HBI Certified Patient Access Specialist Practice
Exam UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Which of the following best describes accounts receivable? - CORRECT
ANSWER Any Charges that a healthcare organization is owed but has not yet received.
As Account Receivable (A/R) accounts age, they - CORRECT ANSWER become
harder to resolve
To manage A/R performance, organizations should have strong follow-up plans, which
involve checking the status of unresolved claims - CORRECT ANSWER a day after
they are supposed to be received
When there is a large amount of money in A/R at an organization, this often indicates which
of the following about the organization's financial health? - CORRECT
ANSWER There is poor cash flow at the organization
After a claim is submitted to a patient's insurance provider, which of the following is the next
high-level step that a typical patient account goes through? - CORRECT
ANSWER The account becomes part of the billed A/R
Which key aspect of A/R management helps organizations pinpoint where improvement
opportunities are? - CORRECT ANSWER A/R analysis
When providing screening mammograms for Medicare patients, organizations might have to
issue an ABN to the patient - CORRECT ANSWER if the patient has already had a
screening mammograms in the past 12 months
When a patient refuses to sign the ABN, Staff members can do which of the following to
resolve situation? - CORRECT ANSWER All the above
When using a single ABN for covering an extended course of treatment, what should the
healthcare organization keep in mind? - CORRECT ANSWER The ABN must show all
the services and the duration of treatment
ABN stands for_______ and should be given to ______ beneficiaries - CORRECT
ANSWER Advance Beneficiary Notice of Non-coverage; Medicare
When must an ABN be issued to a patient - CORRECT ANSWER Before treatment
, Which of the following is NOT a common reason why Medicare may issue a denial for a
service treatment? - CORRECT ANSWER The service is considered to be too
expensive
What are benefits of mailing a patients follow-up letter? - CORRECT ANSWER -
Reduces risk of patients not showing up
-Decreases check-in delays
What are the three typical appointments confirmation approaches? - CORRECT
ANSWER Manual, automated and blended
Patients are most likely to confirm their appointments when_______ - CORRECT
ANSWER they hear a human voice on the phone
When patients do not show up for their appointments,______ - CORRECT
ANSWER All the above
which of the following may NOT be included in a mailed follow-up letter - CORRECT
ANSWER previous diagnosis for quick medical history check
Why should providers record the time and date that an appointment was successfully
confirmed? - CORRECT ANSWER it is likely that the patient would be available in
the future
Which signed form makes it clear who is responsible for paying a patient's medical bills? -
CORRECT ANSWER financial guarantee statement
For an assignment of benefits to be valid, whose signature is required - CORRECT
ANSWER The policyholder
An assignment of benefits signature informs the insurance company that payments should be
made to whom? - CORRECT ANSWER The provider
when determining the guarantor of an account, the provider must sure that - CORRECT
ANSWER Both A and B
According to EMTALA, which of the following circumstances would NOT be an adequate
reason for transferring a non-stabilized patient? - CORRECT ANSWER The patient
requests a transfer, in writing knowing the risk
Exam UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Which of the following best describes accounts receivable? - CORRECT
ANSWER Any Charges that a healthcare organization is owed but has not yet received.
As Account Receivable (A/R) accounts age, they - CORRECT ANSWER become
harder to resolve
To manage A/R performance, organizations should have strong follow-up plans, which
involve checking the status of unresolved claims - CORRECT ANSWER a day after
they are supposed to be received
When there is a large amount of money in A/R at an organization, this often indicates which
of the following about the organization's financial health? - CORRECT
ANSWER There is poor cash flow at the organization
After a claim is submitted to a patient's insurance provider, which of the following is the next
high-level step that a typical patient account goes through? - CORRECT
ANSWER The account becomes part of the billed A/R
Which key aspect of A/R management helps organizations pinpoint where improvement
opportunities are? - CORRECT ANSWER A/R analysis
When providing screening mammograms for Medicare patients, organizations might have to
issue an ABN to the patient - CORRECT ANSWER if the patient has already had a
screening mammograms in the past 12 months
When a patient refuses to sign the ABN, Staff members can do which of the following to
resolve situation? - CORRECT ANSWER All the above
When using a single ABN for covering an extended course of treatment, what should the
healthcare organization keep in mind? - CORRECT ANSWER The ABN must show all
the services and the duration of treatment
ABN stands for_______ and should be given to ______ beneficiaries - CORRECT
ANSWER Advance Beneficiary Notice of Non-coverage; Medicare
When must an ABN be issued to a patient - CORRECT ANSWER Before treatment
, Which of the following is NOT a common reason why Medicare may issue a denial for a
service treatment? - CORRECT ANSWER The service is considered to be too
expensive
What are benefits of mailing a patients follow-up letter? - CORRECT ANSWER -
Reduces risk of patients not showing up
-Decreases check-in delays
What are the three typical appointments confirmation approaches? - CORRECT
ANSWER Manual, automated and blended
Patients are most likely to confirm their appointments when_______ - CORRECT
ANSWER they hear a human voice on the phone
When patients do not show up for their appointments,______ - CORRECT
ANSWER All the above
which of the following may NOT be included in a mailed follow-up letter - CORRECT
ANSWER previous diagnosis for quick medical history check
Why should providers record the time and date that an appointment was successfully
confirmed? - CORRECT ANSWER it is likely that the patient would be available in
the future
Which signed form makes it clear who is responsible for paying a patient's medical bills? -
CORRECT ANSWER financial guarantee statement
For an assignment of benefits to be valid, whose signature is required - CORRECT
ANSWER The policyholder
An assignment of benefits signature informs the insurance company that payments should be
made to whom? - CORRECT ANSWER The provider
when determining the guarantor of an account, the provider must sure that - CORRECT
ANSWER Both A and B
According to EMTALA, which of the following circumstances would NOT be an adequate
reason for transferring a non-stabilized patient? - CORRECT ANSWER The patient
requests a transfer, in writing knowing the risk
