HFMA CRCR EXAM, CERTIFICATION EXAM,
PRACTICE EXAM AND A STUDY GUIDE LATEST 2024
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
• Which of the following statements are true of HFMA's
Patient Financial Communications Best Practices? ANS
The best practices were developed specifi-cally 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 ANS Recognition that revenue cycle processes must be
patient-centric and efficient. This is espe- cially 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 theintegrity of operations and ensuring
compliance with federal and state requirements. The code
,of conduct is ANS 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 pay- ers have always been liable for payment?
ANS 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 ANS 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? ANS To eliminate duplicate services,prevent medical
errors and ensure appropriateness of care
, • What is the new terminology now employed in the
calculation of net patientservice revenues? ANS explicit price
concessions and implicit price concessions
• What are the two KPIs used to monitor performance
related to the produc- tion and submission of claims to third
party payers and patients (self-pay)? ANS - Elapsed days from
discharge to final bill and elapsed days from final bill to claim/bill
submission
• What happens during the post-service stage? ANS Final
coding of all services, preparation and submission of claims,
payment processing and balance billing andresolution.
• The following statements describe best practices
established by the Med- icaid Debt Task Force. Select true
statements. ANS educate patients, coordinate to avoid duplicate
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