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HFMA CRCR FINAL EXAM 300 QUESTIONS 2024/2025 ACTUAL CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS$14.49
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HFMA CRCR FINAL EXAM 300 QUESTIONS 2024/2025 ACTUAL CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
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Course
HFMA CRCR
Institution
HFMA CRCR
HFMA CRCR FINAL EXAM 300 QUESTIONS 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE
QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE |
EXPERT VERIFIED FOR GUARANTEED PASS
HFMA CRCR FINAL EXAM 300 QUESTIONS 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE
QUESTIO...
HFMA CRCR FINAL EXAM 300 QUESTIONS 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE
QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE |
EXPERT VERIFIED FOR GUARANTEED PASS
Pre-Service activities - CORRECT ANSWER -1. Requested service is screened for med
necessity, health coverage/benefits verified, preauthorization obtained and estimate to patient oop
costs generated within guidelines of NSA and state regulations.
2. Patient notified of financial responsibility including copayment and health plan deductibles,
eligibility of financial assistance assessed.
3. Patient is scheduled
4. Encounter record is generated and patient and guarantor info is obtained and updates as part of
preregistration.
5. Cost of the scheduled service identified patients health plan benefits are used to calculate the
price of the services to the patient. - includes deductible, coinsurance and or copayment amounts.
Time of service - CORRECT ANSWER -Financial account review is completed prior to patient
visit.
Patient arrives at service unit where pre-registration record is activated, consents are signed,
copayments and agreed upon amounts are collected.
Positive identification is completed, and the patient is given an armband with acct number.
Scheduled preprocessed patients report to designated express arrival desk located in centralized
area upon arrival.
Unscheduled patients - Time of Service - CORRECT ANSWER -Comprehensive registration
and financial processing is completed at time of service. Mirroring scheduled patients who is
OON with provider furnishing services during their encounter all federal and state transparency
and NSA provisions are followed to provide consent to patient of their rights
Time of Service steps - CORRECT ANSWER -Case management and discharge planning are
provided.
Orders are entered.
,Results are reported.
Charges are generated.
Diagnostic and procedural coding is completed.
ONGOING:
Monitor of charges
Managed care resolution
Patient liabilities resolution, as needed.
Ensure health plan requirements and liability calculations change - vet the changes against
fed/state guidelines. Consent and updated estimates are communicated to patient and health plan.
Post Service - CORRECT ANSWER -Includes the account activities that occur after the patient
is discharged until the acct reaches zero balance, such as final coding of all services, preparation
and submission of claims, payment processing and balance billing and resolution.
Best practices recognize all three critical segments of the contemporary revenue cycle. Each
segment includes a series of processes which are specifically designed to ensure accurate data
collection, consistent quality, and a high level of patient satisfaction.
Preservice - patient is scheduled and registered for service. Patients service costs are calculated.
Time of service - Case mgmt and discharge planing services are provided. Consents are signed.
Consumer Experience - CORRECT ANSWER -Each segment of the revenue cycle interacts
involving patients. The key to success is establishing a clear and ever present focus on the
patient.
Patient Experience - CORRECT ANSWER -Patients are demanding info and choices.
Regulations are demanding price transparency. For all known charges - even those not employed
by the provider.
Expect quality - health care and financial care.
Health plans care about quality - HCACPS stars is a measure of satisfaction.
With poor scores - Medicare will be reduced.
,Customer Experience - CORRECT ANSWER -Customer service is paramount.
Empowering front line staff to provide patient focused solutions is basic component of great
patient experience.
Best practice communication strategies, scripting and training are good tactics.
Healthcare Dollars and Sense - CORRECT ANSWER -HFMA revenue cycle initiatives:
Patients Financial communications best practices
Best practice for price transparency
medical account resolution
Financial Discussions - CORRECT ANSWER -In ED Setting - no patient financial discussions
should occur before a patient is screened and stabilized, in accordance with local regulations
governing the ed.
Emergency med conditions - CORRECT ANSWER -If medical screening determines that a
patient has an emergency med condition, the financial discussion should occur during the
discharge process.
For patients who do not have emergency condition following the medical screening, discussion
may occur during registration at bedside or discharge process.
Non-emergency conditions - CORRECT ANSWER -Outside ED Setting discussions may take
place during registration or discharge process in a location that does not disrupt patient flow.
If a patient consents to financial discussion during a medical encounter to expedite discharge,
best practice supports that choice.
Discussions in advance of service - CORRECT ANSWER -Use the most appropriate means of
communication for the patient, can occur via outbound contact with the patient, inbound contact
from the patient, or scheduling contact at time of appointment.
Timeliness of discussion - CORRECT ANSWER -Reasonable attempt must be made to have the
discussion as early as possible, before financial obligation is incurred (service)
, Patients - CORRECT ANSWER -Patients should be given the opportunity to request a patient
advocate, family member. Or other designee to help them with discussion.
Provision of Care - CORRECT ANSWER -ED Patients should also be informed that their
ability to pay will not interfere with treatment of any emergency medical conditions.
Uninsured patients - should be informed that the goal of collecting info. Is to identify paying
solutions or financial assistance options that may aid them with their financial obligations.
OON - must be provided disclosures, notifications and consent according to fed/state regulations.
Prior balances - CORRECT ANSWER -Across all lines - it is important to have clear policies on
how to interact with patients with prior balances. Providers should have clear definitions of
elective and non-elective procedures. Policies should be made available to public.
Patients should be informed for non-elective surgeries of that their ability to resolve prior
balances with not affect provision of care.
Prior to elective - patient should do good faith estimate within state/fed regulations to make
payment arrangements.
Annual Financial Training Programs - CORRECT ANSWER -Must include:
Patient financial communications specific to staff role
Financial assistance policies
Available patient financing options.
Alternative solutions for the uninsured
Standard language to be used
Laws and regulations.
Annual observation - CORRECT ANSWER -Observation, monitoring and tracking of results
make up the process of compliance evaluation required to document compliance.
Evaluation of technology - CORRECT ANSWER -Ensuring that:
Insurance eligibility for current services
Existing prior balance for current services
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