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HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED |ALREADY GRADED A+$27.94
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HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED |ALREADY GRADED A+
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Course
HFMA CRCR
Institution
HFMA CRCR
HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
Hospital can only convert an inpatient case to observation if: - ANSWER--
The hospital utilization review committee determines before the patient is
discharged and prior to billing that an observation setting would be more
appropriate.
Hospital need which of the following information sets to assess a patient's
financial status? - ANSWER--Demographic, Income, Assets and Expenses.
HIPAA privacy rules require covered entities to take all, of the following
actions EXCEPT: - ANSWER--Use only designated software platforms to
secure patient date.
When Recovery Audit Contractors (RAC) identify improper payments as
overpayment. the claims processing contractor must: - ANSWER--Send a
demand letter to the provider to recover the over payment amount.
Which HIPPA transaction set provides electronic processing of 8insurance
verification requests and responses? - ANSWER--The 270-271 set
Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best practice
is to: - ANSWER--Support that choice, providing that the discussion does
not interfere with patient care or disrupt patient flow.
, HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
A scheduled inpatient represents an opportunity for the provider to do
which of the following? - ANSWER--Complete registration and insurance
approval before service
The Medicare Bundled Payments for Care Initiative (BCP) is designed to: -
ANSWER--Align incentives between hospitals, physicians, and non-
physician providers in-order to better coordinate patient care.
To maximize the value derived from customer complaints, all consumer
complaints should be: - ANSWER--Tracked and shared to improve
customer experience
The soft cost of a dissatisfied customer is: - ANSWER--The customer
passing on information about their negative experience to potential patients
or through social media channels.
Applying the contracted payment methodology to the total charges yields: -
ANSWER--An estimate price
The importance of medical records maintained by HIM is that the patient
records: - ANSWER--Are the primary source for clinical data required for
reimbursement by health plans and liability payers
Important Revenue Cycle Activities in the pre-service stage include: -
ANSWER--Obtaining or updating patient and guarantor information
, HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
In the pre-service stage, the cost of the schedule services is identified and
the patient's health plan and benefits are used to calculate: - ANSWER--
The amount the patient may be expected to pay after insurance.
The disadvantage of outsourcing includes all, of the following Except -
ANSWER--Reduces internal staffing costs and a reliance on outsourced
staff.
Marinating routine contact with health plan or liability payer, making sure all
required information is provided and all needed approvals are obtained is
the responsibility of who: - ANSWER--Case Management
A claim is denied for the following reasons EXCEPT: - ANSWER--The
submitted claim does not have the physician signature
All Hospitals are required to establish a written financial assistance policy
that applies to: - ANSWER--All emergency and medically necessary care
Examples of ethics violation that impact the revenue cycle include all of the
following EXCEPT: - ANSWER--Seeking payment options for self-pay
Verbal orders from a physician for a service(s) are: - ANSWER--Acceptable
if given to "qualified" staff as defined in a hospitals policies and procedures
Medicare has established guidelines called Local Coverage Determination
(LCD) and National Coverage Determination (NCD) that establish: -
, HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE
EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED |ALREADY
GRADED A+
ANSWER--What serviced or healthcare items are covered under
Medicare?
A decision on whether a patient should be admitted as an inpatient or
become an outpatient observation patient requires medical judgement
based on all of the following EXCEPT: - ANSWER--The patient's home
care coverage
What is the first step of the daily cash reconciliation process? - ANSWER--
Obtaining cash, check, credit card and debit card payment from that day
The healthcare industry is vulnerable to compliance issues, in large part
due to the complexity of the statutes and regulations pertaining to: -
ANSWER--Medicare and Medicaid payments
The correct coding initiative program consist of: - ANSWER--Edits that are
implemented within provider's claim processing system
The Affordable Health Care Act legislated the development of Health
Insurance Exchange, where individuals and small businesses can: -
ANSWER--Purchase health benefits plans regardless of insured's health
status
Before classifying and subsequently writing off an account to financial
assistance or bad debit, the hospital must establish policy define
appropriate criteria, implement procedures for identifying accounts and: -
ANSWER--Monitor compliance
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