Exam (elaborations)
CRCR 1 questions with answers
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Exam of 16 pages for the course crcr at crcr (CRCR 1 Exam)
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CRCR 1- answerPre-Service - 1
- answerPre-Service - 2
- answerPre-Service - 3
- answerPre-Service - 4
- answerPre-Service - Example 1
- answerPre-Service - Example 2
- answerPre-Service - Example 3
- answerPre-Service - Example 4
- answerTime-of-Service
- answerTime-of-Service - Example 1
- answerTime-of-Service - Example 1 Arrival
- answerTime-of-Service - Example 1 Service
- answerTime-of-Service - Example 1 End Processing
- answerTime-of-Service - Example 2
- answerTime-of-Service - Example 2 Steps: 1. Creation of the registration record.
2. Order review to ensure compliance with the provider's rules defining what constitutes
a complete order.
3. Validation of the health plan information with the health plan, including identification
of any amount currently due from the patient.
,4. Completion of medical necessity screening, if required by the health plan.
5. Review of and satisfaction of any pre-certification requirements for the ordered
service.
6. Identification of all charges related to the ordered service(s) and application of the
verified health plan benefits to calculate the amount due from the patient.
7. If Bill owes a co-payment, deductible, or co-insurance amount, a financial
conversation is initiated to resolve the account at this time.
8. Upon completion of the account resolutions activity, the service departments are
notified and Bill is directed to the service area.
9. Charges are entered as Bill's service is rendered. Alternatively, if the facility Bill uses
has decentralized Patient Access processing, Bill would be directed to the first service
department for processing.
- answerPost-Service
- answerPost-Service - Example
- answerPost-Service - Example
- answerPost-Service - Example
- answerPost-Service - Example
- answerFocus on the Patient
- answerConsumer Experience
- answerPatient Experience
- answerCustomer Experience
- answerKey Points to Remember
- answerPatient Financial Communications Best Practices
- answerIndividual Sections of the Best Practices
- answerWhen and Where to Have Patient Financial Discussions
- answerDiscussions at the Time of Service
- answerDiscussions in Advance of Service
- answerRoutine and Complex Scenarios
- answerRoutine Activities
, - answerProvision of Care - 1
- answerProvision of Care - 2
- answerRegistration
- answerInsurance Verification
- answerFinancial Counseling
- answerPatient Share
- answerPrior Balances
- answerBalance Resolution - 1
- answerBalance Resolution - 2
- answerBalance Resolution - 3
- answerThe Provider - Patient Conversation - Compassion 1
- answerThe Provider - Patient Conversation - Compassion 2
- answerThe Provider - Patient Conversation - Communication 1
- answerThe Provider - Patient Conversation - Communication 2
- answerThe Provider - Patient Conversation - Written Follow-Up
- answerThe Provider - Patient Conversation -Compliance Framework
- answerThe Provider - Patient Conversation -Compliance Framework - Training
Program 1
- answerThe Provider - Patient Conversation -Compliance Framework- Training
Program 2
- answerThe Provider - Patient Conversation -Compliance Framework - Process
Compliance
- answerThe Provider - Patient Conversation -Compliance Framework - Executive
Level Metrics Reporting
- answerThe Provider - Patient Conversation -Compliance Framework - Technology
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