crcr unit 1 review exam 24 questions with answers 2023
the 3 patient centric revenue cycle processing steps
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CRCR Unit 1 Review Exam 24 Questions with Answers 2023
The 3 patient-centric revenue cycle processing steps - CORRECT ANSWERSPre-
service, time-of-service, post-service
Pre-service steps - CORRECT ANSWERSPatient scheduled and pre-registered,
encounter record generated, patient and guarantor information is obtained,
medical necesity-health plan coverage verified-pre-auth, cost of service
determined, additional processing for not medically necessary procedures,
explanation of patients financial responsibility
Time of service steps - CORRECT ANSWERSPatient arrives and pre-registered
information is pulled up. Consents signed and amounts collected. Positive ID
completed and armband given.
Post service steps - CORRECT ANSWERSAfter the patient is discharged until the
account reaches a zero balance such as final coding, prep and submission of
claims, payment processing and balance billing
What happens during the post-service stage? - CORRECT ANSWERSFinal coding of
all services, preparation and submission of claims, payment processing and
balance billing and resolution.
What happens during the pre-service segment? - CORRECT ANSWERSScheduling
and pre-access processing is completed. The patient is scheduled, pre-registered
for service and the required data is collected.
What happens during time-of-service segment? - CORRECT ANSWERSFinal
account review is completed for a scheduled patient prior to arrival. Upon arrival,
patient is positively identified, pre-registration record activated, consents are
signed, copays collected.
What is done at time-of-service for unscheduled patients? - CORRECT
ANSWERSComprehensive registration and financial processing is completed which
mirrors the work that was completed for scheduled patients.
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