CRCR Latest Final Exam () with Complete Solutions

HFMA patient financial communications best practices call for annual training for all staff EXCEPT - Answer-A. Patient access B. Customer service representatives **C. Nursing D. Staff who engage in patient financial communications discussions What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? - Answer-Medical necessity documentation B. The CMS 1500 Part B attachment C. Correct Part A and B procedural codes **D. Revenue codes The most common resolution methods for credit balances include all of the following EXCEPT - Answer-A. Designate the overpayment for charity care B. Determine the correct primary payer and notify incorrect payer of overpayment C. Submit the corrected claim to the payer incorporating credits D. Either send a refund or complete a takeback form as directed by the payer. Net Accounts Receivable is - Answer-A. The total bad debt B. Total debt owed by an entity **C. The amount an entity is reasonably confident of collecting from overall accounts receivable D. The total claims amount billed to health plans For routine scenarios, such as patients with insurance coverage or a known ability to pay, financial discussions - Answer-A. May take place between the patient and discharge planning **B. Should take place between the patient or guarantor and properly trained provider representatives C. Are optional D. Are focused on verifying required third-party payer information Scheduled procedures routinely include - Answer-A. Physician's office contact information B. Physician notification that scheduling is complete C. The scheduler's name and contact information **D. Patient preparation instructions ICD-10-CM and ICD-10-PCS code sets are modifications of - Answer-A. DRGs B. CPT codes