CRCR CERTIFICATION HFMA
EXAM
Which of the following is NOT contained in a collection agency
agreement? - ANSWERS-A mutual hold-harmless clause
HFMA best practices stipulate that a reasonable attempt should be
made to have the financial - ANSWERS-As early as possible, before a
financial obligation is incurred
Recognizing that health coverage is complicated and not all pts are
able to navigate this terrain, HFMA best practices specify that -
ANSWERS-Patients should be given the opportunity to request a
patient advocate, family member or other designee to help them In
these discussions
For scheduled patients, important revenue cycle activities In the Time
of Service stage DO NOT INCLUDE: - ANSWERS-Final bill is
presented for payment
HFMA's patient financial communication best practices specify that
patients should be told about the types of services provided and -
ANSWERS-The service providers that typically participate in the
service, e.g., radiologists, pathologists, etc.
,Successful account resolution begins with - ANSWERS-Collecting all
deductibles and copayments during the pre-service stage
Recognizing that health coverage is complicated and not all patients
are able to navigate this terrain, HFMA best practices specify that -
ANSWERS-Patients should be given the opportunity to request a
patient advocate, family member, or other designee to help them in
these discussions
In the balance resolution process, providers should: - ANSWERS-Ask
the patient if he or she would like to receive information about
payment options and supportive financial assistance programs
Business ethics, or organizational ethics represent: - ANSWERS-The
principles and standards by which organizations operate
Which option is a government-sponsored health care program that is
financed through taxes and general revenue funds - ANSWERS-
Medicare
Any healthcare insurance plan that provides or ensures
comprehensive health maintenance and treatment services for an
enrolled group of persons based on; a monthly fee is known as a -
ANSWERS-HMO
In a Chapter 7 Straight Bankruptcy filing - ANSWERS-The court
liquidates the debtor's nonexempt property, pays creditors, and
discharges the debtor from the debt
, When there is a request for service the scheduling staff member must
confirm the patient's - ANSWERS-Ensure that she/he accesses the
correct information in the historical database
A four digit number code established by the National Uniform Billing
Committee (NUBC)that categorizes/classifies a line item in the charge
master is known as - ANSWERS-Revenue codes
Appropriate training for patient financial counseling staff must cover
all of the following EXCEPT: - ANSWERS-Documenting the
conversation in the medical records
The ACO investment model will test the use of pre-paid shared
savings to - ANSWERS-Encourage new ACOs to form in rural and
underserved areas
When recovery audit contractors (RAC) identify improper payments
as over payments the claims processing contractor must - ANSWERS-
Send a demand letter to the provider to recover the over payment
amount
The purpose of the ACA mandated Community Health Needs
Assessment is - ANSWERS-To identify significant health needs,
prioritize those needs and identify resources to address them
A balance sheet is - ANSWERS-A statement of assets, liabilities, and
capital for an organization at a specified point in time
EXAM
Which of the following is NOT contained in a collection agency
agreement? - ANSWERS-A mutual hold-harmless clause
HFMA best practices stipulate that a reasonable attempt should be
made to have the financial - ANSWERS-As early as possible, before a
financial obligation is incurred
Recognizing that health coverage is complicated and not all pts are
able to navigate this terrain, HFMA best practices specify that -
ANSWERS-Patients should be given the opportunity to request a
patient advocate, family member or other designee to help them In
these discussions
For scheduled patients, important revenue cycle activities In the Time
of Service stage DO NOT INCLUDE: - ANSWERS-Final bill is
presented for payment
HFMA's patient financial communication best practices specify that
patients should be told about the types of services provided and -
ANSWERS-The service providers that typically participate in the
service, e.g., radiologists, pathologists, etc.
,Successful account resolution begins with - ANSWERS-Collecting all
deductibles and copayments during the pre-service stage
Recognizing that health coverage is complicated and not all patients
are able to navigate this terrain, HFMA best practices specify that -
ANSWERS-Patients should be given the opportunity to request a
patient advocate, family member, or other designee to help them in
these discussions
In the balance resolution process, providers should: - ANSWERS-Ask
the patient if he or she would like to receive information about
payment options and supportive financial assistance programs
Business ethics, or organizational ethics represent: - ANSWERS-The
principles and standards by which organizations operate
Which option is a government-sponsored health care program that is
financed through taxes and general revenue funds - ANSWERS-
Medicare
Any healthcare insurance plan that provides or ensures
comprehensive health maintenance and treatment services for an
enrolled group of persons based on; a monthly fee is known as a -
ANSWERS-HMO
In a Chapter 7 Straight Bankruptcy filing - ANSWERS-The court
liquidates the debtor's nonexempt property, pays creditors, and
discharges the debtor from the debt
, When there is a request for service the scheduling staff member must
confirm the patient's - ANSWERS-Ensure that she/he accesses the
correct information in the historical database
A four digit number code established by the National Uniform Billing
Committee (NUBC)that categorizes/classifies a line item in the charge
master is known as - ANSWERS-Revenue codes
Appropriate training for patient financial counseling staff must cover
all of the following EXCEPT: - ANSWERS-Documenting the
conversation in the medical records
The ACO investment model will test the use of pre-paid shared
savings to - ANSWERS-Encourage new ACOs to form in rural and
underserved areas
When recovery audit contractors (RAC) identify improper payments
as over payments the claims processing contractor must - ANSWERS-
Send a demand letter to the provider to recover the over payment
amount
The purpose of the ACA mandated Community Health Needs
Assessment is - ANSWERS-To identify significant health needs,
prioritize those needs and identify resources to address them
A balance sheet is - ANSWERS-A statement of assets, liabilities, and
capital for an organization at a specified point in time
