Update Verified Questions with Clear
Explanations | A+ Verified
• Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle
initiatives? -✓✓- Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
• What question does Healthcare Dollars & Sense answer for patients and
consumers? -✓✓to help make sense of price and value in healthcare.
• What are the 3 components/best practices of Healthcare Dollars & Sense -
✓✓Price Transparency, Patient Financial Communications, and Medical Account
Resolution.
• What is the Emergency Medical Treatment and Active Labor Act (EMTALA)? -
✓✓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? -
✓✓During the discharge process
• In an ED, if a patient does not have a medical condition, when should you discuss
the financial discussion? -✓✓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? -✓✓No, you must ensure the medical screening is
complete first.
• Outside the ED setting, when can you have financial discussions with patients? -
✓✓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? -✓✓Before a financial obligation is incurred
(before care is provided).
• Why does best practices support financial discussions before care is provided? -
✓✓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? -
✓✓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? -✓✓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? -✓✓the patient and financial counselor or supervisor.