HFMA CRCR EXAM COMPLETE
STUDY GUIDE | ANSWERED AND
GRADED A+ | 2024/2025 GUIDE
Components of financial counseling
- Correct Answer - Informing the patient at the hospitals, financial
policies
Explaining health plan, benefits
Providing cost estimates, and or good faith estimate when
applicable
Discussing financial responsibility
Assessing the patient's ability to pay
Reviewing payment alternatives with the patient
Charge master - Correct Answer - Primary list of services,
procedures, room, accommodations, supplies, drugs, Biologics,
and or radiopharmaceuticals that may be billed to a hospital
inpatient or outpatient. Includes the charge specific data needed
for claim submission.
,Examples of charges on charge master - Correct Answer -
Services procedures
Room accommodations
Supplies
Drugs, Biologics
Radiopharmaceuticals
Elements of a charge master - Correct Answer - Charge
description, master number (CDM)
Department number
Billing and or charge description
Charge amount
CPT Dash HCPCS code
Modifiers
Revenue code
General ledger number
Charge master challenges - Correct Answer - The omission of
charges not all charges are considered
Obsolete or invalid codes
Omission of required modifiers
,And out of date charge master can result in for data quality for
results, trend monitoring, and billing compliance issues.
Charge master reviews - Correct Answer - It is critical that the
charge master is reviewed and updated regularly to ensure it
supports and represents the services provided within the
organization.
Ongoing education should be provided to staff to ensure Cody
description changes are communicated to the appropriate service
area departments
HCPCS code - Correct Answer - There are three levels of HCPCS
codes:
Level one - the approved American medical association CPT -4
codes - these five digit codes are numeric.
Level two - CMS developed codes for classifying supplies and
non-physician services such as DME, ambulance, medical and
surgical supplies and drugs. These codes begin with a single
letter a through V followed by four numeric digits.
Level three -contain codes assigned and maintained by Medicare
administrative contractors. These codes begin with the letter W
through Z followed by 40 Merrick digits. Level three codes are not
, common and are used to describe new procedures not yet
developed in levels I and ii.
HCPCS modifiers - Correct Answer - Modifiers are available for all
three levels HCPCS.
Modifiers are typically assign through the charge master process
however, some modifiers are identified and assign through the
coding process .
HCPCS modifiers precedence - Correct Answer - Level three
modifiers take precedence over level two modifiers, which take
precedence over level one modifiers.
Up to for modifiers per line can be accommodated in most current
filing formats
If more than two modifiers need to be reported next to a CPT
code, repeat the procedure code with the additional modifier
appended.
Reimbursement is adversely affected by with modifiers - Correct
Answer - Incomplete or vague position dictation or documentation
Coding from face sheet or incomplete records
Physician using symptoms instead of specific diseases in their
dictation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nursehailey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
