HFMA SET 1/2/3/4/5/7/HFMA CRCR Exam Bundle Solutions Pack

Define Revenue Cycle - ANSWER-REVENUE CYCLE ----- is the series of events and services provided prior to, during, and after the course of treatment Departments that contribute to the Revenue Cycle. - ANSWER-Departments that contribute to the Revenue Cycle. 1. Access 2. Health information m...

Identify the three departments that have a significant role in disbursing funds for the organization. - ANSWER-... Disbursement Defintion - ANSWER-Disbursement Function Disbursement means the approved distribution of funds to third parties for the services or products they have provided to the o...

Describe the paper and electronic claims flow process. - ANSWER-1. Electronic Claim Submission= EDI claims forwarded to either directly or via EDI clearing house/ vendor. 2. Claims Verification= Clearinghouse specifications and insurance company requirements used to validate transmitted claims. ...

Strategic Planning Process includes: - ANSWER-Strategic Planning Process includes: Identifying the organization's current position, including its mission, vision, and long-term goals. Conducting an internal and external assessment and comparing the organization's condition against those findi...

Administrative controls are characterized by: - ANSWER-Administrative Controls Administrative controls are characterized by: An organizational plan leading to management's authorization. Assigned responsibility for achieving organizational goals. A starting point for accounting controls. ...

Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction projects. Collection services. Maintenance on equipment. Leasing space. Employment of contracted ...

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

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