Hfma test 4 - Study guides, Class notes & Summaries

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 changing the code or it...

2024 CRCR Test Review Complete Questions & Answers (Solved) 100% Correct 1. Important revenue cycle activities in the pre-service stage include Answer: Obtaining or updating patient and guarantor information 2. In the pre-service stage, the cost of the scheduled service is identified andthe patient's health plan and benefits are used to calculate; Answer: The amount the patient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and reso...

1. The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible for financial assistance. C. Implement a financial assistance program for uninsured and underinsured patients. D. Discount all charges to self-pay patients to an amount generally billed to a...

HFMA Test 7: Contracts Questions and Answers 2023 Purpose of Contracts Purpose Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction projects. Collection services. Maintenance on equipment. Leasing space. Employment of contracted staff, and a variety of other items For a contract to be valid, individual must do three things Valid Contra...

CRCR Exam Prep Questions And Answers on Flashcard 2023 Update A+ HFMA - ANS-Healthcare Financial Management Association Revenue Cycle Overview: What are the 3 segments? - ANS-Pre-Service, Time of Service, Post-Service Scheduling is part of which segment of the Revenue Cycle? - ANS-Pre-service Patient-Centric Revenue Cycle - ANS-1) Engaged Consumer 2) Engaged Patient 3) Satisfied Customer Healthcare Dollars & Sense - ANS-1) Price Transparency 2) Patient Financial Communications ...

CRCR Test Review Questions and Answers | 2023 | 33 Q&As 1. Important revenue cycle activities in the pre-service stage include; ANS Obtain- ing or updating patient and guarantor information 2. In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; ANS The amount the patient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and resolved within the Pa...

1 / 15 CRCR Certification Exam 2024 Questions and Answers (Verified Answers by Expert) 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the ...

1 / 15 CRCR Certification Exam 2024 Questions and Answers (Verified Answers by Expert) 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the ...

CRCR Practice 141 Questions with Answers 2023 The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible for financial assistance. C. Implement a financial assistance program for uninsured and underinsured patients. D. Discount all charges to self-pay p...