Financial Counseling and Patient Financial Services Flashcards
7 cards from real CRCR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Financial Counseling and Patient Financial Services flashcards as text
Which term describes the out-of-pocket amount a patient must pay each year before their insurance plan begins paying benefits?
Answer: Deductible
A deductible is the annual amount a patient must pay out-of-pocket before their health insurance plan starts covering most services.
What is 'presumptive eligibility' in the context of Medicaid and financial counseling?
Answer: A temporary determination that a patient is likely eligible for Medicaid based on preliminary information, allowing coverage to begin immediately
Presumptive eligibility allows qualified entities to make a temporary Medicaid eligibility determination so patients can receive covered services while their full application is processed.
A financial counselor uses a 'propensity to pay' score for a patient. What does this score measure?
Answer: The probability that a patient will pay their bill based on financial and behavioral data
A propensity to pay score uses financial and demographic data to predict how likely a patient is to pay their bill, helping staff prioritize financial counseling efforts.
Which type of payment plan allows a patient to pay their balance in fixed monthly installments over a set period without interest?
Answer: Interest-free installment agreement
An interest-free installment agreement allows patients to spread their balance across monthly payments without incurring additional interest charges.
Under HIPAA, when can a financial counselor share a patient's account balance information with a patient's family member who is present during counseling?
Answer: When the patient is present and does not object, or when the patient has given prior permission
HIPAA allows disclosure of relevant information to family members or friends involved in a patient's care when the patient is present and does not object or has previously given permission.
What is the primary purpose of the Medical Debt Relief Act provisions that some states have enacted?
Answer: To limit aggressive collection practices and remove certain medical debt from credit reports
Medical debt relief legislation in various states aims to protect patients from aggressive collection practices and reduce the negative impact of medical debt on credit scores.
Which of the following is an example of a 'soft credit check' that financial counselors may use?
Answer: Reviewing a patient's financial profile to assess payment capacity without impacting their credit score
A soft credit check reviews financial data to assess a patient's ability to pay without appearing on their credit report or affecting their credit score.