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HFMA CRCR EXAM COMPLETE STUDY GUIDE | ANSWERED AND GRADED A+ | 2024/2025 GUIDE $11.49
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HFMA CRCR EXAM COMPLETE STUDY GUIDE | ANSWERED AND GRADED A+ | 2024/2025 GUIDE
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HFMA CRCR EXAM COMPLETE STUDY GUIDE | ANSWERED AND GRADED A+ | 2024/2025 GUIDE HFMA CRCR EXAM COMPLETE STUDY GUIDE | ANSWERED AND GRADED A+ | 2024/2025 GUIDE

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  • October 1, 2024
  • 107
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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HFMA CRCR EXAM COMPLETE
STUDY GUIDE | ANSWERED AND
GRADED A+ | 2024/2025 GUIDE

Components of financial counseling
- Correct Answer - Informing the patient at the hospitals, financial
policies
Explaining health plan, benefits
Providing cost estimates, and or good faith estimate when
applicable
Discussing financial responsibility
Assessing the patient's ability to pay
Reviewing payment alternatives with the patient


Charge master - Correct Answer - Primary list of services,
procedures, room, accommodations, supplies, drugs, Biologics,
and or radiopharmaceuticals that may be billed to a hospital
inpatient or outpatient. Includes the charge specific data needed
for claim submission.

,Examples of charges on charge master - Correct Answer -
Services procedures
Room accommodations
Supplies
Drugs, Biologics
Radiopharmaceuticals


Elements of a charge master - Correct Answer - Charge
description, master number (CDM)
Department number
Billing and or charge description
Charge amount
CPT Dash HCPCS code
Modifiers
Revenue code
General ledger number


Charge master challenges - Correct Answer - The omission of
charges not all charges are considered
Obsolete or invalid codes
Omission of required modifiers

,And out of date charge master can result in for data quality for
results, trend monitoring, and billing compliance issues.


Charge master reviews - Correct Answer - It is critical that the
charge master is reviewed and updated regularly to ensure it
supports and represents the services provided within the
organization.
Ongoing education should be provided to staff to ensure Cody
description changes are communicated to the appropriate service
area departments


HCPCS code - Correct Answer - There are three levels of HCPCS
codes:
Level one - the approved American medical association CPT -4
codes - these five digit codes are numeric.
Level two - CMS developed codes for classifying supplies and
non-physician services such as DME, ambulance, medical and
surgical supplies and drugs. These codes begin with a single
letter a through V followed by four numeric digits.
Level three -contain codes assigned and maintained by Medicare
administrative contractors. These codes begin with the letter W
through Z followed by 40 Merrick digits. Level three codes are not

, common and are used to describe new procedures not yet
developed in levels I and ii.


HCPCS modifiers - Correct Answer - Modifiers are available for all
three levels HCPCS.
Modifiers are typically assign through the charge master process
however, some modifiers are identified and assign through the
coding process .


HCPCS modifiers precedence - Correct Answer - Level three
modifiers take precedence over level two modifiers, which take
precedence over level one modifiers.
Up to for modifiers per line can be accommodated in most current
filing formats
If more than two modifiers need to be reported next to a CPT
code, repeat the procedure code with the additional modifier
appended.


Reimbursement is adversely affected by with modifiers - Correct
Answer - Incomplete or vague position dictation or documentation
Coding from face sheet or incomplete records
Physician using symptoms instead of specific diseases in their
dictation

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