HFMA CRCR EXAM NEWEST ACTUAL WITH 150 QUESTIONS AND ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ [BRANDNEW]
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Course
HFMA CRCR
Institution
HFMA CRCR
HFMA CRCR EXAM NEWEST ACTUAL WITH 150
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ [BRANDNEW]
If a Medicare patient is admitted on Friday, what services fall
within the three-day DRG window rule? - ANSWER-Diagnostic
and clinically-related non-diagnostic charges provided on the...
If a Medicare patient is admitted on Friday, what services fall
within the three-day DRG window rule? - ANSWER-Diagnostic
and clinically-related non-diagnostic charges provided on the
Tuesday, Wednesday, Thursday, and Friday before admission
What is a benefit of pre-registering patient's for service? -
ANSWER-Patient arrival processing is expedited, reducing wait
times and delays
What is a characteristic of a managed contracting methodology? -
ANSWER-Prospectively set rates for inpatient and outpatient
services
What do the MSP disability rules require? - ANSWER-That the
patient's spouse's employer must have less than 20 employees in
the group health plan
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what organization originated the concept of insuring prepaid
health care services? - ANSWER-Blue Cross and blue Shield
What is true about screening a beneficiary for possible MSP
situations? - ANSWER-It is acceptable to complete the screening
form after the patient has completed the registration process and
been sent to the service department
If the patient cannot agree to payment arrangements, what is the
next option? - ANSWER-Warn the patient that unpaid accounts
are placed with collection agencies for further processing
In services lines such as cardiology or orthopedics, what does the
case-rate payment methodology allow providers to do? -
ANSWER-Receive a fixed for specific procedures
What will comprehensive patient access processing accomplish?
- ANSWER-Minimize the need for follow-up on insurance
accounts
, 3|Page
Through what document does a hospital establish compliance
standards? - ANSWER-Code of conduct
How does utilization review staff use correct insurance
information? - ANSWER-To obtain approval for inpatient days and
coordinate services
When is it not appropriate to use observation status? - ANSWER-
As a substitute for an inpatient admission
What is a serious consequence of misidentifying a patient in the
MPI? - ANSWER-The services will be documented in the wrong
record
When a patient reports directly to a clinical department for
service, what will the clinical department staff do? - ANSWER-
Redirect the patient to the patient access department for
registration
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