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Certified Revenue Cycle Representative - CRCR (2024) questions and answers rated A+ 2024/2025
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Certified Revenue CycleRepresentative - CRCR (2024)
Which of the following statements are true of HFMA's Financial Communications Best
Practices - ANSThe first-class practices had been advanced especially to assist patients
understand the fee of offerings, their person coverage benefits, and their responsibility for
balances after coverage, if any.
The patient revel in consists of all of the following besides: - ANSThe average quantity of
wonderful mentions obtained with the aid of the health system or exercise and the public
remarks refuting unfriendly posts on social media websites.
Corporate compliance packages play an vital role in shielding the integrity of operations and
ensuring compliance with federal and kingdom necessities. The code of conduct is: - ANSAll
of the above
Specific to Medicare fee-for-provider patients, which of the subsequent payers have always
been liable for price? - ANSPublic health service programs, Federal grant programs, veteran
affairs packages, black lung software offerings and work-associated accidents and injuries
(employee' compensation claims)
Provider regulations and approaches should be in location to reduce the danger of ethics
violations. Examples of ethics violations consist of: - ANSAll of the above
Providers are now being reimbursed with a focal point at the cost of the offerings provided,
instead of quantity, which requires collaboration amongst companies.
What is the intended final results of collaborations made thru an ACO delivery system for a
population of sufferers? - ANSTo get rid of reproduction offerings, save you clinical mistakes
and ensure appropriateness of care.
Historically, sales cycle has delt with contractual changes, bad debt and charity deductions
from gross revenue. Although deductions continue to exist, the definition of net revenue has
been modified through the implementation of ASC 606. Developed via the Financial
Accounting Standards Board (FASB), this alteration have become effective in 2018.
What is the new terminology now hired within the calculation of net patient offerings
revenues? - ANSExplicit fees concessions and implicit charge concessions
Key performance indicators set standards for A/R and offer a method for measuring the
manipulate and series of A/R.
What are the two KPIs used to display overall performance related to the manufacturing and
submission of claims to third birthday celebration payers and sufferers (self-pay)? -
, ANSElapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission.
Consents are signed as a part of the post-offerings procedure. - ANSTrue
**False
Patient service costs are calculated in the pre-service process for time table patients -
ANS**True
False
The patient is scheduled and registered for service is a time-of-provider hobby - ANSTrue
**False
The affected person account is monitored for payment is a time-of-service hobby - ANSTrue
**False
Case control and discharge making plans offerings are a put up-provider activty - ANSTrue
**False
Sending the bill electronically to the health plan is a time-of-carrier pastime - ANSTrue
**False
What occurs in the course of the publish-carrier degree? - ANS**A. Final coding of all
services, coaching and submission of claims, payment processing and stability billing and
backbone.
B. Orders are entered, outcomes are mentioned, expenses are generated, and diagnostic
and procedural coding is initiated.
C. The stumble upon record is generated, and the patient and guarantor records is received
and/or updated as required.
D. The consciousness is at the patient and his/her economic care, similarly to the scientific
care supplied for the affected person.
The following statements describe first-class practices set up by the Medical Debt Task
Force. Check the box next to the True statements - ANS**Educate Patients
**Coordinate to keep away from reproduction affected person contacts
Exercise slight judgement when communicating with carriers about scheduled offerings
**Be regular in key elements of account resolution
Report to healthcare plans while the patient's account is transferred to series organization
**Follow high-quality practices for verbal exchange
Which choice is NOT a major HFMA Healthcare Dollars & Sense® revenue cycle initiative? -
ANSA. Patient Financial Communications
B. Price Transparency
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