HFMA CRCR BUNDLED EXAMS// FULL PACK SOLUTION. ¬¬ DOWNLOAD TO SCORE A+

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

Through what document does a hospital establish compliance standards? -CORRECT ANSWER- Code of Conduct What is the purpose of the OIG work plan? -CORRECT ANSWER- Communicate issues that will be reviewed during the year for compliance with Medicare regulations If a Medicare patient is adm...

What do Case Managers do? -CORRECT ANSWER- Monitor high resource cases to ensure effective utilization What is HIM responsible for? -CORRECT ANSWER- all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible...

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

Important revenue cycle activities in the pre-service stage include; -CORRECT ANSWER- 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; -COR...

Identify internal controls for cash handling A. The separation of cash handling procedures whereby the same person who opens and endorses the checks is not responsible for the deposit B. The establishment of internal audits by personnel outside the involved department. C. The routine use of outs...