CRCR Test Review Questions and Answers | 2023 | 33 Q&As
1. Important revenue cycle activities in the pre-service stage include; ANS Obtain- ing or
... [Show More] updating patient and guarantor information
2. In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; ANS The amount the patient may be expected to pay after insurance.
3. Demographic and health plan edit failures are identified and resolved within the Patient Access area. Census activity is processed, Discharges are completed and correctly coded. These activities are considered ANS Point-of-ser- vice revenue cycle activities.
4. HFMA best practices call for patient financial discussions to be rein- forced; ANS With a written statement of the conversation
5. HFMA's patient financial communications best practices specify that pa- tients should be told about the types of services provided and; ANS Who partici- pates in providing the service, e.g. surgeons, radiologists, etc.
6. The process of evaluating compliance with financial assistance policies involves; ANS The annual observation, monitoring, and tracking of results for all best practices.
7. The account resolution clock begins when ANS The first statement is sent to the patient
8. The soft cost of a dissatisfied customer is ANS The customer passing on informa- tion about their negative experience to potential patients or through social media channels
9. The hard cost of a dissatisfied customer is ANS loss of future revenue
10. When there is a request for service, scheduling staff must first ANS Confirm the patients key identification information
11. A standardized form informing patients about the conditions that must be agreed to as part of the agreement for the hospital to provide care is called ANS Conditions of admission
12. Hospitals need which of the following information sets to assess a pa- tients financial status ANS Demographic, Income, Assets, and Expenses
13. For new patients with no MPI number ANS A new medical record will be created by the provider
14. Which option is a government sponsored program that is financed through taxes and general revenue funds ANS Medicare
15. An increase in the dollars aged greater than 90 days from date of service indicates that accounts are ANS Not resolved in a timely manner
16. In many states, people covered under the Medicaid program are required to join managed care pl ANS focusing on preventive healthcare ANS Medicaid Advantage
17. Price is defined as; ANS The amount actually paid by the health plan and/or the patient for a specific service
18. Patients are contacting hospitals to proactively inquire about costs and fees prior to agreeing to service. The problem for hospitals in providing such information is; ANS The fact that chargemaster lists the total charge, not net charges that reflect charges after a payer's contractual adjustment
19. 19) Time of the patient portion earlier in the cycle and increases patient satisfaction because; ANS There is clarity for the patient about what is owed.
20. Because case managers are well positioned to document the clinical reasons for treatment, they are; ANS Of great assistance to revenue cycle staff working on written appeals for denials
21. 21) The best practice in billing is to generate bills and financial informa- tion that is ANS Clear, concise, correct, and patient-friendly.
22. Pricing Tr ANSparency is defined as readily available information on the price of healthcare services, that together with other information, help define the value of those services and enable consumers to; ANS Identify, compare, and choose providers that offer the desired level or value.
23. The 501 (r) regulations require not-for-profit providers 501 (c)(3) to do which of the following activities ANS Implement a financial assistance program for uninsured and underinsured patients.
24. Net Accounts Receivable is ANS The amount an entity is reasonably confident of collecting from overall accounts receivable
25. The revenue cycle includes ANS All of the major processing steps required to process a patient account from the request for service through closing the account [Show Less]