CRCR SECTION 1 2025: REVENUE CYCLE INTRODUCTION QUESTIONS AND 100%
VERIFIED ANSWERS | GRADED A+ | GUARANTEED PASS!!
1. Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? ANS: 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.
2. The patient experience includes all of the following except ANS: The
average number of positive mentions received by the health system or practice and
the public comments refuting unfriendly posts on social media sites.
3. 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 ANS: All of the above.
4. Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment? ANS: Public health service
programs, Federal grant programs, veteran affairs programs, black lung program
services and work-related injurie and accidents (workers' compensation claims).
5. Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include ANS: a. All of the
above.
6. The pre-registration record is activated during ANS: time-of-service
activities.
7. Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration among
providers.
1/5
, What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients? ANS: To eliminate duplicate
services, prevent medical errors and ensure appropriateness of care.
8. 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 the Financial Accounting
Standards Board (FASB), this change became effective in 2018.
What is the new terminology now employed in the calculation of net patient
service revenues? ANS: Explicit price concessions and implicit price concessions.
9. Key performance indicators set standards for A/R and provide a method
for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the production
and submission of claims to third party payers and patients (self-pay)? ANS:
-
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission.
10. Consents are signed as part of the post service process. ANS: False
11. Patient service costs are calculated in the pre-service process for
scheduled patients. ANS: True
12. The patient is scheduled and registered for service is a time-of-service
activity. ANS: False
13. The patient account is monitored for payment is a time-of-service activity.
ANS: False
14. Case management and discharge planning services are a post-service
activity. ANS: False
15. Sending the bill electronically to the health plan is a time-of-service
activity. ANS: False
2/5
VERIFIED ANSWERS | GRADED A+ | GUARANTEED PASS!!
1. Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? ANS: 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.
2. The patient experience includes all of the following except ANS: The
average number of positive mentions received by the health system or practice and
the public comments refuting unfriendly posts on social media sites.
3. 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 ANS: All of the above.
4. Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment? ANS: Public health service
programs, Federal grant programs, veteran affairs programs, black lung program
services and work-related injurie and accidents (workers' compensation claims).
5. Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include ANS: a. All of the
above.
6. The pre-registration record is activated during ANS: time-of-service
activities.
7. Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration among
providers.
1/5
, What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients? ANS: To eliminate duplicate
services, prevent medical errors and ensure appropriateness of care.
8. 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 the Financial Accounting
Standards Board (FASB), this change became effective in 2018.
What is the new terminology now employed in the calculation of net patient
service revenues? ANS: Explicit price concessions and implicit price concessions.
9. Key performance indicators set standards for A/R and provide a method
for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the production
and submission of claims to third party payers and patients (self-pay)? ANS:
-
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission.
10. Consents are signed as part of the post service process. ANS: False
11. Patient service costs are calculated in the pre-service process for
scheduled patients. ANS: True
12. The patient is scheduled and registered for service is a time-of-service
activity. ANS: False
13. The patient account is monitored for payment is a time-of-service activity.
ANS: False
14. Case management and discharge planning services are a post-service
activity. ANS: False
15. Sending the bill electronically to the health plan is a time-of-service
activity. ANS: False
2/5
