Exam (elaborations)
CRCR Study Guide - 120 Questions And Answers (Latest Update 2023)
- Course
- Institution
CRCR Study Guide - 120 Questions And Answers (Latest Update 2023)
[Show more]
2 reviews
By: shawnyathornton • 7 months ago
By: jimcerda • 1 year ago
Content preview
CRCR Study Guide - 120 Questions And Answers (Latest Update 2023)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, health plan coverage & benefits are verified, and pre-auth is obtained
scheduled patient- Time of Service Correct Answer - what is it when a final account review is completed prior to the patient's arrival? (Pre-reg record is activated, consents are signed, and co-payments and other amounts are collected)
express arrival Correct Answer - pre-processed patient's can report to this, which is a desk located in a centralized access, upon their arrival.
post-service Correct Answer - this includes account activities that occur after the patient is d/c until the account reaches a zero balance
post-service Correct Answer - Final coding of all services, perparation and submission of claims, payment processing and balance billing are all included and finalized when?
Patient Financial Communications Best Practices Correct Answer - This brings consistency, clarity, and transparency to patient financial communications
Patient Financial Communications Best Practices Correct Answer - this outlines steps to help patient's understand the cost of services they receive, their insurance coverage, and their individual responsibility (review Patient Financial Comm. Best Practice document)
true Correct Answer - true or false: Conversations should occur in a location and manner that are sensitive to the patient's needs
timely discussions Correct Answer - this type of discussion will help ensure that patient's understand their financial obligation and that providers are aware of the patient's ability to pay
guarantor Correct Answer - the person responsible for payment of the bill
true Correct Answer - true or false: A financial counselor or supervisor should be involved for complex situations such as uninsured or underinsured patient's
false; NO patient financial discussions should occur before a patient is screened and stabilized Correct Answer - true or false: You MUST obtain basic registration info and insurance coverage before the patient is cared for in the ED. true Correct Answer - true or false: When the provider takes the initiative to communicate financial matters with the patient, it actually take a burden off the patient.
false; Technology evaluation may be performed by ANY qualified individual or organization, internal or external Correct Answer - true or false: Technology evaluation can ONLY be done by a qualified individual, internal to the facililty
HFMA's Adopter Program Correct Answer - this program is a recognition for providers who implement and support the best practices are eligible and encouraged to apply
Code of Conduct Correct Answer - Through what document does a hospital est. compliance standards?
Identify acceptable compliance programs in various provider setting Correct Answer - what is the purpose OIG work plan?
non-diagnostic services provided on Tuesday through Friday Correct Answer - If a Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
reports a specific circumstance that affects a procedure or service without changing the code or its definition. Correct Answer - What does a modifier allow a provider to do?
they must be billed separately to the Part B carrier Correct Answer - if OP diagnostic services are provided within 3 day of admission of a medicare beneficiary to an IPPS (Inpatient Prospective Payment system) hospital, what must happen?
One registration record is created for multiple days of service Correct Answer - What is recurring or series registration?
unscheduled patients Correct Answer - what are non-emergency pt who come for service w/o prior notification to the provider called?
used to evaluate the need for an IP admission Correct Answer - Which of the following statements apply to the Obs patient type?
physician, nursing, and pharmacy Correct Answer - which services are hospice programs required to provide on a around-the-clock patient?q
complete the scheduling process correctly based on service requested Correct Answer - Scheduler instructions are used to prompt the scheduler to do what?
procedure time Correct Answer - This is the time needed to prepare the patient before services is the difference between the patients arrival time?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now