HFMA CRCR EXAM LATEST 2024-2025 EXAM
COMPREHENSIVE QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)| GET IT 100%
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Terms in this set (535)
What are collection A percentage of dollars collected
agency fees based on?
Self-funded benefit plans Birthday
may choose to
coordinate benefits using
the gender rule or what
other rule?
In what type of payment Case rates
methodology is a lump
sum or bundled payment
negotiated between the
payer and some or all
providers?
What customer service Holding staff accountable for customer service
improvements might during performance reviews
improve the patient
accounts department?
What is an ABN (Advance Inform a Medicare beneficiary that Medicare may
Beneficiary Notice of not pay for the order or service
Non-coverage) required
to do?
What type of account Bad debt adjustment
adjustment results from
the patient's
unwillingness to pay for a
self-pay balance?
What is the initial hospice Two 90-day periods and an unlimited number of
benefit? subsequent periods
When does a hospital If the patient requires ambulance transportation to a
add ambulance charges skilled nursing facility
to the Medicare inpatient
claim?
How should a provider Post a late-charge adjustment to the account
resolve a late-charge
credit posted after an
account is billed?
an increase in the dollars They are not being processed in a timely manner
aged greater than 90
days from date of service
indicate what about
accounts
What is an advantage of It reduces processing times at the time of service
a preregistration
program?
What are the two Medically unnecessary services and custodial care
statutory exclusions from
hospice coverage?
What core financial Scheduling, insurance verification, discharge
activities are resolved processing, and payment of point-of-service
within patient access? receipts
What statement applies The services do not involve an overnight stay
to the scheduled
outpatient?
How is a mis-posted Comparing the contract reimbursement rates with
contractual allowance the contract on the admittance advice to identify
resolved? the correct amount
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