HFMA CRCR (Certified Revenue Cycle
Representative) Exam with 140 accurate
and verified questions and answers
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue
cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - ANSWER>>D) Process Compliance
Approximately what ______% of billing information is obtained during the
registration process (Patient Access). - ANSWER>>40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital
care.
B) To provide a standardization method for evaluating patients' perspective
on hospital care.
C) To provide clear communication and good customer service, which will
give the provider a competitive edge.
D) To make certain that during registration key information is verified by
means of a picture ID and insurance card. - ANSWER>>B) To provide a
standardization method for evaluating patients' perspective on hospital
care.
,Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services - ANSWER>>D) Assisted Living Services
What must a SNF have to participate in the Medicare Program? -
ANSWER>>A written transfer agreement with one of more participating
hospitals providing for the transfer of patients between the hospital and
SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient
must meet 2 conditions. - ANSWER>>1) An MD must certify that a patient is
confined to his/her residence (Not necessarily bedridden). Leaving the
home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for
purposes of home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice - ANSWER>>C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
, A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing
department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating in a
federal healthcare program. - ANSWER>>A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
What is the OIG? - ANSWER>>The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments - ANSWER>>A) Standard Unique
Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or
entity owned by the hospital) on the date of the beneficiary's inpatient
admission or during the ____ calendar days immediately preceding the
Representative) Exam with 140 accurate
and verified questions and answers
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue
cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - ANSWER>>D) Process Compliance
Approximately what ______% of billing information is obtained during the
registration process (Patient Access). - ANSWER>>40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital
care.
B) To provide a standardization method for evaluating patients' perspective
on hospital care.
C) To provide clear communication and good customer service, which will
give the provider a competitive edge.
D) To make certain that during registration key information is verified by
means of a picture ID and insurance card. - ANSWER>>B) To provide a
standardization method for evaluating patients' perspective on hospital
care.
,Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services - ANSWER>>D) Assisted Living Services
What must a SNF have to participate in the Medicare Program? -
ANSWER>>A written transfer agreement with one of more participating
hospitals providing for the transfer of patients between the hospital and
SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient
must meet 2 conditions. - ANSWER>>1) An MD must certify that a patient is
confined to his/her residence (Not necessarily bedridden). Leaving the
home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for
purposes of home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice - ANSWER>>C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
, A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing
department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating in a
federal healthcare program. - ANSWER>>A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
What is the OIG? - ANSWER>>The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments - ANSWER>>A) Standard Unique
Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or
entity owned by the hospital) on the date of the beneficiary's inpatient
admission or during the ____ calendar days immediately preceding the
