HFMA CERTIFIED REVENUE
CYCLE REPRESENTATIVE -
REVENUE CYCLE
INTRODUCTION
What are the 5 distinct areas of the Compliance Framework? -
ANSWERS-Training program, Process observation, Executive level
metrics reporting, technology, and feedback process and response
Compliance Framework 1/5: What's Process Observation? -
ANSWERS-Annual observation, monitoring, and tracking of results
make up the process of compliance evaluation required to document
compliance with the best practices. The evaluation should be
comprehensive and should cover all scenarios addressed by the
practices that are relevant to a particular organization.
Compliance Framework 1/5: What's the Training Program? -
ANSWERS-HFMA's best practices call for annual training on the
organization's financial assistance policies for all staff who engage in
patient financial discussions, including patient access, financial
counseling, and customer service representatives.
Compliance Framework: Training Program: What are the topics that
must be covered? - ANSWERS-- patient financial communications
best practices specific to staff role
-Financial Assistance Policies
, -Available patient financing options
-Alternative solutions for the uninsured
-laws/regulations, such as EMTALA, the Fair Debt Collections
Practice Act, and the Telephone Consumer Protection Act - specific to
the staff role.
Compliance Framework 1/5: What is the Executive Level Metrics
Reporting? - ANSWERS-Reports of organizational performance
evaluations should be developed, compiled into an overall compliance
report and presented to the organization's executive leadership team
on an annual basis.
Compliance Framework 1/5: What is the Technology segment? -
ANSWERS-The compliance framework ensures that technology is in
place to support verification of insurance eligibility for current
services, verification of existing prior balance for current services,
and estimated cost of the current services and the patient
responsibility portion.
Compliance Framework 1/5: What is the Feedback and Response? -
ANSWERS-This evaluation is designed to ensure that processes are
in place to regularly solicit input and receive key stakeholders''
feedback, measure and respond to input and feedback, and ensure that
patient complaints are resolved.
Learning Objective 1/2: Discuss the components of the 3 HFMA
revenue cycle initiatives collectively called Healthcare Dollars &
Sense. - ANSWERS-n/a
CYCLE REPRESENTATIVE -
REVENUE CYCLE
INTRODUCTION
What are the 5 distinct areas of the Compliance Framework? -
ANSWERS-Training program, Process observation, Executive level
metrics reporting, technology, and feedback process and response
Compliance Framework 1/5: What's Process Observation? -
ANSWERS-Annual observation, monitoring, and tracking of results
make up the process of compliance evaluation required to document
compliance with the best practices. The evaluation should be
comprehensive and should cover all scenarios addressed by the
practices that are relevant to a particular organization.
Compliance Framework 1/5: What's the Training Program? -
ANSWERS-HFMA's best practices call for annual training on the
organization's financial assistance policies for all staff who engage in
patient financial discussions, including patient access, financial
counseling, and customer service representatives.
Compliance Framework: Training Program: What are the topics that
must be covered? - ANSWERS-- patient financial communications
best practices specific to staff role
-Financial Assistance Policies
, -Available patient financing options
-Alternative solutions for the uninsured
-laws/regulations, such as EMTALA, the Fair Debt Collections
Practice Act, and the Telephone Consumer Protection Act - specific to
the staff role.
Compliance Framework 1/5: What is the Executive Level Metrics
Reporting? - ANSWERS-Reports of organizational performance
evaluations should be developed, compiled into an overall compliance
report and presented to the organization's executive leadership team
on an annual basis.
Compliance Framework 1/5: What is the Technology segment? -
ANSWERS-The compliance framework ensures that technology is in
place to support verification of insurance eligibility for current
services, verification of existing prior balance for current services,
and estimated cost of the current services and the patient
responsibility portion.
Compliance Framework 1/5: What is the Feedback and Response? -
ANSWERS-This evaluation is designed to ensure that processes are
in place to regularly solicit input and receive key stakeholders''
feedback, measure and respond to input and feedback, and ensure that
patient complaints are resolved.
Learning Objective 1/2: Discuss the components of the 3 HFMA
revenue cycle initiatives collectively called Healthcare Dollars &
Sense. - ANSWERS-n/a
