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HFMA CRCR TEST REVIEW EXAM 2023- 2024 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 bene...

HFMA CRCR TEST EXAM WITH CORRECT AND VERRIFIED ANSWERS Through what document does a hospital establish compliance standards? - CORRECT ANSWER-code of conduct What is the purpose OIG work plant? - CORRECT ANSWER-Identify Acceptable compliance programs in various provider setting If a Medi...

HFMA CRCR REVIEW QUESTIONS WITH CORRECT ANSWERS Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative? A) Patient Financial Communications B) Medical Account Resolution C) Price Transparency D) Process Compliance - CORRECT ANSWER-D) Process Compliance Appro...

HFMA CRCR PRACTICE QUESTIONS AND ANSWERS 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 ...

HFMA CRCR EXAM 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 ...

HFMA CRCR CERTIFICATION STUDY GUIDE EXAM Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - CORRECT ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participatio...

CRCR UNIT 2 STUDY GUIDE EXAM 2023- 2024 Types of Unscheduled Patients - CORRECT ANSWER-Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. Resource Coordination - CORRECT ANSWER-The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that ...

CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 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 o...

CRCR EXAM UNIT 1(QUESTIONS AND ANSWERS) Net Days in AR - CORRECT ANSWER-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging - CORRECT ANSWER-Reports divide the AR into 30, 60, 90, and 120 day categories, ba...

CRCR 4 -FINANCIAL CARE EXAM 2023- 2024 Credit balances may be created by any of the following activities except: (Pre-Test 4) - CORRECT ANSWER-Credits to pharmacy charges posted before the claim final bills. Which of the following statements represent common reasons for inpatient claim denia...

Certified Revenue Cycle Representative - CRCR () Which of the following statements are true of HFMA's Financial Communications Best Practices - CORRECT ANSWER-The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits,...