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1 Exam (elaborations) Top 10 Revenue Cycle Metrics Final Exam. 2 Exam (elaborations) Certified Specialist Business Intelligence Exam And Correct Answer. 3 Exam (elaborations) CRCR Review Questions And Correct Answer. 4 Exam (elaborations) Healthcare Finance Exam 2 Question Fully Solved. 5 Exam ...

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HFMA Study case.

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Insurers, regulators, and suppliers are - correct answer Participants in the delivery of medical care that are no directly involved in treatment Purchasing healthcare is a process best described as - correct answer The purchaser is likely to contract with a third party to pay for services The ...

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HFMA Study Guide Exam Solution.

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Through what document does a hospital establish compliance standards? -correct answer Code of Conduct What is the purpose of the OIG work plan? -correct answer Communicate issues that will be reviewed during the year for compliance with Medicare regulations If a Medicare patient is admitted ...

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HFMA terms Question And Answer.

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provider - general - correct answer.A party rendering medical care such as a physician or hopsital facilities provider - correct answer.Includes hospitals, skilled nursing facilities, assisted living facilities, home health agencies, and ambulatory centers professional provider - correct des p...

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CSBI - HFMA Research Study 2024.

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What has changed for Healthcare Analytics? - correct answer 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data - correct answer Refers to the Growth in available data, mass...

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HFMA 2 Question Fully Solved.

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Describe the paper and electronic claims flow process. - correct answer 1. Electronic Claim Submission= EDI claims forwarded to either directly or via EDI clearing house/ vendor. 2. Claims Verification= Clearinghouse specifications and insurance company requirements used to validate transmitted ...

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HFMA CRCR Revised Test.

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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...

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HFMA CRCR Exam Topics #1 Study Guide.

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Revenue Cycle correct answer - 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 correct answer - 1. Patient is scheduled and registered for service 2. Pa...

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HFMA Test 7: Contracts Exam With Complete Answer.

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Purpose of Contracts - correct answer.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 equ...

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HFMA test 4 Question And Answers.

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Strategic Planning Process includes: -correct answer Strategic Planning Process includes: Identifying the organization's current position, including its mission, vision, and long-term goals. Conducting an internal and external assessment and comparing the organization's condition against tho...

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HFMA CHFP Ratio Analysis Comprehensive Exam.

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Operating Margin correct answer - (Total Operating Revenue - Operating Expenses) / Total Operating Revenue Return on Total Assets correct answer - Net Income / Total Assets Return on Equity correct answer - Net Income / Net Assets Current Ratio correct answer - Current Assets / Current Liab...

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CSPR - Certified Specialist Payment Rep (HFMA) Practice Guide.

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Steps used to control costs of managed care include:correct answer - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classifycorrect answer - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiat...

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Reporting HFMA TEST 6: Financial Research Study 1.

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Purpose of Financial Reports - correct answer Purpose of Financial Reports The purpose of financial reports is to allow others to make determinations about the financial worthiness of an organization 3 key contributors of GAAP - correct answerThe SEC grants to FASB the authority to create GAA...

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HFMA - Certified Revenue Cycle Representative Exam Solution,

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Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively called Healthcare Dollars & Sense. - correct answer n/a Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense Initiatives. - correct answer n/a Health...

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Healthcare Finance Exam 2 Question Fully Solved.

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management functions - correct answer the key functions of a manager, including planning, organizing, staffing, directing, and controlling management connective processes - correct answer management functions that connect elements of the healthcare organization, including communicating, coordinat...

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CRCR Review Questions And Correct Answer.

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Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative? A) Patient Financial Communications B) Medical Account Resolution C) Price Transparency D) Process Compliance - correct answer D) Process Compliance Approximately what ______% of billing information is obta...

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Certified Specialist Business Intelligence Exam And Correct Answer.

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Define the phenomenon big data correct answer - understanding and using combinations of large data sets, both clinical and non-clinical, which are generated by healthcare industry organizations in the course of doing business Define and illustrate the applicability of and need to engage and use s...

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Top 10 Revenue Cycle Metrics Final Exam.

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Aged A/R as a % of billed A/R by Payer Group (Aged A/R) - correct answer Indicates receivable collectability by payer group and the ability for the organization to liquidate A/R. If percentages are too high, then its likely the organization has a cash flow problem. A/R> 90 is typically the catego...

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