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HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)
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HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)
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10/28/24, 6:52 AM HFMA CRCR EXAM LATEST 2024-2025 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) Flashcar…HFMA CRCR EXAM LATEST 2024-2025 EXAM
170+ QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)
Terms in this set (535)
A 68 year old patient, a The provider must first bill the auto insurer; however,
Medicare beneficiary, was after a period of 120 days, if the claim remains unpaid,
in a car accident. A the provider may cancel the liability claim and bill
medical insurance claim Medicare.
was filed with the auto
insurance carrier. Six
months later this claim
remains unpaid. How can
the provider pursue
payment from Medicare?
90. MSP (Medicare 120 days passes, but the claim then be withdrawn from
Secondary Payer) rules the liability carrier
allow providers to bill
Medicare for liability
claims after what
happens?
90. MSP (Medicare 120 days passes, but the claim then be withdrawn from
Secondary Payer) rules the liability carrier
allow providers to bill
Medicare for liability
claims after what
happens?
https://quizlet.com/963296664/hfma-crcr-exam-latest-2024-2025-exam-170-questions-and-correct-answersverified-answers-flash-cards/?new 1/33
,10/28/24, 6:52 AM HFMA CRCR EXAM LATEST 2024-2025 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) Flashcar…
ABC Hospital has **A. Distribute a RFP to solicit vendor capabilities,
experienced a 16% evaluate vendor's expertise to provide outsourcing
increase in new patients services, visit vendor locations, perform vendor
over the past 6 months. reference checks, talk with vendor clients, interview
The hospital is vendor employees to assess experience level.
understaffed in its B. Evaluate vendor's expertise in providing
insurance claim and outsourcing services, visit vendor locations, interview
payment processing vendor employees to assess expertise level.
department and cannot
handle this increase in
work load. It is
considering hiring an
outsourcing vendor to
assist. What are the steps
that the hospital needs to
take to establish and
ensure a successful
vendor relationship?
An individual's ability to obtain medical services on a
Access
timely and financially acceptable level
An individual's ability to obtain medical services on a
Access
timely and financially acceptable level
According to the Sale of property, house, or car
Department of Health and
Human Services
guidelines, what is NOT
considered income?
According to the Sale of property, house, or car
Department of Health and
Human Services
guidelines, what is NOT
considered income?
https://quizlet.com/963296664/hfma-crcr-exam-latest-2024-2025-exam-170-questions-and-correct-answersverified-answers-flash-cards/?new 2/33
,10/28/24, 6:52 AM HFMA CRCR EXAM LATEST 2024-2025 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) Flashcar…
Accurate identification of Full legal name, date of birth, sex and social security
the patient is the first step number
in the scheduling process.
Identifiers used in various
combination to achieve
accurate patient
identification include?
The ACO investment B
model will test the use of
pre-paid shared savings to
a) Raise quality ratings in
designated hospitals.
b) Encourage new ACOs
to form in rural and
underserved areas
c) Attract physicians to
participate in the ACO
payment system
d) Invest in treatment
protocols that reduce
costs to Medicare
https://quizlet.com/963296664/hfma-crcr-exam-latest-2024-2025-exam-170-questions-and-correct-answersverified-answers-flash-cards/?new 3/33
, 10/28/24, 6:52 AM HFMA CRCR EXAM LATEST 2024-2025 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) Flashcar…
Across all care settings, if C
a patient consents to a
financial discussion during
a medical
encounter to expedite
discharge, the HFMA best
practice is to:
a) Make sure that the
attending staff can answer
questions and
assist in obtaining required
patient financial data
b) Have a patient financial
responsibilities kit ready
for the patient,
containing all of the
required registration forms
and instructions
c) Support that choice,
providing that the
discussion does not
interfere with patient care
or disrupt patient flow
d) Decline such request as
finance discussions can
disrupt patient
care and patient flow
https://quizlet.com/963296664/hfma-crcr-exam-latest-2024-2025-exam-170-questions-and-correct-answersverified-answers-flash-cards/?new 4/33
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