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HFMA CRCR EXAM LATEST EXAM 160+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) RATED A+
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HFMA CRCR EXAM LATEST EXAM 160+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) RATED A+
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HFMA CRCR EXAM LATEST 2023-2024EXAM 160+ QUESTIONS AND
CORRECT
ANSWERS (VERIFIED ANSWERS) RATED A+
IF outpatient diagnostic services are provided within three days of
V V V V V V V V V
Vthe admission of a Medicare beneficiary to an IPPS (Inpatient
V V V V V V V V V
VProspective Payment System) hospital, what must happen to these
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Vcharges - V
what is a recurring or series registration? - ANSWER- One registration
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record is created for multiple days of service
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What are nonemergency patients who come for service without prior
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notification to the provider called? - ANSWER- Unscheduled patients
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Which of the following statement apply to the observation patient
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Vtype?
- ANSWER- It is used to evaluate the need for an inpatient admission
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which services are hospice programs required to provide around the
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clock patient - ANSWER- Physician, Nursing, Pharmacy
V V V V V V
Scheduler instructions are used to prompt the scheduler to do what? -
V V V V V V V V V V V
ANSWER- Complete the scheduling process correctly based on
V V V V V V V V
service requeste
V V
The Time needed to prepare the patient before service is the difference
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1
,between the patients arrival time and which of the following? -
V V V V V V V V V V
ANSWER- Procedure time
V V
2
,Medicare guidelines require that when a test is ordered for a LCD
V V V V V V V V V V V
or
V
NCD exists, the information provided on the order must include: -
V V V V V V V V V V
ANSWER- Documentation of the medical necessity for the test
V V V V V V V V
What is the advantage of a pre-registration program - ANSWER- It
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reduces processing times at the time of service
V V V V V V V
What date are required to establish a new MPI(Master patient Index)
V V V V V V V V V V
entry - ANSWER- The responsible party's full legal name, date of
V V V V V V V V V V
Vbirth, and social security number
V V V V
Which of the following statements is true about third-party payments?
V V V V V V V V V
V- ANSWER- The payments are received by the provider from the
V V V V V V V V V V
Vpayer responsible for reimbursing the provider for the patient's
V V V V V V V V
Vcovered
services.
Which provision protects the patient from medical expenses that exceed
V V V V V V V V V
the pre-set level - ANSWER- stop loss
V V V V V V
what documentation must a primary care physician send to HMO patient
V V V V V V V V V V
to authorize a visit to a specialist for additional testing or care? -
V V V V V V V V V V V V
ANSWER- Referral V
Under EMTALA (Emergency Medical Treatment and Labor Act)
V V V V V V V
Vregulations, the provider may not ask about a patient's insurance
V V V V V V V V V
information if it would delay what? - ANSWER- Medical screening and
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Vstabilizing treatment V
Which of the following is a step in the discharge process? - ANSWER-
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Have a case management service complete the discharge plan
V V V V V V V V
3
, The hospital has a APC based contract for the payment of outpatient
V V V V V V V V V V V
Vservices. Total anticipated charges for the visit are $2,380. The approved
V V V V V V V V V V
VAPC payment rate is $780. Where will the patients benefit package be
V V V V V V V V V V V
applied? - ANSWER- To the approved APC payment rate
V V V V V V V V
A patient has met the $200 individual deductible and $900 of the
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V$1000 co-insurance responsibility. The co-insurance rate is 20%. The
V V V V V V V V
Vestimated insurance plan responsibility is $1975.00. What amount of
V V V V V V V V
Vcoinsurance
is due from the patient? - ANSWER- $100.00
V V V V V V V
When is a patient considered to be medically indigent? - ANSWER- The
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patient's outstanding medical bills exceed a defined dollar amount or
V V V V V V V V V
percentage of assets. V V
What patient assets are considered in the financial assistance
V V V V V V V V
application? - ANSWER- Sources of readily available funds , vehicles,
V V V V V V V V V
Vcampers, boats and saving accounts V V V V
If the patient cannot agree to payment arrangements, What is the next
V V V V V V V V V V V
option? - ANSWER- Warn the patient that unpaid accounts are placed
V V V V V V V V V V
with collection agencies for further processing
V V V V V
What core financial activities are resolved within patient access? -
V V V V V V V V V
ANSWER- scheduling , pre-registration, insurance verification andmanaged care
V V V V V V V V
What is an unscheduled direct admission? - ANSWER- A patient who
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arrives at the hospital via ambulance for treatment in the emergency
V V V V V V V V V V
department
When is it not appropriate to use observation status? - ANSWER- As a
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substitute for an inpatient admission
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4
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