3 day payment window rule Study guides, Class notes & Summaries

2024 HFMA CRCR Study Guide A+ Rated Guide | Questions and Answers (Solved) 1. Through what document does a hospital establish compliance standards?- Answer: Code of Conduct 2. What is the purpose of the OIG work plan? Answer: Communicate issues that will bereviewed during the year for compliance with Medicare regulations 3. If a Medicare patient is admitted on Friday, what services fall within the threeday DRG window rule? Answer: Diagnostic services and related charges providedon the...

What are the 3 critical segments in the revenue cycle? correct answer: Pre Service, Time of Service, Post Service Scheduling pre access data collection correct answer: Pre Service Orders entered, results reported, DX and CPT coding correct answer: What is done at time of service (clinical) final account review pt positively ID preregistration record activated consents signed copayments correct answer: What is done at time of service (administravive) comprehensive registration and...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2023/2024) 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 accoun...

CRCR Exam (Answered) With Complete Verified Solution Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits and their responsibility for balance after insurance if any The patient experience includes all of the following except: The average number of positive mentions received by the health system or practice an...

A man from State A sues a contractor from State B in a State B federal court. The single-count complaint alleged breach of contract requested damages of $225,000, injunctive relief and demanded a jury. State B law provides a right to a jury in these circumstances. The contractor's lawyers argued that the man was not entitled to a jury. How is the judge most likely to rule? B: There is a right to a jury because the Seventh Amendment guarantees a jury for suits at common law. The plaintiff here...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Medicare Part A Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease Title XVIII Correct Answer: Medicare (title) Medicare part A Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home health & hospice Lifetime reserve days Correct Answer: 60 days of inpatient...

CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED What are collection agency fees based on? - CORRECT ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWER-Case rates What customer service improvements might improve the patie...

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...

Patient Centric Revenue Cycle - Correct answer-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 - Correct answer-this is the period in which scheduling and pre-access takes place, including different steps that will be completed pre-service - Correct answer-what is it when the requested service is screened for medical necessity, ...

HFMA CRCR exam 2023/2024 with questions and 100% correct answers ALREADY GRADED A/LATEST VERSION 1. Through what document does a hospital establish compliance standards? Ans code of conduct 2 . What is the purpose OIG work plant? Ans Identify Acceptable compliance programs in various provider setting 3. If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Ans Non-diagnostic service provided on Tuesday through Friday 4. What does a modi...