The three HFMA revenue cycle initiatives.
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1. Patient financial communications best practices
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2. Best practices for price transparency
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3. Medical account resolution
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The purpose of the HFMA Dollars and Sense initiatives
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To help make sense of price and value in healthcare
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Five components of best practice patient financial communications
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1. Best practice sections
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2. Best practice settings
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3. Best practice guidance and topics
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4. Best practice evaluation
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List the five Best Practice Sections of Patient Financial Communications
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1. All Patient Financial Interactions
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2. Emergency Department
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3. Advance of service
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4. Time of Service (Outside the Emergency Department)
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5. Measurement Criteria Framework
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,Best Practices Settings
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These voluntary practices address the areas where best practices are most urgently needed,
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focusing on financial discussion that take place in advance of a healthcare service, at the
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time of service, in the emergency department (ED), and in other care settings.
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Best Practices Guidance and Topics
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Provide definitive guidance on:|| || ||
1. When and where patient financial discussions should take place
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2. Who should participate in them
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3. Specific topics to include in patient financial discussions
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4. Provide basic parameters for those discussions
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Best Practices Evaluation
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A measurement criteria framework for guiding evaluation of an organization's voluntary
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compliance.
According to best practices, in all situations, what is the guiding principle in choosing a
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setting for patient financial discussions?
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First and foremost, patient privacy should be respected. Conversations should occur in a
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location and manner that are sensitive to the patient's needs.
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, According to best practices, when should financial discussions occur in the ED setting?
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Patient financial discussion should occur after a patient is screened and stabilized, in
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accordance with the local regulations governing the ED. || || || || || || ||
According to best practices, in the ED setting, when should financial discussion occur
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during emergency medical conditions?
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If the medical screening determines that a patient has an emergency medical condition, the
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financial discussion should occur during the discharge process.
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According to best practices, in the ED setting, when may the financial discussion occur with
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a non-emergency condition?
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For patients who do not have an emergency medical condition, following the medical
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screening, discussion may occur during either the registration or discharge process.
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Across all care settings, if a patient consents to a financial discussion during a medical
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encounter to expedite discharge, the HFMA best practice is to:
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support that choice, providing that the discussion does not interfere with patient care or
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disrupt patient flow. || ||
What are the possible best practice means and times for the financial discussion in advance
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of service?
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Discussion should use the most appropriate means, inbound (patient inquiries) or
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outbound (contacting patient), at scheduling or contact center at the time an appointment
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is made.
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