CRCR

The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff -Correct Answer D The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the following levels EXCEPT: a) Medical necessity review b...

Important revenue cycle activities in the pre-service stage include; -CORRECT ANSWER- Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; -CORRECT ANSWERThe amount the patient may be expected to pay after insurance. Demographic and health plan edit failures are identified and resolved within the Patient Access area. Census activity is processed, Di...

What do Case Managers do? -CORRECT ANSWER- Monitor high resource cases to ensure effective utilization What is HIM responsible for? -CORRECT ANSWER- all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? -CORRECT ANSWERmanage cases: services correct, on time What are the three types of utilization review? -CORRECT ANSWERProspective, Concurrent, Retrospective Where can home health services be offered? ...

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 ANSWERCase rates What customer service improvements might improve the patient accounts department? - CORRECT ANSWER- Holding staff acco...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by -CORRECT ANS- The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid -CORRECT ANSMeet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost -CORRECT ANS- Respect the patients privacy A nightly room charge will be incorrect if th...

HFMA CRCR FINAL EXAM / QUESTIONS AND VERIFIED ANSWERS 2023/2024 / ALL CORRECT. Answers 2023 Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Fri...

CRCR Exam Prep COMPLETE 2023GRADED A+ 140+ QUESTIONS AND ANSWERS CRCR Exam Prep 1. What are collection agency fees based on?: A percentage of dollars collected 2. Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?: Birthday 3. In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers?: Case rates 4. What customer service improvements might improve the patient accounts dep...

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 ...