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CRCR Exam Questions with Correct Answers 2024 $11.99   Add to cart

Exam (elaborations)

CRCR Exam Questions with Correct Answers 2024

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CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Correct Answers 2024CRCR Exam Questions with Corr...

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  • May 7, 2024
  • 104
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • CRCR
  • CRCR
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DoctorKen
CRCR Exam Questions with Correct

Answers 2024

1. Which of the following statements are true of HFMA's Patient

Financial Communications Best Practices? - ANS -The best

practices were developed specifically to help patients understand

the cost of services, their individual insurance benefits and their

responsibility for balance after insurance if any




2. The patient experience includes all of the following except: - ANS

-The average number of positive mentions received by the health

system or practice and the public comments refuting unfriendly

posts on social media sites




3. Corporate compliance programs play an important role in

protecting the integrity of operations and ensuring compliance

, with federal and state requirements. The Code of Conduct is: -

ANS -A critical tool to ensure the compliance with the

organization's compliance standards and procedures, an essential

and integral component of the organization's culture, fosters and

environment where concerns and questions may be raised

without fear of retaliation or retribution




4. Specific to Medicare fee-for-service patients, which of the

following payers have always been liable for payment? - ANS -

Public health service programs, federal grant programs, VA

programs, black lung program services and workers comp claims




5. Provider policies and procedures should be in plan to reduce the

risk of ethics violations. Examples of ethics violations are: - ANS -

Financial misconduct, overcharging and miscoding claims, theft of

, property and falsifying records to boost reimbursement, financial

misconduct and applying policies in an inconsistent manner




Providers are now being reimbursed with a focus on the value of the

services provided, rather than volume, which requires collaboration

among providers.




6. What is the intended outcome of collaborations made through

an ACO delivery system for a population of patients? - ANS -To

eliminate duplicate services, prevent medical errors and ensure

appropriateness of care




7. What is the new terminology now employed in the calculation of

net patient service revenues? - ANS -Explicit price concessions

and implicit price concessions

, 8. What are the two KPIs used to monitor performance related to

the production and submission of claims to third party payers

and patients (self-pay)? - ANS -Elapsed days from discharge to

final bill and elapsed days from final bill to claim/bill submission




9. What are the three traditional steps of the Revenue Cycle? - ANS

-Pre-service, time-of-service and post-service




10. What are the steps during pre-service? - ANS -1. The

patient is scheduled and pre-registered for service

2. The encounter record is generated and the patient/guarantor

information is obtained or updated

3. The requested service is screened for med necessity; insurance is

verified and pre-auths obtained

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