Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense Initiatives. - ANSWER-n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives? - ANSWER-- Patient financial communications best practices
- Best practices for pric...
Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle
initiatives collectively called Healthcare Dollars & Sense. - ANSWER-n/a
Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare
Dollars & Sense Initiatives. - ANSWER-n/a
Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle
initiatives? - ANSWER-- Patient financial communications best practices
- Best practices for price transparency
- Medical account resolution
What question does Healthcare Dollars & Sense answer for patients and consumers? -
ANSWER-to help make sense of price and value in healthcare.
What are the 3 components/best practices of Healthcare Dollars & Sense - ANSWER-
Price Transparency, Patient Financial Communications, and Medical Account
Resolution.
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)? -
ANSWER-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? - ANSWER-
During the discharge process
In an ED, if a patient does not have a medical condition, when should you discuss the
financial discussion? - ANSWER-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? - ANSWER-No, you must ensure the medical screening is
complete first.
Outside the ED setting, when can you have financial discussions with patients? -
ANSWER-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? - ANSWER-Before a financial obligation is incurred
(before care is provided).
Why does best practices support financial discussions before care is provided? -
ANSWER-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? - ANSWER-a
patient advocate, family member, or other designee to help them in the discussions.
For Routine Scenarios: for patients with insurance coverage or a know ability to pay,
who should be involved in the financial discussions? - ANSWER-the patient or
guarantor and properly trained provider representatives.
For Complex Scenarios: for patients with non-routine or complex scenarios, such as
uninsured or underinsured patients, who should be involved in the financial
discussions? - ANSWER-the patient and financial counselor or supervisor.
Routine Activities: Provision of Care: who should be informed that their ability to pay will
not interfere with treatment or any emergency medical condition? The insured / able to
pay or the uninsured? - ANSWER-all patients should be informed.
Routine Activities: Provision of Care: when having a financial discussion with uninsured
ED patients, you should explain the goal of collecting information to identify payment
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