Exam (elaborations)
HFMA CRCR /172 Questions And Answers (A+)
- Module
- HFMA CRCR 2023-2024
- Institution
- HFMA CRCR 2023-2024
HFMA CRCR /172 Questions And Answers (A+)
[Show more]
1 review
By: donnafortson7 • 10 months ago
By: HELLENAH • 10 months ago
Thanks for your review
Content preview
HFMA CRCR 2023-2024 /172 Questions AndAnswers (A+)
Quiz :Through what document does a hospital establish compliance standards? -
√Answer :code of conduct
Quiz :What is the purpose OIG work plant? - √Answer :Identify Acceptable
compliance programs in various provider setting
Quiz :If a Medicare patient is admitted on Friday, what services fall within the
three-day DRG window rule? - √Answer :Non-diagnostic service provided on
Tuesday through Friday
Quiz :What does a modifier allow a provider to do? - √Answer :Report a
specific circumstance that affected a procedure or service without changing the
code or its definition
Quiz :IF outpatient diagnostic services are provided within three days of the
admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment
System) hospital, what must happen to these charges - √Answer :They must be
billed separately to the part B Carrier
Quiz :what is a recurring or series registration? - √Answer :One registration
record is created for multiple days of service
Quiz :What are nonemergency patients who come for service without prior
notification to the provider called? - √Answer :Unscheduled patients
Quiz :Which of the following statement apply to the observation patient type? -
√Answer :It is used to evaluate the need for an inpatient admission
Quiz :which services are hospice programs required to provide around the clock
patient - √Answer :Physician, Nursing, Pharmacy
Quiz :Scheduler instructions are used to prompt the scheduler to do what? -
√Answer :Complete the scheduling process correctly based on service requeste
Quiz :The Time needed to prepare the patient before service is the difference
between the patients arrival time and which of the following? -
√Answer :Procedure time
, Quiz :Medicare guidelines require that when a test is ordered for a LCD or NCD
exists, the information provided on the order must include: -
√Answer :Documentation of the medical necessity for the test
Quiz :What is the advantage of a pre-registration program - √Answer :It reduces
processing times at the time of service
Quiz :What date are required to establish a new MPI(Master patient Index)
entry - √Answer :The responsible party's full legal name, date of birth, and
social security number
Quiz :Which of the following statements is true about third-party payments? -
√Answer :The payments are received by the provider from the payer responsible
for reimbursing the provider for the patient's covered services.
Quiz :Which provision protects the patient from medical expenses that exceed
the pre-set level - √Answer :stop loss
Quiz :what documentation must a primary care physician send to HMO patient
to authorize a visit to a specialist for additional testing or care? -
√Answer :Referral
Quiz :Under EMTALA (Emergency Medical Treatment and Labor Act)
regulations, the provider may not ask about a patient's insurance information if
it would delay what? - √Answer :Medical screening and stabilizing treatment
Quiz :Which of the following is a step in the discharge process? -
√Answer :Have a case management service complete the discharge plan
Quiz :The hospital has a APC based contract for the payment of outpatient
services. Total anticipated charges for the visit are $2,380. The approved APC
payment rate is $780. Where will the patients benefit package be applied? -
√Answer :To the approved APC payment rate
Quiz :A patient has met the $200 individual deductible and $900 of the $1000
co-insurance responsibility. The co-insurance rate is 20%. The estimated
insurance plan responsibility is $1975.00. What amount of coinsurance is due
from the patient? - √Answer :$100.00
Quiz :When is a patient considered to be medically indigent? - √Answer :The
patient's outstanding medical bills exceed a defined dollar amount or percentage
of assets.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.71. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now