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HFMA CRCR EXAM LATEST 2024 EXAM 160+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) RATED A+
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HFMA CRCR EXAM LATEST 2024 EXAM 160+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) RATED A+
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HFMA CRCR EXAM LATEST 2024EXAM 160+ QUESTIONS AND
CORRECT
ANSWERS (VERIFIED ANSWERS) RATED A+
IF outpatient diagnostic services are provided within three days of
X X X X X X X X X
Xthe admission of a Medicare beneficiary to an IPPS (Inpatient
X X X X X X X X X
XProspective Payment System) hospital, what must happen to these
X X X X X X X X
Xcharges - X
what is a recurring or series registration? - ANSWER- One registration
X X X X X X X X X X
record is created for multiple days of service
X X X X X X X
What are nonemergency patients who come for service without prior
X X X X X X X X X
notification to the provider called? - ANSWER- Unscheduled patients
X X X X X X X X X
Which of the following statement apply to the observation patient
X X X X X X X X X
Xtype?
- ANSWER- It is used to evaluate the need for an inpatient admission
X X X X X X X X X X X X
which services are hospice programs required to provide around the
X X X X X X X X X
clock patient - ANSWER- Physician, Nursing, Pharmacy
X X X X X X
Scheduler instructions are used to prompt the scheduler to do what? -
X X X X X X X X X X X
ANSWER- Complete the scheduling process correctly based on
X X X X X X X X
service requeste
X X
The Time needed to prepare the patient before service is the difference
X X X X X X X X X X X
1
,between the patients arrival time and which of the following? -
X X X X X X X X X X
ANSWER- Procedure time
X X
2
,Medicare guidelines require that when a test is ordered for a LCD
X X X X X X X X X X X
or
X
NCD exists, the information provided on the order must include: -
X X X X X X X X X X
ANSWER- Documentation of the medical necessity for the test
X X X X X X X X
What is the advantage of a pre-registration program - ANSWER- It
X X X X X X X X X X
reduces processing times at the time of service
X X X X X X X
What date are required to establish a new MPI(Master patient Index)
X X X X X X X X X X
entry - ANSWER- The responsible party's full legal name, date of
X X X X X X X X X X
Xbirth, and social security number
X X X X
Which of the following statements is true about third-party payments?
X X X X X X X X X
X- ANSWER- The payments are received by the provider from the
X X X X X X X X X X
Xpayer responsible for reimbursing the provider for the patient's
X X X X X X X X
Xcovered
services.
Which provision protects the patient from medical expenses that exceed
X X X X X X X X X
the pre-set level - ANSWER- stop loss
X X X X X X
what documentation must a primary care physician send to HMO patient
X X X X X X X X X X
to authorize a visit to a specialist for additional testing or care? -
X X X X X X X X X X X X
ANSWER- Referral X
Under EMTALA (Emergency Medical Treatment and Labor Act)
X X X X X X X
Xregulations, the provider may not ask about a patient's insurance
X X X X X X X X X
information if it would delay what? - ANSWER- Medical screening and
X X X X X X X X X X
Xstabilizing treatment X
Which of the following is a step in the discharge process? - ANSWER-
X X X X X X X X X X X X
Have a case management service complete the discharge plan
X X X X X X X X
3
, The hospital has a APC based contract for the payment of outpatient
X X X X X X X X X X X
Xservices. Total anticipated charges for the visit are $2,380. The approved
X X X X X X X X X X
XAPC payment rate is $780. Where will the patients benefit package be
X X X X X X X X X X X
applied? - ANSWER- To the approved APC payment rate
X X X X X X X X
A patient has met the $200 individual deductible and $900 of the
X X X X X X X X X X X
X$1000 co-insurance responsibility. The co-insurance rate is 20%. The
X X X X X X X X
Xestimated insurance plan responsibility is $1975.00. What amount of
X X X X X X X X
Xcoinsurance
is due from the patient? - ANSWER- $100.00
X X X X X X X
When is a patient considered to be medically indigent? - ANSWER- The
X X X X X X X X X X X
patient's outstanding medical bills exceed a defined dollar amount or
X X X X X X X X X
percentage of assets. X X
What patient assets are considered in the financial assistance
X X X X X X X X
application? - ANSWER- Sources of readily available funds , vehicles,
X X X X X X X X X
Xcampers, boats and saving accounts X X X X
If the patient cannot agree to payment arrangements, What is the next
X X X X X X X X X X X
option? - ANSWER- Warn the patient that unpaid accounts are placed
X X X X X X X X X X
with collection agencies for further processing
X X X X X
What core financial activities are resolved within patient access? -
X X X X X X X X X
ANSWER- scheduling , pre-registration, insurance verification andmanaged care
X X X X X X X X
What is an unscheduled direct admission? - ANSWER- A patient who
X X X X X X X X X X
arrives at the hospital via ambulance for treatment in the emergency
X X X X X X X X X X
department
When is it not appropriate to use observation status? - ANSWER- As a
X X X X X X X X X X X X
substitute for an inpatient admission
X X X X
4
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