HFMA CERTIFIED REVENUE
CYCLE REPRESENTATIVE –
CRCR EXAM
Which option is NOT a type of denial? - ANSWERS-A. Technical
B. Clinical
C. Underpayment
**D. Contractual Adjustment
Which option is NOT a lien type? - ANSWERS-A. Judicial
**B. Subrogation
C. Statutory
D. Agreement (Consensus)
Based on what you have just read, which activity is not considered
when initiating self-pay follow-up and account resolution activities? -
ANSWERS-A. Poverty Guidelines
B. Financial Profile
C. Presumptive Financial Assistance Determination
**D. Patient Open Balance Billing
Which option is NOT a required component of a FAP? - ANSWERS-
A. Eligibility criteria
,B. Application process
C. Application assistance
**D. Out-of-network providers
Which option is NOT a bankruptcy type governed by the 1979
Bankruptcy Act? - ANSWERS-A. Straight bankruptcy
B. Debtor reorganization
**C. Creditor priority
D. Debtor rehabilitation
Which evaluation criteria demonstrates reputation expectations: -
ANSWERS-A. The agency's Yelp score and consumer comments.
B. The amount of monies collected monthly.
**C. The employment of staff who have documented experience
working in financial areas of health care.
D. The high turnover rate for entry level employees.
Agency fees are: - ANSWERS-A. Paid by patients.
**B. The cost to the provider for collection agency monies offset by
the return on baddebt accounts.
C. Only reported annually to the provider.
D. Waived for accounts aged greater than one year from date of
service.
,The correct way to handle the retention and payment of agency fees
is: - ANSWERS-A. The agency provides an annual settlement of
monies received by the health care provider and the agency.
B. Compare estimated collection costs to actual costs incurred.
C. Validate bank deposits weekly as funds are received from the
agency.
**D. Follow the contractual agreement between the agency and the
provider as to how monies sent to the agency will be handled.
Patient relations include: - ANSWERS-**A. The ability to sensitively
deal with patients or individuals while managing collection efficiency.
B. Applying hard-core techniques to collect monies owed regardless
of what the patient or individual states during the call.
C. Ignoring all patient complaint calls.
D. Referring all patient complaint calls to the healthcare provider.
Collection agency reports should be provided: - ANSWERS-A.
Whenever staff have the time to generate them.
B. Whenever an account is cancelled.
**C. In at least two formats regarding accounts assigned on a routine
basis.
D. As needed to prove recovery rates.
Collection results are: - ANSWERS-A. Always guaranteed by the
collection agency.
, **B. Accurately calculated to demonstrate the actual recovery
percentage rate.
C. Calculated using agency's private formula.
D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? - ANSWERS-A.
Coordinate the resolution of bad debt accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business
affiliates
D. Report back to credit bureaus when an account is resolved
What are collection agency fees based on? - ANSWERS-A percentage
of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - ANSWERS-Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
ANSWERS-Case rates
What customer service improvements might improve the patient
accounts department? - ANSWERS-Holding staff accountable for
customer service during performance reviews
CYCLE REPRESENTATIVE –
CRCR EXAM
Which option is NOT a type of denial? - ANSWERS-A. Technical
B. Clinical
C. Underpayment
**D. Contractual Adjustment
Which option is NOT a lien type? - ANSWERS-A. Judicial
**B. Subrogation
C. Statutory
D. Agreement (Consensus)
Based on what you have just read, which activity is not considered
when initiating self-pay follow-up and account resolution activities? -
ANSWERS-A. Poverty Guidelines
B. Financial Profile
C. Presumptive Financial Assistance Determination
**D. Patient Open Balance Billing
Which option is NOT a required component of a FAP? - ANSWERS-
A. Eligibility criteria
,B. Application process
C. Application assistance
**D. Out-of-network providers
Which option is NOT a bankruptcy type governed by the 1979
Bankruptcy Act? - ANSWERS-A. Straight bankruptcy
B. Debtor reorganization
**C. Creditor priority
D. Debtor rehabilitation
Which evaluation criteria demonstrates reputation expectations: -
ANSWERS-A. The agency's Yelp score and consumer comments.
B. The amount of monies collected monthly.
**C. The employment of staff who have documented experience
working in financial areas of health care.
D. The high turnover rate for entry level employees.
Agency fees are: - ANSWERS-A. Paid by patients.
**B. The cost to the provider for collection agency monies offset by
the return on baddebt accounts.
C. Only reported annually to the provider.
D. Waived for accounts aged greater than one year from date of
service.
,The correct way to handle the retention and payment of agency fees
is: - ANSWERS-A. The agency provides an annual settlement of
monies received by the health care provider and the agency.
B. Compare estimated collection costs to actual costs incurred.
C. Validate bank deposits weekly as funds are received from the
agency.
**D. Follow the contractual agreement between the agency and the
provider as to how monies sent to the agency will be handled.
Patient relations include: - ANSWERS-**A. The ability to sensitively
deal with patients or individuals while managing collection efficiency.
B. Applying hard-core techniques to collect monies owed regardless
of what the patient or individual states during the call.
C. Ignoring all patient complaint calls.
D. Referring all patient complaint calls to the healthcare provider.
Collection agency reports should be provided: - ANSWERS-A.
Whenever staff have the time to generate them.
B. Whenever an account is cancelled.
**C. In at least two formats regarding accounts assigned on a routine
basis.
D. As needed to prove recovery rates.
Collection results are: - ANSWERS-A. Always guaranteed by the
collection agency.
, **B. Accurately calculated to demonstrate the actual recovery
percentage rate.
C. Calculated using agency's private formula.
D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? - ANSWERS-A.
Coordinate the resolution of bad debt accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business
affiliates
D. Report back to credit bureaus when an account is resolved
What are collection agency fees based on? - ANSWERS-A percentage
of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - ANSWERS-Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
ANSWERS-Case rates
What customer service improvements might improve the patient
accounts department? - ANSWERS-Holding staff accountable for
customer service during performance reviews
