Crcr exam 2 - Study guides, Class notes & Summaries

HFMA CRCR exam 2024 with 100% correct answers

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 specific circumstance that affected a procedure or service without chan...

HFMA CRCR exam 2023/2024 with 100% correct answers Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - ANSWER The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following ...

HFMA CRCR exam 2023 with 100% correct answers Through what document does a hospital establish compliance standards? - CORRECT ANSWER-code of conduct What is the purpose OIG work plant? - CORRECT 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? - CORRECT ANSWER-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider t...

What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accounts department? Holding staff accountable for customer service during performance revi...

HFMA CRCR exam 2023 with 100% correct answers GRADED A/LATEST VERSION

Patient Centric Revenue Cycle This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service this is the period in which scheduling and pre-access takes place, including different steps that will be completed pre-service what is it when the requested service is screened for medical necessity, health plan coverage & benefits are verified, and pre-...

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