Certified Revenue Cycle Representative - CRCR exam
2023
Which of the following statements are true of HFMA's Patient Financial Communications Best
... [Show More] Practices?
✔Ans✔ The best practices were developed specifically 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 especially 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 the integrity 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 payers 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 patient service revenues? ✔Ans✔
explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production 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 [Show Less]