CRCR 2023 Possible Questions and Answers 100% verified
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Course
CRCR
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CRCR
CRCR 2023 Possible Questions and Answers 100% verified
Which of the following statements are true of HFMA's Patient Financial Communications Best Practices?
The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and ...
crcr 2023 possible questions and answers 100 verified which of the following statements are true of hfmas patient financial communications best practices the best practices were developed speci
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CRCR 2023 Possible Questions and Answers 100%
verified
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices?
The best practices were developed specifically to help patients understand the cost of
services, their individual insurance benefits, and their responsibility for balances after
insurance, if any.
The patient experience includes all of the following except:
Recognition that revenue cycle processes must be patient-centric and efficient. This is
especially true in the areas of scheduling, registration, admitting, financial counseling
and account resolution conversation with patients.
Corporate compliance programs play an important role in protecting the integrity
of operations and ensuring compliance with federal and state requirements. The
code of conduct is:
A critical tool to ensure compliance, essential and integral component, fosters an
environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have
always been liable for payment?
Black lung service programs, veteran affairs program, working aged programs, ESRD,
and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples include:
financial misconduct, theft of property, applying policies in inconsistent manner (all of
the above)
What is the intended outcome of collaborations made through an ACO delivery
system for a population of patients?
To eliminate duplicate services, prevent medical errors and ensure appropriateness of
care
What is the new terminology now employed in the calculation of net patient
service revenues?
explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production and
submission of claims to third party payers and patients (self-pay)?
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission
What happens during the post-service stage?
Final coding of all services, preparation and submission of claims, payment processing
and balance billing and resolution.
The following statements describe best practices established by the Medicaid
Debt Task Force. Select true statements.
educate patients, coordinate to avoid duplicate patient contacts, be consistent in key
aspects of account resolution, follow best practices for communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle
initiative?
, Process Compliance
What is the objective of the HCAHPS initiative?
To provide a standardized method for evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the
revenue cycle?
Assisted Living Services
Which option is NOT a continuum of care provider?
Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
established compliance standards and procedures, oversight of personnel by high-level
personnel, reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines
Annually, the OIG publishes a work plan of compliance issues and objects that
will be focused on the throughout the following year. Identify which option is NOT
a work plan task mentioned in this course.
Standard Unique Employer Identifier
In order to promote the use of correct coding methods on a national basis and
prevent payment errors due to improper coding, CMS developed what?
The Correct Coding Initiative(CCI)
What do business/organizational ethics represent?
Principles and standards by which organizations operate
What is the intended outcome of collaborations made through an ACO delivery
system?
To ensure appropriateness of care, elimination of duplicate services, and prevention of
medical errors for a population of patients
Which of these statements describes the new methodology for the
determinations of net patient service revenue?
Net patient service revenue is defined a the total incurred charges, less the explicit price
concession, less any applicable implicit price concession(s) as applied to the specific
portfolio of accounts.
What are KPIs?
Key Performance Indicators, which set standards for accounts receivable (A/R) and
provide a method of measuring the collection and control of A/R
Which patient types are typically considered acute care patient types?
Observation, newborn, Emergency(ED)
Accurate identification of the patient is the first step in the scheduling process.
Identifiers used in various combination to achieve accurate patient identification
include:
Full legal name, date of birth, sex and social security number
Pre-registration is defined as:
The collection of demographic information, insurance data, financial information,
providing reminders, prep information, and identifying the potential need for financial
assistance for scheduled patients.
Which of the following statements accurately describe the various Medicare
benefit programs:
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