HFMA CRCR EXAM COMPREHENSIVE
STUDY GUIDE WITH COMPLETE
SOLUTIONS AND EXPLANATIONS 2026
⩥ Time of service. Answer: Financial account review is completed prior
to patient visit.
Patient arrives at service unit where pre-registration record is activated,
consents are signed, copayments and agreed upon amounts are collected.
Positive identification is completed, and the patient is given an armband
with acct number.
Scheduled preprocessed patients report to designated express arrival
desk located in centralized area upon arrival.
⩥ Unscheduled patients - Time of Service. Answer: Comprehensive
registration and financial processing is completed at time of service.
Mirroring scheduled patients who is OON with provider furnishing
services during their encounter all federal and state transparency and
NSA provisions are followed to provide consent to patient of their rights
⩥ Time of Service steps. Answer: Case management and discharge
planning are provided.
Orders are entered.
Results are reported.
Charges are generated.
,Diagnostic and procedural coding is completed.
ONGOING:
Monitor of charges
Managed care resolution
Patient liabilities resolution, as needed.
Ensure health plan requirements and liability calculations change - vet
the changes against fed/state guidelines. Consent and updated estimates
are communicated to patient and health plan.
⩥ Post Service. Answer: Includes the account activities that occur after
the patient is discharged until the acct reaches zero balance, such as final
coding of all services, preparation and submission of claims, payment
processing and balance billing and resolution.
⩥ Best practices recognize all three critical segments of the
contemporary revenue cycle. Each segment includes a series of
processes which are specifically designed to ensure accurate data
collection, consistent quality, and a high level of patient satisfaction.
Preservice - patient is scheduled and registered for service. Patients
service costs are calculated.
Time of service - Case mgmt and discharge planing services are
provided. Consents are signed.
Post Service - Bill sent electronically to. Answer:
,⩥ Consumer Experience. Answer: Each segment of the revenue cycle
interacts involving patients. The key to success is establishing a clear
and ever present focus on the patient.
⩥ Patient Experience. Answer: Patients are demanding info and choices.
Regulations are demanding price transparency. For all known charges -
even those not employed by the provider.
Expect quality - health care and financial care.
Health plans care about quality - HCACPS stars is a measure of
satisfaction.
With poor scores - Medicare will be reduced.
⩥ Customer Experience. Answer: Customer service is paramount.
Empowering front line staff to provide patient focused solutions is basic
component of great patient experience.
Best practice communication strategies, scripting and training are good
tactics.
⩥ Healthcare Dollars and Sense. Answer: HFMA revenue cycle
initiatives:
Patients Financial communications best practices
Best practice for price transparency
medical account resolution
, ⩥ Financial Discussions. Answer: In ED Setting - no patient financial
discussions should occur before a patient is screened and stabilized, in
accordance with local regulations governing the ed.
⩥ Emergency med conditions. Answer: If medical screening determines
that a patient has an emergency med condition, the financial discussion
should occur during the discharge process.
For patients who do not have emergency condition following the
medical screening, discussion may occur during registration at bedside
or discharge process.
⩥ Non-emergency conditions. Answer: Outside ED Setting discussions
may take place during registration or discharge process in a location that
does not disrupt patient flow.
If a patient consents to financial discussion during a medical encounter
to expedite discharge, best practice supports that choice.
⩥ Discussions in advance of service. Answer: Use the most appropriate
means of communication for the patient, can occur via outbound contact
with the patient, inbound contact from the patient, or scheduling contact
at time of appointment.
⩥ Timeliness of discussion. Answer: Reasonable attempt must be made
to have the discussion as early as possible, before financial obligation is
incurred (service)
STUDY GUIDE WITH COMPLETE
SOLUTIONS AND EXPLANATIONS 2026
⩥ Time of service. Answer: Financial account review is completed prior
to patient visit.
Patient arrives at service unit where pre-registration record is activated,
consents are signed, copayments and agreed upon amounts are collected.
Positive identification is completed, and the patient is given an armband
with acct number.
Scheduled preprocessed patients report to designated express arrival
desk located in centralized area upon arrival.
⩥ Unscheduled patients - Time of Service. Answer: Comprehensive
registration and financial processing is completed at time of service.
Mirroring scheduled patients who is OON with provider furnishing
services during their encounter all federal and state transparency and
NSA provisions are followed to provide consent to patient of their rights
⩥ Time of Service steps. Answer: Case management and discharge
planning are provided.
Orders are entered.
Results are reported.
Charges are generated.
,Diagnostic and procedural coding is completed.
ONGOING:
Monitor of charges
Managed care resolution
Patient liabilities resolution, as needed.
Ensure health plan requirements and liability calculations change - vet
the changes against fed/state guidelines. Consent and updated estimates
are communicated to patient and health plan.
⩥ Post Service. Answer: Includes the account activities that occur after
the patient is discharged until the acct reaches zero balance, such as final
coding of all services, preparation and submission of claims, payment
processing and balance billing and resolution.
⩥ Best practices recognize all three critical segments of the
contemporary revenue cycle. Each segment includes a series of
processes which are specifically designed to ensure accurate data
collection, consistent quality, and a high level of patient satisfaction.
Preservice - patient is scheduled and registered for service. Patients
service costs are calculated.
Time of service - Case mgmt and discharge planing services are
provided. Consents are signed.
Post Service - Bill sent electronically to. Answer:
,⩥ Consumer Experience. Answer: Each segment of the revenue cycle
interacts involving patients. The key to success is establishing a clear
and ever present focus on the patient.
⩥ Patient Experience. Answer: Patients are demanding info and choices.
Regulations are demanding price transparency. For all known charges -
even those not employed by the provider.
Expect quality - health care and financial care.
Health plans care about quality - HCACPS stars is a measure of
satisfaction.
With poor scores - Medicare will be reduced.
⩥ Customer Experience. Answer: Customer service is paramount.
Empowering front line staff to provide patient focused solutions is basic
component of great patient experience.
Best practice communication strategies, scripting and training are good
tactics.
⩥ Healthcare Dollars and Sense. Answer: HFMA revenue cycle
initiatives:
Patients Financial communications best practices
Best practice for price transparency
medical account resolution
, ⩥ Financial Discussions. Answer: In ED Setting - no patient financial
discussions should occur before a patient is screened and stabilized, in
accordance with local regulations governing the ed.
⩥ Emergency med conditions. Answer: If medical screening determines
that a patient has an emergency med condition, the financial discussion
should occur during the discharge process.
For patients who do not have emergency condition following the
medical screening, discussion may occur during registration at bedside
or discharge process.
⩥ Non-emergency conditions. Answer: Outside ED Setting discussions
may take place during registration or discharge process in a location that
does not disrupt patient flow.
If a patient consents to financial discussion during a medical encounter
to expedite discharge, best practice supports that choice.
⩥ Discussions in advance of service. Answer: Use the most appropriate
means of communication for the patient, can occur via outbound contact
with the patient, inbound contact from the patient, or scheduling contact
at time of appointment.
⩥ Timeliness of discussion. Answer: Reasonable attempt must be made
to have the discussion as early as possible, before financial obligation is
incurred (service)
