HBI 111 Test Questions
What of the following are the three best practices that revenue cycle staff can
use to prevent COB denials? (Select all that apply...) - ✔ ✔ - Confirm
insurance information at each visit
- Be aware of payer requirements
- Collect insurance information before service
If a woman goes to the hospital for a check up, and has healthcare coverage
under her employer's plan -- as well as her husband's plan -- _____ plan would
be primary, because _____. - ✔ ✔ Her employer's; because it is her policy
and she is not a dependent
When a revenue cycle staff member has to follow up on a COB denial, looking
on the payer's website can help him/her track down and verify what of the
following information? - ✔ ✔ All of the above:
- Denial verification
- Denial descriptions
- Eligibility and benefits information
,Not obtaining all of the data elements in the scheduling process can lead to
_____. - ✔ ✔ Additional work in other revenue cycle departments
Why is it important for schedulers to make sure that a patient's diagnosis and
procedure coordinate? - ✔ ✔ To prevent denials
Federal, State, _____, and Private funding programs, referred to as _____, are a
financial assistance option. - ✔ ✔ Local; FSLP
Financial counseling is critical for healthcare organizations because increasingly
_____. Select all that apply... - ✔ ✔ - Uninsured patients owe more and more
out-of-pocket
- Insured patients owe more and more out-of-pocket
By improving financial counseling efforts, healthcare organizations can _____.
(Select all that apply...) - ✔ ✔ - Decrease uncompensated care
- Increase collections
Maria Juarez has no insurance coverage, but has been admitted as an inpatient
through the ED. A financial counselor reviews her file in order to evaluate all
possible balance resolution methods. Which outcome would be ideal for the
organization? - ✔ ✔ Maria pays in full
, A financial counselor works with Jeff Smith to help him pay for an expensive
treatment. The counselor realizes that alternate funding programs might be the
best option for Jeff. Which of the following is true about alternate funding
programs? - ✔ ✔ Both the first and third option:
1. Jeff might qualify for a program based on his gender, ethnicity, age, or illness
3. Some programs might expire after a given duration
Inpatient services can be challenging to collect charges for because _____.
(Select all that apply...) - ✔ ✔ - Inpatient care is often not scheduled in
advance
- Providers have less time to check insurance and eligibility prior to admission
Which of the following are features of outpatient care? (Select all that apply...) -
✔ ✔ - It is often scheduled in advance
- It tends to give staff more time to check insurance and eligibility
In the emergency department, financial counselors should follow which
strategies to reduce uncompensated care? - ✔ ✔ All of the above:
- When possible, offer financial counseling at bedside or at the discharge desk
What of the following are the three best practices that revenue cycle staff can
use to prevent COB denials? (Select all that apply...) - ✔ ✔ - Confirm
insurance information at each visit
- Be aware of payer requirements
- Collect insurance information before service
If a woman goes to the hospital for a check up, and has healthcare coverage
under her employer's plan -- as well as her husband's plan -- _____ plan would
be primary, because _____. - ✔ ✔ Her employer's; because it is her policy
and she is not a dependent
When a revenue cycle staff member has to follow up on a COB denial, looking
on the payer's website can help him/her track down and verify what of the
following information? - ✔ ✔ All of the above:
- Denial verification
- Denial descriptions
- Eligibility and benefits information
,Not obtaining all of the data elements in the scheduling process can lead to
_____. - ✔ ✔ Additional work in other revenue cycle departments
Why is it important for schedulers to make sure that a patient's diagnosis and
procedure coordinate? - ✔ ✔ To prevent denials
Federal, State, _____, and Private funding programs, referred to as _____, are a
financial assistance option. - ✔ ✔ Local; FSLP
Financial counseling is critical for healthcare organizations because increasingly
_____. Select all that apply... - ✔ ✔ - Uninsured patients owe more and more
out-of-pocket
- Insured patients owe more and more out-of-pocket
By improving financial counseling efforts, healthcare organizations can _____.
(Select all that apply...) - ✔ ✔ - Decrease uncompensated care
- Increase collections
Maria Juarez has no insurance coverage, but has been admitted as an inpatient
through the ED. A financial counselor reviews her file in order to evaluate all
possible balance resolution methods. Which outcome would be ideal for the
organization? - ✔ ✔ Maria pays in full
, A financial counselor works with Jeff Smith to help him pay for an expensive
treatment. The counselor realizes that alternate funding programs might be the
best option for Jeff. Which of the following is true about alternate funding
programs? - ✔ ✔ Both the first and third option:
1. Jeff might qualify for a program based on his gender, ethnicity, age, or illness
3. Some programs might expire after a given duration
Inpatient services can be challenging to collect charges for because _____.
(Select all that apply...) - ✔ ✔ - Inpatient care is often not scheduled in
advance
- Providers have less time to check insurance and eligibility prior to admission
Which of the following are features of outpatient care? (Select all that apply...) -
✔ ✔ - It is often scheduled in advance
- It tends to give staff more time to check insurance and eligibility
In the emergency department, financial counselors should follow which
strategies to reduce uncompensated care? - ✔ ✔ All of the above:
- When possible, offer financial counseling at bedside or at the discharge desk
