CRCR Test 2023
Important revenue cycle activities in the pre-service stage include; - Correct answer-
Obtaining or updating patient and guarantor
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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; - Correct answer-The amount the patient may be expected to pay after insurance.
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 - Correct answer-Point-of-service revenue cycle
activities.
HFMA best practices call for patient financial discussions to be reinforced; - Correct
answer-With a written statement of the conversation
HFMA's patient financial communications best practices specify that patients should be
told about the types of services provided and; - Correct answer-Who participates in
providing the service, e.g. surgeons, radiologists, etc.
The process of evaluating compliance with financial assistance policies involves; - Correct answer-The annual observation, monitoring, and tracking of results for all best practices.
The account resolution clock begins when - Correct answer-The first statement is sent
to the patient
The soft cost of a dissatisfied customer is - Correct answer-The customer passing on information about their negative experience to potential patients or through social media channels
The hard cost of a dissatisfied customer is - Correct answer-loss of future revenue
When there is a request for service, scheduling staff must first - Correct answer-Confirm
the patients key identification information
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 - Correct answer-
Conditions of admission
Hospitals need which of the following information sets to assess a patients financial
status - Correct answer-Demographic, Income, Assets, and Expenses
For new patients with no MPI number - Correct answer-A new medical record will be
created by the provider
Which option is a government sponsored program that is financed through taxes and
general revenue funds - Correct answer-Medicare
An increase in the dollars aged greater than 90 days from date of service indicates that
accounts are - Correct answer-Not resolved in a timely manner
In many states, people covered under the Medicaid program are required to join managed care plans focusing on preventive healthcare - Correct answer-Medicaid Advantage
Price is defined as; - Correct answer-The amount actually paid by the health plan and/or
the patient for a specific service
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; - Correct answer-The fact that chargemaster lists the total charge, not net charges that reflect charges after a payer's contractual adjustment
19) Time of the patient portion earlier in the cycle and increases patient satisfaction
because; - Correct answer-There is clarity for the patient about what is owed.
Because case managers are well positioned to document the clinical reasons for treatment, they are; - Correct answer-Of great assistance to revenue cycle staff working on written appeals for denials
21) The best practice in billing is to generate bills and financial information that is: -
Correct answer-Clear, concise, correct, and patient-friendly. [Show Less]