Bundle for HFMA CRCR with Correct Solutions 2024 | 2025

HFMA - Certified Revenue Cycle Representative Questions and Correct Solutions 2024 Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively called Healthcare Dollars & Sense. - Answer -n/a Learning Objective 2/2: Summarize the best practices for each o...

HFMA test 4 Questions and Correct Solutions 2024 Strategic Planning Process includes: - Answer -Strategic Planning Process includes: Identifying the organization's current position, including its mission, vision, and long-term goals. Conducting an internal and external assessment and comparing ...

HFMA Test 7: Contracts Questions and Correct Solutions 2024 Purpose of Contracts - Answer -Purpose Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction ...

HFMA test 5: Internal Control with Correct Solutions 2024 Administrative controls are characterized by: - Answer -Administrative Controls Administrative controls are characterized by: An organizational plan leading to management's authorization. Assigned responsibility for achieving organizati...

HFMA SET 1 Questions and Correct Solutions 2024 Define Revenue Cycle - Answer -REVENUE CYCLE ----- is the series of events and services provided prior to, during, and after the course of treatment Departments that contribute to the Revenue Cycle. - Answer -Departments that contribute to the Rev...

HFMA terms With Correct Solutions 2024 provider - general - Answer -A party rendering medical care such as a physician or hopsital facilities provider - Answer -Includes hospitals, skilled nursing facilities, assisted living facilities, home health agencies, and ambulatory centers professional p...

HFMA Study Guide Correctly Answered 2024 Through what document does a hospital establish compliance standards? - Answer -Code of Conduct What is the purpose of the OIG work plan? - Answer -Communicate issues that will be reviewed during the year for compliance with Medicare regulations If a Med...

HFMA CRCR Questions and Correct Solutions 2024 Through what document does a hospital establish compliance standards? - Answer -code of conduct What is the purpose OIG work plant? - Answer -Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on F...

HFMA CRCR Glossary with Correct Solutions 2024 835 Record - Answer -A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. 837 Record - Answer -A standard electronic message between a provider and a health plan sending data on a clai...

HFMA CRCR Exam Topics Questions and Correct Solutions 2024 Revenue Cycle - Answer -All of the major processing steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. Pre-Service - Answer -1. Patient...

HFMA CRCR EXAM Questions and Correct Solutions 2024 What are collection agency fees based on? - Answer -A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Answer -Birthday In what type of payment methodology ...

HFMA CRCR 2024 chapter 2 Correctly Answered HMO A health plan that provides comprehensive healthcare services, within a designated population, on a pre-payment basis.(2.5 Health Plans) PPO A health plan that provides comprehensive healthcare services, within a designated population, on a pre-...

HFMA 2 Questions and Correct Solutions 2024 Describe the paper and electronic claims flow process. - Answer -1. Electronic Claim Submission= EDI claims forwarded to either directly or via EDI clearing house/ vendor. 2. Claims Verification= Clearinghouse specifications and insurance company requi...

Finance Exam with Correct Solutions 2024 Account Fee - Answer -The amount charged by a financial institution for the services they provide in managing the account. This may also be called the monthly service fee. Automated Teller Machine (ATM) - Answer -A specialized computer used by bank custom...