HFMA - Certified Revenue Cycle
Representative Exam Questions &
Answers5
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives
collectively called Healthcare Dollars & Sense. - ANSWERS-n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars &
Sense Initiatives. - ANSWERS-n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives? -
ANSWERS-- Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
What question does Healthcare Dollars & Sense answer for patients and consumers? -
ANSWERS-to help make sense of price and value in healthcare.
What are the 3 components/best practices of Healthcare Dollars & Sense - ANSWERS-Price
Transparency, Patient Financial Communications, and Medical Account Resolution.
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)? - ANSWERS-requires
ER departments to provide a medical screening examination to any individual who comes into
the ER department and requests an examination/treatment; prohibits ER departments from
refusing to examine or treat individuals with an emergency condition.
In an ED, when should you engage in financial discussions with patients? - ANSWERS-During the
discharge process
, In an ED, if a patient does not have a medical condition, when should you discuss the financial
discussion? - ANSWERS-After the medical screening, and either during the registration or
discharge process.
If an ED patient does not have an emergency medical condition, can you then engage in
financial discussions? - ANSWERS-No, you must ensure the medical screening is complete first.
Outside the ED setting, when can you have financial discussions with patients? - ANSWERS-
Either during the registration or discharge process - as long as the patient flow is not disrupted.
According to best practices, when should you make a reasonable attempt to have a financial
discussion with a patient? - ANSWERS-Before a financial obligation is incurred (before care is
provided).
Why does best practices support financial discussions before care is provided? - ANSWERS-To
ensure that patients are aware of their financial obligations and that providers are aware of the
patient's ability to pay or the source of payment.
Routine & Complex Scenarios: the best practices specifies that patients should be given the
opportunities to request what to help them with financial discussions? - ANSWERS-a patient
advocate, family member, or other designee to help them in the discussions.
For Routine Scenarios: for patients with insurance coverage or a know ability to pay, who should
be involved in the financial discussions? - ANSWERS-the patient or guarantor and properly
trained provider representatives.
For Complex Scenarios: for patients with non-routine or complex scenarios, such as uninsured
or underinsured patients, who should be involved in the financial discussions? - ANSWERS-the
patient and financial counselor or supervisor.
Representative Exam Questions &
Answers5
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives
collectively called Healthcare Dollars & Sense. - ANSWERS-n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars &
Sense Initiatives. - ANSWERS-n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives? -
ANSWERS-- Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
What question does Healthcare Dollars & Sense answer for patients and consumers? -
ANSWERS-to help make sense of price and value in healthcare.
What are the 3 components/best practices of Healthcare Dollars & Sense - ANSWERS-Price
Transparency, Patient Financial Communications, and Medical Account Resolution.
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)? - ANSWERS-requires
ER departments to provide a medical screening examination to any individual who comes into
the ER department and requests an examination/treatment; prohibits ER departments from
refusing to examine or treat individuals with an emergency condition.
In an ED, when should you engage in financial discussions with patients? - ANSWERS-During the
discharge process
, In an ED, if a patient does not have a medical condition, when should you discuss the financial
discussion? - ANSWERS-After the medical screening, and either during the registration or
discharge process.
If an ED patient does not have an emergency medical condition, can you then engage in
financial discussions? - ANSWERS-No, you must ensure the medical screening is complete first.
Outside the ED setting, when can you have financial discussions with patients? - ANSWERS-
Either during the registration or discharge process - as long as the patient flow is not disrupted.
According to best practices, when should you make a reasonable attempt to have a financial
discussion with a patient? - ANSWERS-Before a financial obligation is incurred (before care is
provided).
Why does best practices support financial discussions before care is provided? - ANSWERS-To
ensure that patients are aware of their financial obligations and that providers are aware of the
patient's ability to pay or the source of payment.
Routine & Complex Scenarios: the best practices specifies that patients should be given the
opportunities to request what to help them with financial discussions? - ANSWERS-a patient
advocate, family member, or other designee to help them in the discussions.
For Routine Scenarios: for patients with insurance coverage or a know ability to pay, who should
be involved in the financial discussions? - ANSWERS-the patient or guarantor and properly
trained provider representatives.
For Complex Scenarios: for patients with non-routine or complex scenarios, such as uninsured
or underinsured patients, who should be involved in the financial discussions? - ANSWERS-the
patient and financial counselor or supervisor.
