Questions with Verified Answers| Latest i,- i,- i,- i,- i,-
2025/2026 Update| 100% Correct. i,- i,- i,-
What is the intended outcome of collaborations made through an
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ACO delivery system for a population of patients?
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eliminate duplicate services, prevent medical errors and ensure
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appropriateness of care. i,- i,-
Historically, revenue cycle has delt with contractual adjustments,
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bad debt and charity deductions from gross revenue. Although
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deductions continue to exist, the definition of net revenue has
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been modified through the implementation of ASC 606.
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Developed by the Financial Accounting Standards Board (FASB),
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this change became effective in 2018.
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What is the new terminology now employed in the calculation of
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net patient services revenues?
i,- Explicit prices concessions and
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implicit price concessions
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Key performance indicators set standards for A/R and provide a
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method for measuring the control and collection of A/R.
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,What are the two KPIs used to monitor performance related to
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the production and submission of claims to third party payers
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and patients (self-pay)?
i,- Elapsed days from discharge to final i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
bill and elapsed days from final bill to claim/bill submission.
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Which of the following statements are true of HFMA's Financial
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Communications Best Practices The best practices were i,- i,- i,-i,- i,- i,- i,- i,- i,-
developed specifically to help patients understand the cost ofi,- i,- i,- i,- i,- i,- i,- i,- i,-
services, their individual insurance benefits, and their
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responsibility for balances after insurance, if any. i,- i,- i,- i,- i,- i,-
The patient experience includes all of the following except:
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The average number of positive mentions received by the health
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system or practice and the public comments refuting unfriendly
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posts on social media sites.
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Corporate compliance programs play an important role in i,- i,- i,- i,- i,- i,- i,- i,-
protecting the integrity of operations and ensuring compliancei,- i,- i,- i,- i,- i,- i,- i,-
with federal and state requirements. The code of conduct is:
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All of the above
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Specific to Medicare fee-for-service patients, which of the
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following payers have always been liable for payment?
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health service programs, Federal grant programs, veteran affairs
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,programs, black lung program services and work-related injuries
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and accidents (worker' compensation claims)
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Provider policies and procedures should be in place to reduce the
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risk of ethics violations. Examples of ethics violations include:
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All of the above
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Providers are now being reimbursed with a focus on the value of
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the services provided, rather than volume, which requires
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collaboration among providers. i,- i,- i,-
Consents are signed as part of the post-services process.
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**False
Patient service costs are calculated in the pre-service process for
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schedule patients **True i,- i,-i,- i,-
False
The patient is scheduled and registered for service is a time-of-
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service activity True i,- i,-i,- i,-
**False
, The patient account is monitored for payment is a time-of-service
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activity True i,-i,- i,-
**False
Case management and discharge planning services are a post-
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service activty True i,- i,-i,- i,-
**False
Sending the bill electronically to the health plan is a time-of-
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service activity True i,- i,-i,- i,-
**False
What happens during the post-service stage?
i,- **A. Final i,- i,- i,- i,- i,-i,- i,- i,- i,-
coding of all services, preparation and submission of claims,
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payment processing and balance billing and resolution.
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B. Orders are entered, results are reported, charges are
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generated, and diagnostic and procedural coding is initiated.
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C. The encounter record is generated, and the patient and
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guarantor information is obtained and/or updated as required.
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D. The focus is on the patient and his/her financial care, in
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addition to the clinical care provided for the patient.
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