CRCR 2021
Consents are signed as part of the post service process. (True or Flase) - answerFalse
Patient service costs are calculated in the pre-service process for scheduled patients.
(True or False) - answerTrue
The patient is scheduled and registered for service is a time of service activity (True or
False) - answerFalse
The patient account is monitored for payments is a time of service activity (True or
False) - answerFalse
case management and discharge planning service are a post service activity ( True or
False) - answerFalse
Sending the bill electronically to the health plan is a time-of-service activity(True or
False) - answerFalse
Pre-Service - answerThe patient is scheduled and registered for service, patient service
cost are calculated
Time of service - answerCase management and discharge planning service are
provided, consents are signed
Post service - answerBill sent me electronically to health plan, patient accounts is
monitored for payment
The following statements best describe best practice established by the Medical debt
task force.
A. Educate patients
B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about scheduled
service
D. Be consistent in key aspects of account resolution
, E. Report to healthcare plans when the patient's account is transferred to collection
agency
F. Follow best practice for communication - answerA. Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
Which is Not a main HFMA healthcare Dollar & Sense revenue cycle Initiative?
A.Patient Financial Communications
B.Price Transparency
C.Medical Account Resolution
D.Process Compliance - answerD. Process compliance
This option refers to a patient financial communications best practice. Annual
observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This evaluation
may be performed by any organization independent of the department that is being
audited, such as internal audit, compliance quality, or a third party. The evaluation
should be comprehensive and should cover all scenarios addressed by the practices
that are relevant to a particular organization.
Which option is NOT a department that supports and collaborates with the revenue
cycle?
A. Information Technology
B. Clinical Services
C.Finance
D. Assisted Living Services - answerD. Assisted Living
Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility - answerB. Health Plan Contracting
Which of the following are essential elements of an effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Department.
C.Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal
healthcare program.
E. Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines. - answerA.Established compliance standards and procedures.
C.Oversight of personnel by high-level personnel.
E.Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines.
Consents are signed as part of the post service process. (True or Flase) - answerFalse
Patient service costs are calculated in the pre-service process for scheduled patients.
(True or False) - answerTrue
The patient is scheduled and registered for service is a time of service activity (True or
False) - answerFalse
The patient account is monitored for payments is a time of service activity (True or
False) - answerFalse
case management and discharge planning service are a post service activity ( True or
False) - answerFalse
Sending the bill electronically to the health plan is a time-of-service activity(True or
False) - answerFalse
Pre-Service - answerThe patient is scheduled and registered for service, patient service
cost are calculated
Time of service - answerCase management and discharge planning service are
provided, consents are signed
Post service - answerBill sent me electronically to health plan, patient accounts is
monitored for payment
The following statements best describe best practice established by the Medical debt
task force.
A. Educate patients
B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about scheduled
service
D. Be consistent in key aspects of account resolution
, E. Report to healthcare plans when the patient's account is transferred to collection
agency
F. Follow best practice for communication - answerA. Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
Which is Not a main HFMA healthcare Dollar & Sense revenue cycle Initiative?
A.Patient Financial Communications
B.Price Transparency
C.Medical Account Resolution
D.Process Compliance - answerD. Process compliance
This option refers to a patient financial communications best practice. Annual
observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This evaluation
may be performed by any organization independent of the department that is being
audited, such as internal audit, compliance quality, or a third party. The evaluation
should be comprehensive and should cover all scenarios addressed by the practices
that are relevant to a particular organization.
Which option is NOT a department that supports and collaborates with the revenue
cycle?
A. Information Technology
B. Clinical Services
C.Finance
D. Assisted Living Services - answerD. Assisted Living
Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility - answerB. Health Plan Contracting
Which of the following are essential elements of an effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Department.
C.Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal
healthcare program.
E. Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines. - answerA.Established compliance standards and procedures.
C.Oversight of personnel by high-level personnel.
E.Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines.
