Crcr pre test 2 - 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...

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...

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...

CRCR 4 -FINANCIAL CARE EXAM 2023- 2024 Credit balances may be created by any of the following activities except: (Pre-Test 4) - CORRECT ANSWER-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) - CORRECT ANSWER-Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and services provided which were not medically necessary. A 6...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2023/2024) What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accoun...

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 circumstance that affected a procedure or service without changing the code or it...

CRCR Practice Questions and Answers, Multiple Choice, with Complete Verified Solutions The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible for financial assistance. C. Implement a financial assistance program for uninsured and underinsured patient...

CRCR 4 -FINANCIAL CARE EXAM 2023- 2024 Credit balances may be created by any of the following activities except: (Pre-Test 4) - CORRECT ANSWER-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) - CORRECT ANSWER-Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and services provided which were not medically necessary. A 6...

HFMA CRCR questions and answers 100% guaranteed success. 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 Friday What...

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...