Crcr exam review - Study guides, Class notes & Summaries

CRCR Exam Review Questions and answers, rated A+ 270 Health Care Eligibility Benefit Inquiry - The 270 transaction is the outbound inquiry from the provider to the health plan. This transaction includes the identification number and date of birth of the insured party. The health plan uses this information to identify the subscriber in its enrollee database. A/R Aging Analysis - Aging reports divide the accounts receivable into categories of 0-30, 31-60, 61- 90, 91-120 and >120 days b...

HFMA CRCR Exam Review Questions and answers, rated A+, Verified/ Through what document does a hospital establish compliance standards? - code of conduct What is the purpose OIG work plant? - 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? - Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - Report a specific circu...

HFMA CRCR Exam Review Questions With Correct Answers - Latest Update 2023/2024 | 100% Verified. What does a modifier allow a provider to do? Ans Report a specific circumstance that affected a procedure or service without changing the code or its definition IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges Ans They must be billed separately to...

CRCR Exam Review Questions and answers, rated A+ What do Case Managers do? - Monitor high resource cases to ensure effective utilization What is HIM responsible for? - all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - manage cases: services correct, on time What are the three types of utilization review? - Prospective, Concurrent, Retrospective Where can home health services be offered? - Ho...

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CRCR Exam Review Questions and answers, rated A+ Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Recognition that revenue cycle processes must be patient-centric and efficie...