CRCR 4 - Post-Service Financial Care -
Quiz Combo
Credit balances may be created by any of the following activities except:
(Pre-Test 4)
Credits to pharmacy charges posted before the claim final bills.
3 MULTIPLE CHOICE OPTIONS
Which of the following statements represent common reasons for inpatient claim denials?
(Pre-Test 4)
Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and
services provided which were not medically necessary.
3 MULTIPLE CHOICE OPTIONS
A 68-year-old patient, a Medicare beneficiary, was in a car accident. A medical insurance claim was filed
with the auto insurance carrier. Six months later this claim remains unpaid.
How can the provider pursue payment from Medicare?
(Pre-Test 4)
The provider must first bill the auto insurer; however, after a period of 120 days, if the claim remains
unpaid, the provider may cancel the liability claim and bill Medicare.
3 MULTIPLE CHOICE OPTIONS
The difference between bad debt and financial assistance (charity) is:
(Pre-Test 4)
Bad debt represents a refusal to pay; charity represents an inability to pay.
3 MULTIPLE CHOICE OPTIONS
In order to qualify for financial assistance, a patient or guarantor should:
(Pre-Test 4)
Provide the following documents: prior year tax return, employment check stubs from the prior three
months and bank statements from the prior three months.
3 MULTIPLE CHOICE OPTIONS
To comply with the requirements of Section 501(r) for tax-exempt hospitals chartered as 510(c)3
providers, the hospital must complete with of the following activities:
, (Pre-Test 4)
A community needs assessment.
3 MULTIPLE CHOICE OPTIONS
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:
(Pre-Test 4)
Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization, and Chapter 13 - Debtor
Rehabilitation
3 MULTIPLE CHOICE OPTIONS
Which of the following medical debt collection practices are recommended as part of HFMA's Best
Practices for medical account resolution:
(Pre-Test 4)
Establish policies and ensure that they are followed.
3 MULTIPLE CHOICE OPTIONS
Organizations may opt to contract with or outsource to specific vendors for some or all components of
revenue cycle processing. This practice has both advantages and disadvantages.
Which of the following statements is not an advantage of utilizing an outsourcing vendor?
(Pre-Test 4)
The need for legal review if the outside vendor's staff represents themselves as employees of the
healthcare facility.
3 MULTIPLE CHOICE OPTIONS
Each hospital covered by the 501(r) regulations is required to develop a financial assistance policy.
Which of the following elements is not a required element of the policy?
(Pre-Test 4)
The notice that individuals eligible for financial assistance under this policy may be charged more than
the amount generally billed (AGB) to insured patients.
3 MULTIPLE CHOICE OPTIONS
There are 9 daily reconciliation process steps.
Select the proper order of the first four steps.
(KC4.1)
1. Obtain totals of all payments - cash, check credit card, debit card.
2. Divide remittances into batches and obtain a second total of the electronic remittance advices by
payment and contractual allowances.
Quiz Combo
Credit balances may be created by any of the following activities except:
(Pre-Test 4)
Credits to pharmacy charges posted before the claim final bills.
3 MULTIPLE CHOICE OPTIONS
Which of the following statements represent common reasons for inpatient claim denials?
(Pre-Test 4)
Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and
services provided which were not medically necessary.
3 MULTIPLE CHOICE OPTIONS
A 68-year-old patient, a Medicare beneficiary, was in a car accident. A medical insurance claim was filed
with the auto insurance carrier. Six months later this claim remains unpaid.
How can the provider pursue payment from Medicare?
(Pre-Test 4)
The provider must first bill the auto insurer; however, after a period of 120 days, if the claim remains
unpaid, the provider may cancel the liability claim and bill Medicare.
3 MULTIPLE CHOICE OPTIONS
The difference between bad debt and financial assistance (charity) is:
(Pre-Test 4)
Bad debt represents a refusal to pay; charity represents an inability to pay.
3 MULTIPLE CHOICE OPTIONS
In order to qualify for financial assistance, a patient or guarantor should:
(Pre-Test 4)
Provide the following documents: prior year tax return, employment check stubs from the prior three
months and bank statements from the prior three months.
3 MULTIPLE CHOICE OPTIONS
To comply with the requirements of Section 501(r) for tax-exempt hospitals chartered as 510(c)3
providers, the hospital must complete with of the following activities:
, (Pre-Test 4)
A community needs assessment.
3 MULTIPLE CHOICE OPTIONS
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:
(Pre-Test 4)
Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization, and Chapter 13 - Debtor
Rehabilitation
3 MULTIPLE CHOICE OPTIONS
Which of the following medical debt collection practices are recommended as part of HFMA's Best
Practices for medical account resolution:
(Pre-Test 4)
Establish policies and ensure that they are followed.
3 MULTIPLE CHOICE OPTIONS
Organizations may opt to contract with or outsource to specific vendors for some or all components of
revenue cycle processing. This practice has both advantages and disadvantages.
Which of the following statements is not an advantage of utilizing an outsourcing vendor?
(Pre-Test 4)
The need for legal review if the outside vendor's staff represents themselves as employees of the
healthcare facility.
3 MULTIPLE CHOICE OPTIONS
Each hospital covered by the 501(r) regulations is required to develop a financial assistance policy.
Which of the following elements is not a required element of the policy?
(Pre-Test 4)
The notice that individuals eligible for financial assistance under this policy may be charged more than
the amount generally billed (AGB) to insured patients.
3 MULTIPLE CHOICE OPTIONS
There are 9 daily reconciliation process steps.
Select the proper order of the first four steps.
(KC4.1)
1. Obtain totals of all payments - cash, check credit card, debit card.
2. Divide remittances into batches and obtain a second total of the electronic remittance advices by
payment and contractual allowances.
