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HFMA CRCR EXAM AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 700+ QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+$27.49
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HFMA CRCR EXAM AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 700+ QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
HFMA CRCR
Institution
HFMA CRCR
HFMA CRCR EXAM AND PRACTICE EXAM NEWEST
ACTUAL EXAM COMPLETE 700+ QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GWhat are collection agency fees based on? - CORRECT ANSWER A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits usi...
HFMA CRCR EXAM AND PRACTICE EXAM NEWEST
ACTUAL EXAM COMPLETE 700+ QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What are collection agency fees based on? - CORRECT ANSWER A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - CORRECT ANSWER Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
CORRECT ANSWER Case rates
What customer service improvements might improve the patient
accounts department? - CORRECT ANSWER Holding staff
accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required
to do? - CORRECT ANSWER Inform a Medicare beneficiary that
Medicare may not pay for the order or service
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - CORRECT ANSWER
Bad debt adjustment
What is the initial hospice benefit? - CORRECT ANSWER Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? - CORRECT ANSWER If the patient requires
ambulance transportation to a skilled nursing facility
,How should a provider resolve a late-charge credit posted after an
account is billed? - CORRECT ANSWER Post a late-charge
adjustment to the account
an increase in the dollars aged greater than 90 days from date of
service indicate what about accounts - CORRECT ANSWER They are
not being processed in a timely manner
What is an advantage of a preregistration program? - CORRECT
ANSWER It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
CORRECT ANSWER Medically unnecessary services and custodial
care
What core financial activities are resolved within patient access? -
CORRECT ANSWER Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? - CORRECT
ANSWER The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - CORRECT
ANSWER Comparing the contract reimbursement rates with the
contract on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's need for
inpatient care? - CORRECT ANSWER Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what? - CORRECT
ANSWER Medically necessary inpatient hospital services for at least
3 consecutive days before the skilled nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field
0$? - CORRECT ANSWER When the patient is the insured
,What are non-emergency patients who come for service without prior
notification to the provider called? - CORRECT ANSWER
Unscheduled patients
If the insurance verification response reports that a subscriber has a
single policy, what is the status of the subscriber's spouse? -
CORRECT ANSWER Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - CORRECT ANSWER
Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - CORRECT ANSWER Primary reason
for the patient's admission
Collecting patient liability dollars after service leads to what? -
CORRECT ANSWER Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day
used? - CORRECT ANSWER 50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic
(RHC) is not billable as an RHC services? - CORRECT ANSWER
Inpatient care
What code indicates the disposition of the patient at the conclusion of
service? - CORRECT ANSWER Patient discharge status code
What are hospitals required to do for Medicare credit balance
accounts? - CORRECT ANSWER They result in lost reimbursement
and additional cost to collect
When an undue delay of payment results from a dispute between the
patient and the third party payer, who is responsible for payment? -
CORRECT ANSWER Patient
, Medicare guidelines require that when a test is ordered for a LCD or
NCD exists, the information provided on the order must include: -
CORRECT ANSWER A valid CPT or HCPCS code
With advances in internet security and encryption, revenue-cycle
processes are expanding to allow patients to do what? - CORRECT
ANSWER Access their information and perform functions on-line
What date is required on all CMS 1500 claim forms? - CORRECT
ANSWER onset date of current illness
What does scheduling allow provider staff to do - CORRECT ANSWER
Review appropriateness of the service request
What code is used to report the provider's most common semiprivate
room rate? - CORRECT ANSWER Condition code
Regulations and requirements for coding accountable care
organizations, which allows providers to begin creating these
organizations, were finalized in: - CORRECT ANSWER 2012
What is a primary responsibility of the Recover Audit Contractor? -
CORRECT ANSWER To correctly identify proper payments for
Medicare Part A & B claims
How must providers handle credit balances? - CORRECT ANSWER
Comply with state statutes concerning reporting credit balance
Insurance verification results in what? - CORRECT ANSWER The
accurate identification of the patient's eligibility and benefits
What form is used to bill Medicare for rural health clinics? - CORRECT
ANSWER CMS 1500
What activities are completed when a scheduled pre-registered patient
arrives for service? - CORRECT ANSWER Registering the patient and
directing the patient to the service area
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