Hfma crcr exam part 2 - Study guides, Class notes & Summaries

HFMA CRCR CERTIFICATION STUDY GUIDE EXAM Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - CORRECT ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - CORRECT ANSWERMeet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - CORRECT ANSWER-Respect the pati...

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...

HFMA CRCR EXAM 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 ANSWER-manage cases: services correct, on time What are the three types of utilization review? - CORRECT ANSWER-Prospective, Concurrent, Retrospective Where can home h...

HFMA CRCR CERTIFICATION STUDY GUIDE EXAM Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - CORRECT ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - CORRECT ANSWERMeet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - CORRECT ANSWER-Respect the pati...

HFMA CRCR Exam With 100% Correct answers LATEST VERSION 2023/2024 Graded A+. Through what document does a hospital establish compliance standards? Ans code of conduct What is the purpose OIG work plant? Ans 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? Ans Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Ans Report ...

HFMA CRCR Exam Practice Questions and Correct Answers Latest Update 2023/2024 Graded A+. What is the purpose OIG work plant? Ans 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? Ans Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Ans Report a specific circumstance that affected a procedure or service without changing ...

HFMA CRCR Exam With 100% Correct Answers Latest Update 2023/2024 Graded A+. Through what document does a hospital establish compliance standards? Ans code of conduct What is the purpose OIG work plant? Ans 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? Ans Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Ans Report a...

HFMA CRCR TEST EXAM WITH CORRECT AND VERRIFIED ANSWERS 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 does a modifier allow ...

CRCR EXAM UNIT 1(QUESTIONS AND ANSWERS) Net Days in AR - CORRECT ANSWER-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging - CORRECT ANSWER-Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding - CORRECT ANSWER-The dollars in credit balance at the account level divided by the three month daily average of total net patient service reve...

HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) Pre-Service activities 1. Requested service is screened for med necessity, health coverage/benefits verified, preauthorization obtained and estimate to patient oop costs generated within guidelines of NSA and state regulations. 2. Patient notified of financial responsibility including copayment and health plan deductibles, eligibility of financial assistance assessed. 3. Patient is scheduled 4. Encounte...