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Exam (elaborations)

HFMA CRCR Certification Exam Prep 80 Questions with Verified Answers Latest 2025/2026 Update.

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Which option is NOT a HFMA best practice? Coordinate the resolution of bad debt accounts with a law firm Which function within the revenue cycle is NOT a good candidate for outsourcing? Health Care Patient Services What are the steps that the hospital needs to take to establish and ensure a successful vendor relationship? Distributes a RFP to solicit vendor capabilities, evaluate vendor's expertise to provide outsourcing services, visit vendor locations, perform vendor reference checks, talk with vendor clients, interview vendor employees to assess experience level Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? 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: Recognition that revenue cycle processes must be patient-centric and efficient. This is especially true in the areas of scheduling, registration, admitting, financial counseling and account resolution conversation with patients. 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: A critical tool to ensure compliance, essential and integral component, fosters an environment, (all of the above)

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Institution
HFMA CRCR
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HFMA CRCR

Document information

Uploaded on
January 24, 2025
Number of pages
16
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • hfma crcr

Content preview

HFMA CRCR Certification Exam Prep i,- i,- i,- i,- i,-




80 Questions with Verified Answers
i,- i,- i,- i,- i,-




Latest 2025/2026 Update. i,- i,-




Which option is NOT a HFMA best practice?
i,- Coordinate the i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-



resolution of bad debt accounts with a law firm i,- i,- i,- i,- i,- i,- i,- i,-




Which function within the revenue cycle is NOT a good candidate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



for outsourcing?
i,- Health Care Patient Services i,-i,- i,- i,- i,- i,-




What are the steps that the hospital needs to take to establish
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and ensure a successful vendor relationship?
i,- Distributes a
i,- i,- i,- i,- i,-i,- i,- i,- i,-



RFP to solicit vendor capabilities, evaluate vendor's expertise to
i,- i,- i,- i,- i,- i,- i,- i,- i,-



provide outsourcing services, visit vendor locations, perform
i,- i,- i,- i,- i,- i,- i,-



vendor reference checks, talk with vendor clients, interview
i,- i,- i,- i,- i,- i,- i,- i,-



vendor employees to assess experience level
i,- i,- i,- i,- i,-




Which of the following statements are true of HFMA's Patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Financial Communications Best Practices? i,- The best practices i,- i,- i,-i,- i,- i,- i,- i,-



were developed specifically to help patients understand the cost
i,- i,- i,- i,- i,- i,- i,- i,- i,-



of services, their individual insurance benefits, and their
i,- i,- i,- i,- i,- i,- i,- i,-



responsibility for balances after insurance, if any. i,- i,- i,- i,- i,- i,-

,The patient experience includes all of the following except:
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



Recognition that revenue cycle processes must be patient-centrici,- i,- i,- i,- i,- i,- i,- i,-



and efficient. This is especially true in the areas of scheduling,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



registration, admitting, financial counseling and account i,- i,- i,- i,- i,- i,-



resolution conversation with patients. i,- i,- i,-




Corporate compliance programs play an important role in
i,- i,- i,- i,- i,- i,- i,- i,-



protecting the integrity of operations and ensuring compliance
i,- i,- i,- i,- i,- i,- i,- i,-



with federal and state requirements. The code of conduct is:
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



A critical tool to ensure compliance, essential and integral
i,- i,- i,- i,- i,- i,- i,- i,- i,-



component, fosters an environment, (all of the above) i,- i,- i,- i,- i,- i,- i,-




Specific to Medicare free-for-service patients, which of the
i,- i,- i,- i,- i,- i,- i,- i,-



following payers have always been liable for payment?
i,- Black i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-



lung service programs, veteran affairs program, working aged
i,- i,- i,- i,- i,- i,- i,- i,-



programs, ESRD, and disability i,- i,- i,-




Provider policies and procedures should be in place to reduce the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



risk of ethics violations. Examples include:
i,- i,- financial i,- i,- i,- i,-i,- i,- i,-



misconduct, theft of property, applying policies in inconsistenti,- i,- i,- i,- i,- i,- i,- i,-



manner (all of the above) i,- i,- i,- i,-




What is the intended outcome of collaborations made through an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



ACO delivery system for a population of patients?
i,- To i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-

, eliminate duplicate services, prevent medical errors and ensure
i,- i,- i,- i,- i,- i,- i,- i,-



appropriateness of care i,- i,-




What is the new terminology now employed in the calculation of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



net patient service revenues?
i,- explicit price concessions and
i,- i,- i,-i,- i,- i,- i,- i,- i,-



implicit price concessions i,- i,-




What are the two KPIs used to monitor performance related to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the production and submission of claims to third party payers
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



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
i,- i,- i,- i,- i,- i,- i,- i,- i,-




What happens during the post-service stage?
i,- Final coding of i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-



all services, preparation and submission of claims, payment
i,- i,- i,- i,- i,- i,- i,- i,-



processing and balance billing and resolution. i,- i,- i,- i,- i,-




The following statements describe best practices established by
i,- i,- i,- i,- i,- i,- i,- i,-



the Medicaid Debt Task Force. Select true statements.
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



educate patients, coordinate to avoid duplicate patient contacts,
i,- i,- i,- i,- i,- i,- i,- i,-



be consistent in key aspects of account resolution, follow best
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



practices for communication i,- i,-




Which option is NOT a main HFMA Healthcare Dollars & Sense
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



revenue cycle initiative? Process Compliance
i,- i,- i,-i,- i,- i,-

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