CCHP SOLUTION PACK,ALL SECTIONS INCLUDED AND CORRECTLY ANSWRED WITH DETAILED EXPLANATIONS 2024.

CSBI – HFMA EXAM QUESTIONS 2024.What has changed for Healthcare Analytics? - ANSWER 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data - ANSWER Refers to the Growth in av...

HFMA Study Guide Exam 2024.Through what document does a hospital establish compliance standards? - ANSWER Code of Conduct What is the purpose of the OIG work plan? - ANSWER Communicate issues that will be reviewed during the year for compliance with Medicare regulations If a Medicare patient i...

HFMA CRCR Exam Topics Questions 2024.Revenue Cycle - ANSWER All of the major processing steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. Pre-Service - ANSWER 1. Patient is scheduled and registe...

HFMA TEST QUESTIONS ANSWERED 2024.MSP - ANSWER Medicare Secondary Payer CPT - ANSWER Current Procedural Terminology OIG - ANSWER Office of Inspector General EOB - ANSWER explanation of benefits AR - ANSWER Accounts Recievable CMS - ANSWER Centers for Medicare and Medicaid Services ...

HFMA - Certified Revenue Cycle Representative Exam 2024. Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively called Healthcare Dollars & Sense. - ANSWER n/a Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars &...

CSPR - Certified Specialist Payment Rep (HFMA) Review Test 2024. Steps used to control costs of managed care include: - ANSWER Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER Inpatient admissions for the purpose of reimbursing hospit...

CSPR - Certified Specialist Payment Rep (HFMA) Review Test 2024. Steps used to control costs of managed care include: - ANSWER Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER Inpatient admissions for the purpose of reimbursing hospit...

HFMA Test 7: Contracts Questions 2024.Purpose of Contracts - ANSWER Purpose 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...

CRCR Exam Pre-Questions 2024. What are collection agency fees based on? - ANSWER A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER Birthday In what type of payment methodology is a lump sum or bundl...

HFMA's CSAF 2021, Certified Specialist Accounting And Finance Study Guide 2024. Contribution Margin - ANSWER Difference between marginal revenue and marginal cost. Break-even point - ANSWER Level of sales volume of a product producing the exact amount of contribution margin needed to cover fixe...

CRCR Certification Study Guide 2024.Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - ANS...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR 2024 edtt.What are collection agency fees based on? - ANSWER A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER Bi...

HFMA CHFP Ratio Analysis Advanced Test 2024.Operating Margin - ANSWER (Total Operating Revenue - Operating Expenses) / Total Operating Revenue Return on Total Assets - ANSWER Net Income / Total Assets Return on Equity - ANSWER Net Income / Net Assets Current Ratio - ANSWER Current Assets / ...

Managed Care Practice Questions 2024. cost containment - ANSWER offering health care services in a more efficient manner and at a lower cost. managed care - ANSWER an organized effort by health plans and providers to use financial incentives and organizational arrangements to alter provider and...

CRCR Test Review Study Guide 2024. Important revenue cycle activities in the pre-service stage include; - 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 ...

CRCR Exam Guide 2024. What are collection agency fees based on? - ANSWER A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER Birthday In what type of payment methodology is a lump sum or bundled payme...

RHIT Domain 5 Questions Correctly Answered 2024.The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit - ANSWER c Waste is the overutilization or in...

CRCR EXAM 2024. What do Case Managers do? - ANSWER Monitor high resource cases to ensure effective utilization What is HIM responsible for? - ANSWER all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for?...

CPAR EXAM GUIDE fic functional control areas that potentially exist in all hospitals are - ANSWER Pre-Access (Pre-admission) (May include Scheduling Department or Scheduling may be Separate Department) Admission (Patient Access) In Hospital Discharge Post-discharge or Follow-up Collection i...

CPPM AAPC Review Questions 2024. Which are good options when initiating a difficult conversation? - ANSWER Ask: Is this a good time to talk?; Prepare a short statement in advance that gets right to the point, Empathize with the person, Sympathize with the person. Which is an effective response w...

HRMA Test 1 Practice Questions 2024.Under the Americans with Disabilities Act (ADA), which of the following is considered a disability by the Equal Employment Opportunity Commission (EEOC)? - ANSWER Mental impairment During an equal employment opportunity (EEO) investigation, the Equal Employment...

CRCR Ultimate Exam Guide 2024.Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - ANSWER Me...

CHFP REVIEW STUDY GUIDE 2024.Accountable Care Organization (ACO) - ANSWER ACOs are groups of medicare providers and suppliers that work together to coordinate care for traditional Medicare patients. Their goal is to deliver seamless, high-quality care instead of the fragmented care that often result...

C215 - Operations Management Exam 2024. activity-on-node - ANSWER network diagramming notation that places activities in the nodes and arrows to signify precedence relationships advertising revenue model - ANSWER provides users with information on services and products and provides an opportunit...

Medicare Compliance And Regulations Practice Test 2024. Prevention of Access to Care for Medicare Beneficiaries and Pension Relief Act - ANSWER Under Medicare Rules Pre-Admission testing completed 3 days or less prior to inpatient stay must be billed as part of the inpatient stay Condition Code ...

Managed Care Plans Practice Questions 2024. Managed Care Plans Description - ANSWER Buyers will consume more. Healthcare are compensated. This will maximize and charge the insurer resulting in higher premium to employer. Five Basic Characteristics of Managed Care Plan (1) - ANSWER 1. Control Acc...