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CERTIFIED REVENUE CYCLE REPRESENTATIVE - CRCR (2021) QUESTIONS WITH THE ANSWERS
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CERTIFIED REVENUE CYCLE REPRESENTATIVE - CRCR (2021) QUESTIONS WITH THE ANSWERS
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CERTIFIED REVENUE CYCLE REPRESENTATIVE - CRCR (2021) QUESTIONS WITH THE ANSWERS Which hofhthe hfollowing hstatements hare htrue hofhHFMA's hFinancial hCommunications hBest hPractices h-hcorrect hanswer -
The hbest hpractices hwere hdeveloped hspecifically htohhelp hpatients hunderstand hthe hcost hofh
services, htheir hindividual hinsurance hbenefits, hand htheir hresponsibility hfor hbalances hafter hi
nsurance, hifhany. The hpatient hexperience hincludes hall hofhthe hfollowing hexcept: h-hcorrect hanswer -
The haverage hnumber hofhpositive hmentions hreceived hby hthe hhealth hsystem hor hpractice ha
nd hthe hpublic hcomments hrefuting hunfriendly hposts hon hsocial hmedia hsites. Corporate hcompliance hprograms hplay han himportant hrole hinhprotecting hthe hintegrity hofhop
erations hand hensuring hcompliance hwith hfederal hand hstate hrequirements. hThe hcode hofhco
nduct his: h-hcorrect hanswer -All hofhthe habove Specific htohMedicare hfee-for-
service hpatients, hwhich hofhthe hfollowing hpayers hhave halways hbeen hliable hfor hpayment? h-
hcorrect hanswer -
Public hhealth hservice hprograms, hFederal hgrant hprograms, hveteran haffairs hprograms, hbla
ck hlung hprogram hservices hand hwork -
related hinjuries hand haccidents h(worker' hcompensation hclaims) Provider hpolicies hand hprocedures hshould hbe hinhplace htohreduce hthe hrisk hofhethics hviolatio
ns. hExamples hofhethics hviolations hinclude: h-hcorrect hanswer -All hofhthe habove Providers hare hnow hbeing hreimbursed hwith hahfocus hon hthe hvalue hofhthe hservices hprovided
,hrather hthan hvolume, hwhich hrequires hcollaboration hamong hproviders. h What hishthe hintended houtcome hofhcollaborations hmade hthrough han hACO hdelivery hsyste
mhfor hahpopulation hofhpatients? h-hcorrect hanswer -
To heliminate hduplicate hservices, hprevent hmedical herrors hand hensure happropriateness hof
hcare. Historically, hrevenue hcycle hhas hdelt hwith hcontractual hadjustments, hbad hdebt hand hcharity h
deductions hfrom hgross hrevenue. hAlthough hdeductions hcontinue htohexist, hthe hdefinition ho
fhnet hrevenue hhas hbeen hmodified hthrough hthe himplementation hofhASC h606. hDeveloped h
by hthe hFinancial hAccounting hStandards hBoard h(FASB), hthis hchange hbecame heffective hi
nh2018. What hishthe hnew hterminology hnow hemployed hinhthe hcalculation hofhnet hpatient hservices hre
venues? h-hcorrect hanswer -Explicit hprices hconcessions hand himplicit hprice hconcessions Key hperformance hindicators hset hstandards hfor hA/R hand hprovide hahmethod hfor hmeasurin
ghthe hcontrol hand hcollection hofhA/R. What hare hthe htwo hKPIs hused htohmonitor hperformance hrelated htohthe hproduction hand hsub
mission hofhclaims htohthird hparty hpayers hand hpatients h(self-pay)? h-hcorrect hanswer -
Elapsed hdays hfrom hdischarge htohfinal hbill hand helapsed hdays hfrom hfinal hbill htohclaim/bill hsu
bmission. Consents hare hsigned has hpart hofhthe hpost-services hprocess. h-hcorrect hanswer -True **False Patient hservice hcosts hare hcalculated hinhthe hpre-service hprocess hfor hschedule hpatients h-
hcorrect hanswer -**True False The hpatient hishscheduled hand hregistered hfor hservice hishahtime-of-service hactivity h-
hcorrect hanswer -True **False The hpatient haccount hishmonitored hfor hpayment hishahtime-of-service hactivity h-
hcorrect hanswer -True **False Case hmanagement hand hdischarge hplanning hservices hare hahpost-service hactivty h-
hcorrect hanswer -True **False Sending hthe hbill helectronically htohthe hhealth hplan hishahtime-of-service hactivity h-
hcorrect hanswer -True **False What hhappens hduring hthe hpost-service hstage? h-hcorrect hanswer -
**A. hFinal hcoding hofhall hservices, hpreparation hand hsubmission hofhclaims, hpayment hproce
ssing hand hbalance hbilling hand hresolution. B. hOrders hare hentered, hresults hare hreported, hcharges hare hgenerated, hand hdiagnostic han
dhprocedural hcoding hishinitiated. C. hThe hencounter hrecord hishgenerated, hand hthe hpatient hand hguarantor hinformation hishobt
ained hand/or hupdated has hrequired. D. hThe hfocus hishon hthe hpatient hand hhis/her hfinancial hcare, hinhaddition htohthe hclinical hcare h
provided hfor hthe hpatient.
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