Master the HFMA CRCR Exam 2023: Proven Study Guide with 100% Correct Answers for Guaranteed Success!
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Module
HFMA CRCR
Institution
HFMA CRCR
Master the HFMA CRCR Exam 2023: Proven Study Guide with 100% Correct Answers for Guaranteed Success!
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R) and
a) Provide evidence of financial status
b) Provide a method of measuring the collection and control of A/...
Master the hFMa CrCr exaM 2023:
Proven study Guide with 100% CorreCt
answers For Guaranteed suCCess!
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R) and
a) Provide evidence of financial status
b) Provide a method of measuring the collection and control of A/R
c) Establish productivity targets
d) Make allowance for accurate revenue forecasting - ANS B
Recognizing that health coverage is complicated and not all patients are able to navigate
this terrain, HFMA best practices specify that
a) The patient accounts staff have someone assigned to research
coverage on behalf of patients
b) Patients should be given the opportunity to request a patient
advocate, family member, or other designee to help them in these
discussions
c) Patient coverage education may need to be provided by the
health plan
d) A representative of the health plan be included in the patient
financial responsibilities discussion - ANS B
When there is a request for service, the scheduling staff member must confirm the
patient's unique identification information to
,a) Check if there is any patient balance due
b) Verify the patient's insurance coverage if the patient is a returning
customer
c) Confirm that physician orders have been received
d) Ensure that she/he accesses the correct information in the
historical database - ANS D
Once the price is estimated in the pre-service stage, a provider's financial best practice
is to
a) Explain to the patient their financial responsibility and to
determine the plan for payment
b) Allow the patient time to compare prices with other providers
c) Lock-in the prices
d) Have another employee double check the price estimate - ANS A
What type of account adjustment results from the patient's unwillingness to pay a self-
pay balance?
a) Charity adjustment
b) Bad debt adjustment
c) Contractual adjustment
d) Administrative adjustment - ANS B
All of the following are conditions that disqualify a procedure or service from being paid
for by Medicare EXCEPT
,a) Medically unnecessary
b) Not delivered in a Medicare licensed care setting
c) Offered in an outpatient setting
d) Services and procedures that are custodial in nature - ANS D
All of the following are forms of hospital payment contracting EXCEPT
a) Contracted Rebating
b) Per Diem Payment
c) Fixed Contracting
d) Bundled Payment - ANS A
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by:
a) The Center for Medicare and Medicaid Services (CMS)
b) Each state's Medicaid plan
c) Medicare
d) The Medicare Administrative Contractor (MAC) at the end of the
hospice cap period - ANS D
With the advent of the Affordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals to
a) Reschedule the visit for non-payment of a prior balance
b) Strictly limit charity care and bad-debt
c) Collect patient's self-pay and deductibles in the first encounter
d) Assist patients in understanding their insurance coverage and
their financial obligation - ANS D
, A nightly room charge will be incorrect if the patient's
a) Discharge for the next day has not been charted
b) Condition has not been discussed during the shift change report
meeting
c) Pharmacy orders to the ICU have not been entered in the
pharmacy system
d) Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system - ANS D
Which of the following is required for participation in Medicaid?
a) Meet income and assets requirements
b) Meet a minimum yearly premium
c) Be free of chronic conditions
d) Obtain a health insurance policy - ANS A
HFMA best practices call for patient financial discussions to be reinforced
a) By issuing a new invoice to the patient
b) By copying the provider's attorney on a written statement of
conversation
c) By obtaining some type of collateral
d) By changing policies to programs - ANS B
A Medicare Part A benefit period begins:
a) With admission as an inpatient
b) The first day in which an individual has not been a hospital
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