Hfma crcr test exam - Study guides, Class notes & Summaries

HFMA CRCR EXAM 2024 WITH 100% CORRECT ANSWERS GRADED A/LATEST VERSION Through what document does a hospital establish compliance standards? - -code of conduct What is the purpose OIG work plant? - -Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - -Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - -Report a specif...

HFMA CRCR (ACTUAL) EXAM | 170 QUESTIONS AND VERIFIED SOLUTIONS 2024/2025 IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - CORRECT ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - CORRECT ANSWER- One registration record is created for multiple days of service What are nonemergen...

HFMA CRCR exam 2024 with 100% correct answers Through what document does a hospital establish compliance standards? Code of Conduct What is the purpose of the OIG work plan? Communicate Issues that will be reviewed during the year for compliance with Medicare Regulations If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Diagnostic services and related charges provided on Wednesday, Thursday and Friday before admission. What does a ...

HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - ANSWER- One registration record is created for multiple days of service What are nonemergency ...

HFMA CRCR EXAM QUESTIONS WITH 100% CORRECT ANSWERS 2024 What are collection agency fees based on? - ANSWERS A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWERS Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - ANSWERS Case rates What customer service improvements might improve the patient accounts departmen...

HFMA CRCR FINAL EXAM AND PRACTICE EXAM LATEST TEST BANK 400 QUESTIONS AND ANSWERS

CRCR Exam Review Questions and answers, rated A+ 270 Health Care Eligibility Benefit Inquiry - The 270 transaction is the outbound inquiry from the provider to the health plan. This transaction includes the identification number and date of birth of the insured party. The health plan uses this information to identify the subscriber in its enrollee database. A/R Aging Analysis - Aging reports divide the accounts receivable into categories of 0-30, 31-60, 61- 90, 91-120 and >120 days b...

HFMA CRCR Exam Questions and Answers Through what document does a hospital establish compliance standards? - Answer- code of conduct What is the purpose OIG work plant? - Answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - Answer-Report a specific circum...