Bundled CRCR Exams latest solutions 2023

Through what document does a hospital establish compliance standards? - code of conduct What is the purpose OIG work plant? - Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule...

Important revenue cycle activities in the pre-service stage include; - Obtaining or updating patient and guarantor information 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; - The amount the patient may ...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - Meet Income and Assets Requirements In choo...

What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and s...

Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively called Healthcare Dollars & Sense. - n/a Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense Initiatives. - n/a Healthcare Dollars & Sense is the na...

Net Days in AR - Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging - Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding - The dollars in cre...

Types of Unscheduled Patients - Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. Resource Coordination - The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that professional staff (physicians, nurses, and/or technicians) are available ...

What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and s...

Which of the following statements are true of HFMA's Financial Communications Best Practices - 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 ...

The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible...

835 Record - A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. 837 Record - A standard electronic message between a provider and a health plan sending data on a claim to the health plan. AAR - After-hours activity report ABN...

Emergency Medical Treatment and Labor Act (EMTALA) - Requires hospitals to provide a medical screening examination and any needed stabilizing treatment to every person presenting at an ED and requesting treatment. The screening examination must not be delayed to inquire about the patient's method o...