CRCR
Study online at https://quizlet.com/_bmva7c
1. Which of the following statements are The best practices were developed specifically
true of HFMA's Patient Financial Commu- to help patients understand the cost of ser-
nications Best Practices? vices, their individual insurance benefits, and
their responsibility for balances after insur-
ance, if any.
2. The patient experience includes all of the Recognition that revenue cycle processes must
following except: be patient-centric and efficient. This is espe-
cially true in the areas of scheduling, regis-
tration, admitting, financial counseling and ac-
count resolution conversation with patients.
3. Corporate compliance programs play an A critical tool to ensure compliance, essential
important role in protecting the integrity and integral component, fosters an environ-
of operations and ensuring compliance ment, (all of the above)
with federal and state requirements. The
code of conduct is:
4. Specific to Medicare free-for-service pa- Black lung service programs, veteran affairs
tients, which of the following payers have program, working aged programs, ESRD, and
always been liable for payment? disability
5. Provider policies and procedures should financial misconduct, theft of property, apply-
be in place to reduce the risk of ethics ing policies in inconsistent manner (all of the
violations. Examples include: above)
6. What is the intended outcome of collab- To eliminate duplicate services, prevent med-
orations made through an ACO delivery ical errors and ensure appropriateness of care
system for a population of patients?
7. What is the new terminology now em- explicit price concessions and implicit price
ployed in the calculation of net patient concessions
service revenues?
, CRCR
Study online at https://quizlet.com/_bmva7c
8. What are the two KPIs used to monitor Elapsed days from discharge to final bill and
performance related to the production elapsed days from final bill to claim/bill sub-
and submission of claims to third party mission
payers and patients (self-pay)?
9. What happens during the post-service Final coding of all services, preparation and
stage? submission of claims, payment processing and
balance billing and resolution.
10. The following statements describe best educate patients, coordinate to avoid duplicate
practices established by the Medicaid patient contacts, be consistent in key aspects
Debt Task Force. Select true statements. of account resolution, follow best practices for
communication
11. Which option is NOT a main HFMA Process Compliance
Healthcare Dollars & Sense revenue cycle
initiative?
12. What is the objective of the HCAHPS ini- To provide a standardized method for evaluat-
tiative? ing patient's perspective on hospital care
13. Which option is NOT a department that Assisted Living Services
supports and collaborates with the rev-
enue cycle?
14. Which option is NOT a continuum of care Health Plan Contracting
provider?
15. Which of the following are essential el- established compliance standards and pro-
ements of an effective compliance pro- cedures, oversight of personnel by high-lev-
gram? el personnel, reasonable methods to achieve
compliance with standards, including monitor-
ing systems and hotlines
Study online at https://quizlet.com/_bmva7c
1. Which of the following statements are The best practices were developed specifically
true of HFMA's Patient Financial Commu- to help patients understand the cost of ser-
nications Best Practices? vices, their individual insurance benefits, and
their responsibility for balances after insur-
ance, if any.
2. The patient experience includes all of the Recognition that revenue cycle processes must
following except: be patient-centric and efficient. This is espe-
cially true in the areas of scheduling, regis-
tration, admitting, financial counseling and ac-
count resolution conversation with patients.
3. Corporate compliance programs play an A critical tool to ensure compliance, essential
important role in protecting the integrity and integral component, fosters an environ-
of operations and ensuring compliance ment, (all of the above)
with federal and state requirements. The
code of conduct is:
4. Specific to Medicare free-for-service pa- Black lung service programs, veteran affairs
tients, which of the following payers have program, working aged programs, ESRD, and
always been liable for payment? disability
5. Provider policies and procedures should financial misconduct, theft of property, apply-
be in place to reduce the risk of ethics ing policies in inconsistent manner (all of the
violations. Examples include: above)
6. What is the intended outcome of collab- To eliminate duplicate services, prevent med-
orations made through an ACO delivery ical errors and ensure appropriateness of care
system for a population of patients?
7. What is the new terminology now em- explicit price concessions and implicit price
ployed in the calculation of net patient concessions
service revenues?
, CRCR
Study online at https://quizlet.com/_bmva7c
8. What are the two KPIs used to monitor Elapsed days from discharge to final bill and
performance related to the production elapsed days from final bill to claim/bill sub-
and submission of claims to third party mission
payers and patients (self-pay)?
9. What happens during the post-service Final coding of all services, preparation and
stage? submission of claims, payment processing and
balance billing and resolution.
10. The following statements describe best educate patients, coordinate to avoid duplicate
practices established by the Medicaid patient contacts, be consistent in key aspects
Debt Task Force. Select true statements. of account resolution, follow best practices for
communication
11. Which option is NOT a main HFMA Process Compliance
Healthcare Dollars & Sense revenue cycle
initiative?
12. What is the objective of the HCAHPS ini- To provide a standardized method for evaluat-
tiative? ing patient's perspective on hospital care
13. Which option is NOT a department that Assisted Living Services
supports and collaborates with the rev-
enue cycle?
14. Which option is NOT a continuum of care Health Plan Contracting
provider?
15. Which of the following are essential el- established compliance standards and pro-
ements of an effective compliance pro- cedures, oversight of personnel by high-lev-
gram? el personnel, reasonable methods to achieve
compliance with standards, including monitor-
ing systems and hotlines
