CRCR Test Review questions and
answers well illustrated.
Important revenue cycle activities in the pre-service stage include; CORRECT
ANSWER. Obtaining or updating patient and guarantor information
In the pre-service stage, the cost of the scheduled service is identified and
the patient's health plan and benefits are used to calculate; CORRECT ANSWER.
The amount the patient may be expected to pay after insurance.
Demographic and health plan edit failures are identified and resolved within
the Patient Access area. Census activity is processed, Discharges are
completed and correctly coded. These activities are considered CORRECT
ANSWER. Point-of-service revenue
cycle activities.
HFMA best practices call for patient financial discussions to be reinforced;
CORRECT ANSWER. With a written statement of the conversation
HFMA's patient financial communications best practices specify that patients
should be told about the types of services provided and; CORRECT ANSWER.
Who participates in providing the service, e.g. surgeons, radiologists, etc.
The process of evaluating compliance with financial assistance policies
involves; CORRECT ANSWER. The annual observation, monitoring, and tracking
of results for all best practices.
The account resolution clock begins when CORRECT ANSWER. The first
statement is sent to the patient
, The soft cost of a dissatisfied customer is CORRECT ANSWER. The customer
passing on information about their negative experience to potential patients
or through social media channels
The hard cost of a dissatisfied customer is CORRECT ANSWER. loss of future
revenue
When there is a request for service, scheduling staff must first CORRECT
ANSWER. Confirm the patients key identification information
A standardized form informing patients about the conditions that must be
agreed to as part of the agreement for the hospital to provide care is called
CORRECT ANSWER.
Conditions of admission
Hospitals need which of the following information sets to assess a
patients financial status CORRECT ANSWER. Demographic, Income,
Assets, and Expenses
For new patients with no MPI number CORRECT ANSWER. A new medical
record will be created by the provider
Which option is a government sponsored program that is financed
through taxes and general revenue funds CORRECT ANSWER. Medicare
An increase in the dollars aged greater than 90 days from date of service
indicates that accounts are CORRECT ANSWER. Not resolved in a timely
manner
In many states, people covered under the Medicaid program are required
to join managed care plans focusing on preventive healthcare CORRECT
ANSWER.
Medicaid Advantage
Price is defined as; CORRECT ANSWER. The amount actually paid by the
health plan and/or the patient for a specific service
Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is; CORRECT ANSWER. The fact that chargemaster lists the total
charge, not net charges that reflect charges after a payer's contractual
adjustment
19) Time of the patient portion earlier in the cycle and increases patient
satisfaction because; CORRECT ANSWER. There is clarity for the patient
about what is owed.
Because case managers are well positioned to document the clinical
reasons for treatment, they are; CORRECT ANSWER. Of great assistance
answers well illustrated.
Important revenue cycle activities in the pre-service stage include; CORRECT
ANSWER. Obtaining or updating patient and guarantor information
In the pre-service stage, the cost of the scheduled service is identified and
the patient's health plan and benefits are used to calculate; CORRECT ANSWER.
The amount the patient may be expected to pay after insurance.
Demographic and health plan edit failures are identified and resolved within
the Patient Access area. Census activity is processed, Discharges are
completed and correctly coded. These activities are considered CORRECT
ANSWER. Point-of-service revenue
cycle activities.
HFMA best practices call for patient financial discussions to be reinforced;
CORRECT ANSWER. With a written statement of the conversation
HFMA's patient financial communications best practices specify that patients
should be told about the types of services provided and; CORRECT ANSWER.
Who participates in providing the service, e.g. surgeons, radiologists, etc.
The process of evaluating compliance with financial assistance policies
involves; CORRECT ANSWER. The annual observation, monitoring, and tracking
of results for all best practices.
The account resolution clock begins when CORRECT ANSWER. The first
statement is sent to the patient
, The soft cost of a dissatisfied customer is CORRECT ANSWER. The customer
passing on information about their negative experience to potential patients
or through social media channels
The hard cost of a dissatisfied customer is CORRECT ANSWER. loss of future
revenue
When there is a request for service, scheduling staff must first CORRECT
ANSWER. Confirm the patients key identification information
A standardized form informing patients about the conditions that must be
agreed to as part of the agreement for the hospital to provide care is called
CORRECT ANSWER.
Conditions of admission
Hospitals need which of the following information sets to assess a
patients financial status CORRECT ANSWER. Demographic, Income,
Assets, and Expenses
For new patients with no MPI number CORRECT ANSWER. A new medical
record will be created by the provider
Which option is a government sponsored program that is financed
through taxes and general revenue funds CORRECT ANSWER. Medicare
An increase in the dollars aged greater than 90 days from date of service
indicates that accounts are CORRECT ANSWER. Not resolved in a timely
manner
In many states, people covered under the Medicaid program are required
to join managed care plans focusing on preventive healthcare CORRECT
ANSWER.
Medicaid Advantage
Price is defined as; CORRECT ANSWER. The amount actually paid by the
health plan and/or the patient for a specific service
Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is; CORRECT ANSWER. The fact that chargemaster lists the total
charge, not net charges that reflect charges after a payer's contractual
adjustment
19) Time of the patient portion earlier in the cycle and increases patient
satisfaction because; CORRECT ANSWER. There is clarity for the patient
about what is owed.
Because case managers are well positioned to document the clinical
reasons for treatment, they are; CORRECT ANSWER. Of great assistance
