Crcr part 4 - Study guides, Class notes & Summaries

CRCR Exam Prep Questions and Answers 100% Verified and Updated 2024 HFMA -Answer-Healthcare Financial Management Association Revenue Cycle Overview: What are the 3 segments? -Answer-Pre-Service, Time of Service, Post-Service Scheduling is part of which segment of the Revenue Cycle? -Answer-Pre-service Patient-Centric Revenue Cycle -Answer-1) Engaged Consumer 2) Engaged Patient 3) Satisfied Customer Healthcare Dollars & Sense -Answer-1) Price Transparency 2) Patient Financial Communicat...

HFMA CRCR Exam 2023 Actual Exam And Correct Answers 1. Through what document does a hospital establish compliance standards? Ans code of conduct 2. What is the purpose OIG work plant? Ans Identify Acceptable compliance programs in various provider setting 3. If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Ans Non-diagnostic service provided on Tuesday through Friday 4. What does a modifier allow a provider to do? Ans Report a specific...

General Ledger Cash Petty cash used as payments for miscellaneous purchases Electronic Funds Transfer (EFT) The transfer of funds from payer to payee through the banking system. It is considered the quickest way to move money because it is possible to transfer funds between banks on the same day. Electronic Remittance Advice (ERA) A standardized healthcare claim payment format used to electronically send third-party payment details to healthcare providers. ERA Level 1 El...

CRCR 4 Post-Service Financial Care Quiz Combo Questions and Answers 2024 Credit balances may be created by any of the following activities except: (Pre-Test 4) Credits to pharmacy charges posted before the claim final bills. . Which of the following statements represent common reasons for inpatient claim denials? (Pre-Test 4) Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and services provided which were not medically necessar...

The liens types agreement, judicial process, statue The third party payer follow up and account resolution activities include electronic work list after untimely non payments, comparison of actual and expected reimbursement, adjustment posts, submitting secondary claims if necessary liability payers workers' compensation, auto insurance, premises medical coverage for property cases home owners based on policy what can be done with unpaid clean third party claims become ...

CRCR part 4 Exam

CRCR 1 Exam Questions with Complete Solutions While the highest level of differentiation among patients is scheduled patient vs unscheduled patient, a variety of patient types are routinely identified in both the acute and non-acute setting. Which patient types are typically considered acute care patient types? - ANS: Observation, newborn, Emergency (ED) Accurate identification of the patient is the first step in the scheduling process. Identifiers used in various combination to achieve ac...

HFMA CRCR exam 2023/2024 with questions and 100% correct answers ALREADY GRADED A/LATEST VERSION 1. Through what document does a hospital establish compliance standards? Ans code of conduct 2 . What is the purpose OIG work plant? Ans Identify Acceptable compliance programs in various provider setting 3. If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Ans Non-diagnostic service provided on Tuesday through Friday 4. What does a modi...