive edge.
C. To conduct evaluations concerning patients' perspective on
hospital care.
D. To make certain that during registration key information is verified
by means of a picture ID and an insurance card.
Which option is NOT a department that supports and collaborates with
the revenue cycle? - CORRECT ANSWER A. Information Technology
B. Clinical Services
C. Finance
**D. Assisted Living Services
Which option is NOT a continuum of care provider? - CORRECT
ANSWER A. Physician
**B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Which of the following are essential elements of an effective
compliance program? - CORRECT ANSWER **Reasonable methods
to achieve compliance with standards, including monitoring systems
and hotlines
**Established compliance standards and procedures
Automatic dismissal of any employee excluded from participation in a
federal healthcare program
