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HFMA CRCR EXAM LATEST 2024 – 2025 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+ $17.99   Add to cart

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HFMA CRCR EXAM LATEST 2024 – 2025 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+

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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...

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  • March 2, 2024
  • 159
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • HFMA CRCR
  • HFMA CRCR
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laurenjames
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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