HFMA Exam Questions with Correct Answers
Which of the following statements are true of HMFA's Patient Financial
Communications Best Practices?
The best practices were developed specifically to help patients understand the cost of
services, their individual insurance benefits, and their responsibility for balances after
insurance, if any.
Patient experience includes all of the following expect:
The average number of positive entions received by the health system or practice and the
public comments refuting unfriendly posts on social media sites
Patient experience includes:
- Recognition that revenue cycle processes must be patient centric and efficient. This is
especially true in the areas of scheduling, registration, admitting, financial counseling and
account resolution conversation with patient.
- Patient accounting is responsible for providing statements that are easy to understand and
supported y access to revenue cycle staff during extending business hours and via a variety of
contact options
-Ensuring that rework in minimized to avoid the adverse impact of missing authorization or
the provision of care that is not medically necessary in the place of service where care was
provided
Corporate compliance programs play an important role in protecting the integrity of
operations and ensuring compliance with federal and state requirements. The Code of
conduct is
, Answer is all:
- a critical tool to ensure the compliance with org's compliance standards and procedures
- An essential and integral component of the org's culture
-Fosters an environment where concerns and questions may be raised without fear of
retaliation or retribution
Specific to Medicare fee-for-service patients, which of the following payers have always
been liable for payment?
Public health service programs, federal grant programs, veterans affairs program, black lung
program services and work related injuries and accidents(workers comp claims)
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples of ethics violations include:
- Financial misconduct, overcharging and miscoding claims,
-Theft of property and falsifying records to boost reimbursement
- Financial misconduct and applying policies in an inconsistent manner
Providers are now being reimbursed with a focus on the value of the services provided,
rather than volume, which requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO delivery system
for a population of patients?
To eliminate duplicate services, prevent medical errors, and ensures appropriateness of care
Historically, revenue cycle has dealt with contractual adjustments, bad debt and charity
deductions from gross revenue. Although deductions continue to exist, the definition of
net revenue has been modified through the implementation of ASC 606. Developed by
Which of the following statements are true of HMFA's Patient Financial
Communications Best Practices?
The best practices were developed specifically to help patients understand the cost of
services, their individual insurance benefits, and their responsibility for balances after
insurance, if any.
Patient experience includes all of the following expect:
The average number of positive entions received by the health system or practice and the
public comments refuting unfriendly posts on social media sites
Patient experience includes:
- Recognition that revenue cycle processes must be patient centric and efficient. This is
especially true in the areas of scheduling, registration, admitting, financial counseling and
account resolution conversation with patient.
- Patient accounting is responsible for providing statements that are easy to understand and
supported y access to revenue cycle staff during extending business hours and via a variety of
contact options
-Ensuring that rework in minimized to avoid the adverse impact of missing authorization or
the provision of care that is not medically necessary in the place of service where care was
provided
Corporate compliance programs play an important role in protecting the integrity of
operations and ensuring compliance with federal and state requirements. The Code of
conduct is
, Answer is all:
- a critical tool to ensure the compliance with org's compliance standards and procedures
- An essential and integral component of the org's culture
-Fosters an environment where concerns and questions may be raised without fear of
retaliation or retribution
Specific to Medicare fee-for-service patients, which of the following payers have always
been liable for payment?
Public health service programs, federal grant programs, veterans affairs program, black lung
program services and work related injuries and accidents(workers comp claims)
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples of ethics violations include:
- Financial misconduct, overcharging and miscoding claims,
-Theft of property and falsifying records to boost reimbursement
- Financial misconduct and applying policies in an inconsistent manner
Providers are now being reimbursed with a focus on the value of the services provided,
rather than volume, which requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO delivery system
for a population of patients?
To eliminate duplicate services, prevent medical errors, and ensures appropriateness of care
Historically, revenue cycle has dealt with contractual adjustments, bad debt and charity
deductions from gross revenue. Although deductions continue to exist, the definition of
net revenue has been modified through the implementation of ASC 606. Developed by
