Hfma crcr 2024 chapter 2 - Study guides, Class notes & Summaries

HFMA CRCR 2024 chapter 2 Correctly Answered HMO A health plan that provides comprehensive healthcare services, within a designated population, on a pre-payment basis.(2.5 Health Plans) PPO A health plan that provides comprehensive healthcare services, within a designated population, on a pre-payment basis.(2.5 Health Plans) CDHP Subscriber agrees to a high initial deductible, in return for lower premiums.(2.5 Health Plans) POS Members can refer themselves outside the plan and still ge...

HFMA CRCR 2023/2024 chapter 2 with complete solution

HFMA CRCR EXAM QUESTIONS WITH 100% CORRECT DETAILED ANSWERS <2024|2025 VERSION> The first thing a health plan does when processing a claim is: - ANSWER Check if the patient is a health plan beneficiary and what is the coverage Outsourcing options should be evaluated as - ANSWER Any other business service purchase Insurance verification results in which of the following: - ANSWER The accurate identification of the patient's eligibility and benefits ...

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 ...