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HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM 600 QUESTIONS AND CORRECT DETAILED ANSWERS$12.99
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HFMA CRCR EXAM
Terms in this set (535)
What are collection agency
fees based on?A percentage of dollars collected
Self-funded bene fit plans
may choose to coor dinate
bene fits using the gender
rule or what other rule?Birthda y
In what type of payment
metho dology is a lump sum
or bundl ed payment
negotia ted betw een the
payer and some or all
provider s?Case r ates
What customer service
improvements might
improve the p atient
accounts department?Holding s taff account able for customer service during
performance r eviews
What is an ABN ( Advance
Bene ficiar y Notice of Non-
coverage) requir ed to do?Inform a Medicar e bene ficiar y that Medicar e ma y not
pay for the order or service
What type of account
adjus tment results from the
patient' s unwillingness to
pay for a self-pay balance?Bad debt adjus tment
What is the initial hospice
bene fit?Two 90-da y perio ds and an unl imited number of
subsequent perio ds When does a hospit al add
ambul ance charges to the
Medicar e inp atient claim?If the p atient requir es ambul ance transport ation to a
skilled nur sing facility
How shoul d a provider
resolve a late-char ge credit
posted after an account is
billed?Post a late-char ge adjus tment to the account
an incr ease in the dollars
aged greater than 90 days
from date of service
indica te what about
accountsThey are not being pr ocessed in a timel y manner
What is an advantage of a
preregistration pr ogram?It reduces processing times at the time of service
What are the two statutory
exclusions from hospice
coverage?Medical ly unnecessar y services and custodial care
What core financial
activities are resolved within
patient access?Schedul ing, insur ance verifica tion, dischar ge pr ocessing ,
and p ayment of point -of-service r eceipts
What statement applies to
the schedul ed outp atient?The ser vices do not involve an overnight stay
How is a mis-pos ted
contr actual allowance
resolved?Comparing the contr act reimbur sement rates with the
contr act on the admitt ance advice to identify the correct
amount
What type of patient status
is used to evaluate the
patient' s need for inpatient
care?Obser vation
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