CERTIFIED REVENUE CYCLE REPRESENTATIVE EXAM
QUESTIONS AND VERIFIED ANSWERS
100% GUARANTEE PASS
1. The following statements best describe best practice established by the Medical debt task force.
A. Educate patients
B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about scheduled service
D. Be consistent in key aspects of account resolution
E. Report to healthcare plans when the patient's account is transferred to collection agency
F. Follow best practice for communication
Ans>> Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
2. Which is Not a main HFMA healthcare Dollar & Sense revenue cycle Initiative?
A.Patient Financial Communications B.Price Transparency
C.Medical Account Resolution
D.Process Compliance
Ans>> Process compliance
This option refers to a patient financial communications best practice. Annual
, observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This evaluation may be performed by any organization
independent of the department that is being audited, such as internal audit, compliance quality, or a third party. The
evaluation should be comprehensive and should cover all scenarios addressed by the practices that are relevant to a
particular organization.
3. Which option is NOT a department that supports and collaborates with the revenue cycle?
A. Information Technology
B. Clinical Services
C.Finance
C. Assisted Living Services
Ans>> Assisted Living
4. Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Ans>> Health Plan Contracting
5. Which of the following are essential elements of an effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Depart- ment.
C.Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal healthcare program.
E. Reasonable methods to achieve compliance with standards, including mon- itoring systems and hotlines.
Ans>>Established compliance standards and proce- dures.
C.Oversight of personnel by high-level personnel.
E.Reasonable methods to achieve compliance with standards, including monitoring systems and hotlines.
@LECTJULIESOLUTIONSSTUVIA
, 6. Annually, the OIG publishes a work plan of compliance issues and ob- jectives that will be focused on
throughout the following year. Identify which option is NOT
a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D C. Medicare Hospital Payments for Claims Involving the Acute- and
Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier
Ans>> Standard Unique Employer Identifier
QUESTIONS AND VERIFIED ANSWERS
100% GUARANTEE PASS
1. The following statements best describe best practice established by the Medical debt task force.
A. Educate patients
B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about scheduled service
D. Be consistent in key aspects of account resolution
E. Report to healthcare plans when the patient's account is transferred to collection agency
F. Follow best practice for communication
Ans>> Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
2. Which is Not a main HFMA healthcare Dollar & Sense revenue cycle Initiative?
A.Patient Financial Communications B.Price Transparency
C.Medical Account Resolution
D.Process Compliance
Ans>> Process compliance
This option refers to a patient financial communications best practice. Annual
, observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This evaluation may be performed by any organization
independent of the department that is being audited, such as internal audit, compliance quality, or a third party. The
evaluation should be comprehensive and should cover all scenarios addressed by the practices that are relevant to a
particular organization.
3. Which option is NOT a department that supports and collaborates with the revenue cycle?
A. Information Technology
B. Clinical Services
C.Finance
C. Assisted Living Services
Ans>> Assisted Living
4. Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Ans>> Health Plan Contracting
5. Which of the following are essential elements of an effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Depart- ment.
C.Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal healthcare program.
E. Reasonable methods to achieve compliance with standards, including mon- itoring systems and hotlines.
Ans>>Established compliance standards and proce- dures.
C.Oversight of personnel by high-level personnel.
E.Reasonable methods to achieve compliance with standards, including monitoring systems and hotlines.
@LECTJULIESOLUTIONSSTUVIA
, 6. Annually, the OIG publishes a work plan of compliance issues and ob- jectives that will be focused on
throughout the following year. Identify which option is NOT
a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D C. Medicare Hospital Payments for Claims Involving the Acute- and
Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier
Ans>> Standard Unique Employer Identifier
