HFMA - Certified Revenue Cycle
Representative
1. 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).
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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
Representative
1. 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).
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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
