CRCR Certification Exam: CRCR Certified Revenue Cycle
Representative Revenue Cycle: Questions & Answers:
Latest Updated
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? - ANSWERThe 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.
The patient experience includes all of the following except: - ANSWERRecognition
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 patients.
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: - ANSWERA critical tool to ensure compliance, essential and integral
component, fosters an environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have
always been liable for payment? - ANSWERBlack lung service programs, veteran
affairs program, working aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples include: - ANSWERfinancial misconduct, theft of property,
applying policies in inconsistent manner (all of the above)
What is the intended outcome of collaborations made through an ACO delivery
system for a population of patients? - ANSWERTo eliminate duplicate services,
prevent medical errors and ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service
revenues? - ANSWERexplicit price concessions and implicit price concessions
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)? - ANSWERElapsed
days from discharge to final bill and elapsed days from final bill to claim/bill
submission
What happens during the post-service stage? - ANSWERFinal coding of all services,
preparation and submission of claims, payment processing and balance billing and
resolution.
The following statements describe best practices established by the Medicaid Debt
Task Force. Select true statements. - ANSWEReducate patients, coordinate to avoid
, duplicate patient contacts, be consistent in key aspects of account resolution, follow
best practices for communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle
initiative? - ANSWERProcess Compliance
What is the objective of the HCAHPS initiative? - ANSWERTo provide a standardized
method for evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue
cycle? - ANSWERAssisted Living Services
Which option is NOT a continuum of care provider? - ANSWERHealth Plan
Contracting
Which of the following are essential elements of an effective compliance program? -
ANSWERestablished compliance standards and procedures, oversight of personnel
by high-level personnel, reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines
Annually, the OIG publishes a work plan of compliance issues and objects that will be
focused on the throughout the following year. Identify which option is NOT a work
plan task mentioned in this course. - ANSWERStandard Unique Employer Identifier
In order to promote the use of correct coding methods on a national basis and
prevent payment errors due to improper coding, CMS developed what? -
ANSWERThe Correct Coding Initiative(CCI)
What do business/organizational ethics represent? - ANSWERPrinciples and
standards by which organizations operate
What is the intended outcome of collaborations made through an ACO delivery
system? - ANSWERTo ensure appropriateness of care, elimination of duplicate
services, and prevention of medical errors for a population of patients
Which of these statements describes the new methodology for the determinations
of net patient service revenue? - ANSWERNet patient service revenue is defined a
the total incurred charges, less the explicit price concession, less any applicable
implicit price concession(s) as applied to the specific portfolio of accounts.
What are KPIs? - ANSWERKey Performance Indicators, which set standards for
accounts receivable (A/R) and provide a method of measuring the collection and
control of A/R
Which patient types are typically considered acute care patient types? -
ANSWERObservation, newborn, Emergency(ED)
Representative Revenue Cycle: Questions & Answers:
Latest Updated
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? - ANSWERThe 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.
The patient experience includes all of the following except: - ANSWERRecognition
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 patients.
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: - ANSWERA critical tool to ensure compliance, essential and integral
component, fosters an environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have
always been liable for payment? - ANSWERBlack lung service programs, veteran
affairs program, working aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples include: - ANSWERfinancial misconduct, theft of property,
applying policies in inconsistent manner (all of the above)
What is the intended outcome of collaborations made through an ACO delivery
system for a population of patients? - ANSWERTo eliminate duplicate services,
prevent medical errors and ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service
revenues? - ANSWERexplicit price concessions and implicit price concessions
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)? - ANSWERElapsed
days from discharge to final bill and elapsed days from final bill to claim/bill
submission
What happens during the post-service stage? - ANSWERFinal coding of all services,
preparation and submission of claims, payment processing and balance billing and
resolution.
The following statements describe best practices established by the Medicaid Debt
Task Force. Select true statements. - ANSWEReducate patients, coordinate to avoid
, duplicate patient contacts, be consistent in key aspects of account resolution, follow
best practices for communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle
initiative? - ANSWERProcess Compliance
What is the objective of the HCAHPS initiative? - ANSWERTo provide a standardized
method for evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue
cycle? - ANSWERAssisted Living Services
Which option is NOT a continuum of care provider? - ANSWERHealth Plan
Contracting
Which of the following are essential elements of an effective compliance program? -
ANSWERestablished compliance standards and procedures, oversight of personnel
by high-level personnel, reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines
Annually, the OIG publishes a work plan of compliance issues and objects that will be
focused on the throughout the following year. Identify which option is NOT a work
plan task mentioned in this course. - ANSWERStandard Unique Employer Identifier
In order to promote the use of correct coding methods on a national basis and
prevent payment errors due to improper coding, CMS developed what? -
ANSWERThe Correct Coding Initiative(CCI)
What do business/organizational ethics represent? - ANSWERPrinciples and
standards by which organizations operate
What is the intended outcome of collaborations made through an ACO delivery
system? - ANSWERTo ensure appropriateness of care, elimination of duplicate
services, and prevention of medical errors for a population of patients
Which of these statements describes the new methodology for the determinations
of net patient service revenue? - ANSWERNet patient service revenue is defined a
the total incurred charges, less the explicit price concession, less any applicable
implicit price concession(s) as applied to the specific portfolio of accounts.
What are KPIs? - ANSWERKey Performance Indicators, which set standards for
accounts receivable (A/R) and provide a method of measuring the collection and
control of A/R
Which patient types are typically considered acute care patient types? -
ANSWERObservation, newborn, Emergency(ED)
