HFMA - Certified Revenue Cycle Representative
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle
initiatives collectively called Healthcare Dollars & Sense.
n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare
Dollars & Sense Initiatives.
n/a
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.
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle
initiatives collectively called Healthcare Dollars & Sense.
n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare
Dollars & Sense Initiatives.
n/a
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.
