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HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM 600 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$18.99
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HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM 600 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, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM 600 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
HFMA CRCR EXAM, CERTIFICATION EXAM,
PRACTICE EXAM AND A STUDY GUIDE
LATEST
2024 ACTUAL EXAM 600 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
It is important to have high registration quality standards
V V V V V V V V
Vbecause a) Inaccurate or incomplete pt data will delay payment
V V V V V V V V V
Vor cause denials
V V
b) Incomplete registrations will trigger exclusion from V V V V V
VMedicare participation V
c) Inaccurate registration may cause discharge before full treatment
V V V V V V V
Vis obtained
V
d) Incomplete registrations will raise satisfaction scores for
V V V V V V
Vthe hospital - ....ANSWER...A
V V V
When recovery audit contractors (RAC) identify improper
V V V V V V
Vpayments as over payments the V V V V
claims processing contractor must
V V V
a) Assume legal responsibility for repaying the overage amount
V V V V V V V V
Vb) Make recovery of the overpayment the top processing
V V V V V V V V
Vpriority
c) Send a demand letter to the provider to recover the over
V V V V V V V V V V
Vpayment amount V
d) Conduct an audit of all the effected providers claims within
V V V V V V V V V
Vthe past 12 months - ....ANSWER...C
V V V V V
Internal controls addressing coding and reimbursement changes are
V V V V V V V
Vput I place to guard
V V V V
against
a)
VUnderpayments
Vb) Denials
V
c) Compliance fraud by upcoding V V V
,d) Charge master error - ....ANSWER...C V V V V
The pt discharge process begins when
V V V V V
a) The physician writes the discharge orders
V V V V V
b) Clinical services are completed and pt accounts have all the
V V V V V V V V V
Vinfo necessary to bill
V V V
c) The physician writes the discharge orders and the third-party
V V V V V V V V
Vpayer sign-off on the V V V
necessity of the services provided V V V V
d) Clinical services are completed, pt accounts can generated
V V V V V V V
Vand accurate bill and there
V V V V
is agreement o the handling of pt financial responsibilities -
V V V V V V V V V
....ANSWER...A
Most major health plans including medicare and Medicaid,
V V V V V V V
offer a) Toll free verification hot lines, staffed around the
V V V V V V V V V V
clock
V
b) Electronic and/or web portal
V V V V
verification c) Pt "verification of benefits"
V V V V V V
cards
V
d) A grace period for obtaining verification within 72 hours of
V V V V V V V V V V
treatment - ....ANSWER...B
V V V
The physician who wrote the order for an inpatient service and is
V V V V V V V V V V V
Vin charge of the pts
V V V V
treatment during admission is V V V
Va) The pts personal
V V V
Vphysician b) The primary V V V
Vcare physician c) The V V V
Vattending physician V
d) The physician pt care director - ....ANSWER...C
V V V V V V V
An originating site is
V V V
a) The location where the pts bill is generated
V V V V V V V
b) The location of the pt at the time the service is
V V V V V V V V V V
Vprovided c) The site that generates reimbursement of a
V V V V V V V V
Vclaim
d) The location of the medical treatment provider - ....ANSWER...B
V V V V V V V V V
HFMA best practices stipulate that a reasonable attempt should
V V V V V V V V
be made to have the
V V V V V
,financial
responsibilities discussion V
a) As early as possible, before a financial obligation is incurred
V V V V V V V V V V
Vb) During the registration process
V V V V
c) Before scheduling of services V V V
d) No later than the evening of the day of admission -
V V V V V V V V V V
....ANSWER...A
HFMA's pt financial communications best practices specify that pts
V V V V V V V V
Vshould be told about V V V
the
types of services provided and
V V V V
a) An explanation of why a specific service is not provided
V V V V V V V V V
b) The service providers that typically participate in the
V V V V V V V
Vservice, e.g.radiologists, V
pathologists, etc. V
c) A satisfaction survey regarding clinical service providers
V V V V V V
d) The price of service to their covering health plan -
V V V V V V V V V
....ANSWER...B
V
Telemed seeks to improve a pt's health by
V V V V V V V
a) Permitting 2-way real time interactive communication between
V V V V V V
Vthe pt V
and the clinical professional
V V V
b) Using high-compression fiber optics to transmit medical
V V V V V V
Vdata c) Providing relevant, on-demand consumer medical
V V V V V V
Veducation
d) Providing physician access to the most current medical research -
V V V V V V V V V V
....ANSWER...A
A large number of credit balances are not the result of
V V V V V V V V V V
Voverpayments but of V V
a) Posting errors in the pt accounting
V V V V V V
Vsystem b) Incorrect claim submissions
V V V V
c) Inadequate staff training V V
d) Banking transaction errors - ....ANSWER...A V V V V
Across all care settings, if a pt consents to a financial
V V V V V V V V V V
discussion during a medical
V V V V
, encounter
to expedite discharge, the HFMA best practice is to
V V V V V V V V
a) Have a pt financial responsibilities kit ready for the pt
V V V V V V V V V
Vcontaining all of the required V V V V
registration forms and instructions V V V
b) Make sure that the attending staff can answer questions and
V V V V V V V V V
Vassist in obtainingV V
required pt financial data V V V
c) Support that choice, providing that the discussion does not
V V V V V V V V
Vinterfere with pt care or V V V V
disrupt pt flow V V
d) Decline such request as finance discussions can disrupt pt care
V V V V V V V V V
Vand pt flow - ....ANSWER...C
V V V V
The office of inspector general (OIG) publishes a compliance work
V V V V V V V V V
Vplan
a) Monthly
V
Vb) Quarterly
V
c) Semi-annually
d) Annually - ....ANSWER...D V V
What are collection agency fees based on? -
V V V V V V V
....ANSWER...A percentage of dollars collected
V V V V V
Self-funded benefit plans may choose to coordinate benefits using
V V V V V V V V
the gender rule or what other rule? - ....ANSWER...Birthday
V V V V V V V V V
In what type of payment methodology is a lump sum or bundled
V V V V V V V V V V V
Vpayment negotiated between the payer and some or all providers?
V V V V V V V V V
V-
....ANSWER...Case rates V
What customer service improvements might improve the patient
V V V V V V V
accounts department? - ....ANSWER...Holding staff accountable
V V V V V V
for customer service during performance reviews
V V V V V V
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