HFMA - Certified Revenue Cycle
Representative questions and answers
(Revenue Cycle Introduction) 2026\2027 A+
Grade
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively
called Healthcare Dollars & Sense.
- correct answer n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense
Initiatives.
- correct answer n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives?
- correct answer - Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
What question does Healthcare Dollars & Sense answer for patients and consumers?
- correct answer to help make sense of price and value in healthcare.
What are the 3 components/best practices of Healthcare Dollars & Sense
- correct answer Price Transparency, Patient Financial Communications, and Medical Account
Resolution.
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)?
- correct answer 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?
- correct answer During the discharge process
In an ED, if a patient does not have a medical condition, when should you discuss the financial
discussion?
- correct answer 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?
- correct answer No, you must ensure the medical screening is complete first.
Outside the ED setting, when can you have financial discussions with patients?
- correct answer 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?
- correct answer Before a financial obligation is incurred (before care is provided).
Why does best practices support financial discussions before care is provided?
- correct answer 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?
- correct answer 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?
- correct answer 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?
- correct answer the patient and financial counselor or supervisor.
Representative questions and answers
(Revenue Cycle Introduction) 2026\2027 A+
Grade
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively
called Healthcare Dollars & Sense.
- correct answer n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense
Initiatives.
- correct answer n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives?
- correct answer - Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
What question does Healthcare Dollars & Sense answer for patients and consumers?
- correct answer to help make sense of price and value in healthcare.
What are the 3 components/best practices of Healthcare Dollars & Sense
- correct answer Price Transparency, Patient Financial Communications, and Medical Account
Resolution.
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)?
- correct answer 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?
- correct answer During the discharge process
In an ED, if a patient does not have a medical condition, when should you discuss the financial
discussion?
- correct answer 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?
- correct answer No, you must ensure the medical screening is complete first.
Outside the ED setting, when can you have financial discussions with patients?
- correct answer 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?
- correct answer Before a financial obligation is incurred (before care is provided).
Why does best practices support financial discussions before care is provided?
- correct answer 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?
- correct answer 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?
- correct answer 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?
- correct answer the patient and financial counselor or supervisor.
