HFMA CRCR REVIEW QUESTIONS WITH
CORRECT ANSWERS
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle
initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - CORRECT ANSWER-D) Process Compliance
Appr...
HFMA CRCR REVIEW QUESTIONS WITH CORRECT ANSWERS 2023 -2024 Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative? A) Patient Financial Communications B) Medical Account Resolution C) Price Transparency D) Process Compliance - CORRECT ANSWER -D) Process Compliance Approximately what ______% of billing information is obtained during the registration process (Patient Access). - CORRECT ANSWER -40% What is the objective of the HCAHPS initiative? A) To conduct evaluations concerning patients' perspective on hospital care. B) To provide a standardization method for evaluating patients' perspective on hospital care. C) To provide clear communication and good customer service, which will give the provider a competitive edge. D) To make certain that during registration key information is verified by means of a picture ID and insurance card. - CORRECT ANSWER -B) To provide a standardization method for evaluating patients' perspective on hospital care. Which option is NOT a department that supports and collaborates with the revenue cycle? A) Finance B) Clinical Services C) Information Technology D) Assisted Living Services - CORRECT ANSWER -D) Assisted Living Services What must a SNF have to participate in the Medicare Program? - CORRECT ANSWER -
A written transfer agreement with one of more participating hospitals providing for the transfer of patients between the hospital and SNF. In order to qualify for Medicare Coverage of Home Health Service a patient must meet 2 conditions. - CORRECT ANSWER -1) An MD must certify that a patient is confined to his/her residence (Not necessarily bedridden). Leaving the home would be a considerable effort 2) Hospitals and SNFs may not be considered a place of residence for purposes of home health coverage. Which options is NOT a continuum of care provider? A) Physician B) Skilled Nursing Facility (SNF) C) Health Plan Contracting D) Hospice - CORRECT ANSWER -C) Health Plan Contracting Which of the following are essential elements of an effective compliance program? A) Oversight of personnel by high -level personnel. B) Established compliance standards and procedures. C) Designation of a compliance offices employees within the Billing department. D) Reasonable methods to achieve compliance with standards, including monitoring systems and hotlines. E) Automatic dismissal of any employee excluded from participating in a federal healthcare program. - CORRECT ANSWER -A, B, and D A) Oversight of personnel by high -level personnel. B) Established compliance standards and procedures. D) Reasonable methods to achieve compliance with standards, including monitoring systems and hotlines. What is the OIG? - CORRECT ANSWER -The Office of the Inspector General Annually, the OIG publishes a work plan of compliance issues and objectives that will be focused on throughout the following year. Identify which option is NOT a work plan task mentioned in this course. A) Standard Unique Employer Identifier B) Provider -based status C) Medical devices D) Reconciliation of outlier payments - CORRECT ANSWER -A) Standard Unique Employer Identifier All diagnostic services provided to a MCR beneficiary by a hospital (or entity owned by the hospital) on the date of the beneficiary's inpatient admission or during the ____ calendar days immediately preceding the date of the admission are required to be included on the inpatient bill. - CORRECT ANSWER -3 IN order to promote the use of correct coding methods on a national basis and prevent payment errors due to improper coding, the Centers for Medicare and Medicaid Services (CMS) developed what? A) The Correct Coding Initiative (CCI) B) The Advance Beneficiary Notice of Noncoverage C) The Medicare Secondary Payer (MSP) D) Modifiers - CORRECT ANSWER -A) The Correct Coding Initiative (CCI) What do business/organizational ethics represent? A) An employee's actions influenced by experiences and value system. B) The patient privacy standard within health care C) A healthcare provider's practices and principles
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