CRCR Financial Counseling and Patient Financial Services 2

Question 1

Which term describes the out-of-pocket amount a patient must pay each year before their insurance plan begins paying benefits?

Accepted Answer

Deductible

Answer

Copayment

Answer

Coinsurance

Answer

Premium

Question 2

What is 'presumptive eligibility' in the context of Medicaid and financial counseling?

Accepted Answer

A temporary determination that a patient is likely eligible for Medicaid based on preliminary information, allowing coverage to begin immediately

Answer

A process where Medicaid automatically enrolls all uninsured patients

Answer

A denial of Medicaid based on assumed income

Answer

A process requiring full documentation before any care is provided

Question 3

A financial counselor uses a 'propensity to pay' score for a patient. What does this score measure?

Accepted Answer

The probability that a patient will pay their bill based on financial and behavioral data

Answer

The likelihood that a patient will refer other patients to the hospital

Answer

The patient's credit score from a major bureau

Answer

The amount of charity care the patient has historically received

Question 4

Which type of payment plan allows a patient to pay their balance in fixed monthly installments over a set period without interest?

Accepted Answer

Interest-free installment agreement

Answer

Revolving credit line

Answer

Medical credit card with deferred interest

Answer

A recourse loan

Question 5

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?

Accepted Answer

When the patient is present and does not object, or when the patient has given prior permission

Answer

Never — HIPAA prohibits any disclosure to family members

Answer

Only with the patient's written authorization on file

Answer

Only when the family member is listed as an insurance subscriber

Question 6

What is the primary purpose of the Medical Debt Relief Act provisions that some states have enacted?

Accepted Answer

To limit aggressive collection practices and remove certain medical debt from credit reports

Answer

To allow hospitals to charge higher rates to uninsured patients

Answer

To require patients to pay all bills before receiving future care

Answer

To mandate that hospitals sue patients who do not pay within 30 days

Question 7

Which of the following is an example of a 'soft credit check' that financial counselors may use?

Accepted Answer

Reviewing a patient's financial profile to assess payment capacity without impacting their credit score

Answer

Pulling a full credit report that is visible to all lenders

Answer

Sending a patient's account to a collection agency

Answer

Reporting a patient's balance to the IRS