Hfma crcr part 2 - Study guides, Class notes & Summaries

HFMA CRCR Exam Review Questions With Correct Answers - Latest Update 2023/2024 | 100% Verified. What does a modifier allow a provider to do? Ans Report a specific circumstance that affected a procedure or service without changing the code or its definition 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 Ans They must be billed separately to...

HFMA CRCR questions and answers 100% guaranteed success. 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...

HFMA CRCR EXAM QUESTIONS WITH CORRECT ANSWERS Pre-Service activities - ANSWER- 1. Requested service is screened for med necessity, health coverage/benefits verified, preauthorization obtained and estimate to patient oop costs generated within guidelines of NSA and state regulations. 2. Patient notified of financial responsibility including copayment and health plan deductibles, eligibility of financial assistance assessed. 3. Patient is scheduled 4. Encounter record is generated and pati...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative Revenue Cycle - ANS All of the major processing steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. Pre-Service - ANS 1. Patient is scheduled and registered for service 2. Patient Service cost is calculated Time-of-Servce - ANS 1. Case Management and Discharge Plans are provided 2. Consent forms are s...

CRCR Multiple Choice questions and answers 100% guaranteed success. The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff - correct answer. D The Medicare fee-for service appeal process for both beneficiarie...

CRCR Practice Questions and Answers, Multiple Choice, with Complete Verified Solutions 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 patient...

HFMA CRCR Exam With 100% Correct answers LATEST VERSION 2023/2024 Graded A+. Through what document does a hospital establish compliance standards? Ans code of conduct What is the purpose OIG work plant? Ans 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? Ans Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Ans Report ...

HFMA CRCR EXAM What do Case Managers do? - CORRECT ANSWER-Monitor high resource cases to ensure effective utilization What is HIM responsible for? - CORRECT ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - CORRECT ANSWER-manage cases: services correct, on time What are the three types of utilization review? - CORRECT ANSWER-Prospective, Concurrent, Retrospective Where can home h...

HFMA CRCR EXAM PART 2/ CRCR HFMA EXAM PART 2 RECENT AND COMPLETE VERSION/ ALL QUESTIONS AND CORRECT ANSWERS/ GARDED A+

HFMA CRCR Exam Practice Questions and Correct Answers Latest Update 2023/2024 Graded A+. What is the purpose OIG work plant? Ans 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? Ans Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Ans Report a specific circumstance that affected a procedure or service without changing ...