HFMA CRCR EXAM LATEST 2024 – 2025 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+
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Course
HFMA CRCR
Institution
HFMA CRCR
HFMA CRCR EXAM LATEST 2024 –
2025 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
What are collection agency fees based on? - ANS-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
usin...
HFMA CRCR EXAM LATEST 2024 –
2025 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
,What are collection agency fees based on? - ANS-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule? - ANS-Birthday
In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some
or all providers? - ANS-Case rates
What customer service improvements might improve the
patient accounts department? - ANS-Holding staff
accountable for customer service during performance
reviews
What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - ANS-Inform a Medicare
beneficiary that Medicare may not pay for the order or
service
,What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - ANS-Bad debt
adjustment
What is the initial hospice benefit? - ANS-Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the
Medicare inpatient claim? - ANS-If the patient requires
ambulance transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted
after an account is billed? - ANS-Post a late-charge
adjustment to the account
an increase in the dollars aged greater than 90 days from
date of service indicate what about accounts - ANS-They are
not being processed in a timely manner
What is an advantage of a preregistration program? - ANS-It
reduces processing times at the time of service
, What are the two statutory exclusions from hospice
coverage? - ANS-Medically unnecessary services and
custodial care
What core financial activities are resolved within patient
access? - ANS-Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? - ANS-
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANS-
Comparing the contract reimbursement rates with the
contract on the admittance advice to identify the correct
amount
What type of patient status is used to evaluate the patient's
need for inpatient care? - ANS-Observation
Coverage rules for Medicare beneficiaries receiving skilled
nursing care require that the beneficiary has received what?
- ANS-Medically necessary inpatient hospital services for at
least 3 consecutive days before the skilled nursing care
admission
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