Hfma crcr part 1 - Study guides, Class notes & Summaries

CRCR Unit 1 (1.1 - 1.4) Rev Cycle in Healthcare correctly answered 2023Patient-Centric Revenue Cycle The major processing steps required for a request for service through closing the account at zero balance. Pre-Service Scheduled & pre-registered pt.,cost est., data colleted Time-Of-Service Scheduled & Unscheduled-caser mgmt. & discharge, consents, pt is id'd, copay & amt collected, pre reg record activated.Unsched pt have comprehensive regis & financial processing Post-...

CRCR QUESTIONS AND ANSWERS 2023 Pre-Service (Step 1) 1. The patient is scheduled and pre-registered for service Pre-Service (Step 2) 2. The encounter record is generated, and the patient and guarantor information is obtained and/or updated as required. Pre-Service (Step 3) 3. The requested service is screened for medical necessity; health plan coverage and benefits are verified, and pre-authorizations are obtained. Pre-Service (Step 4) 4. The cost of the scheduled servi...

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...

CRCR Test Review Questions and Answers | 2023 | 33 Q&As 1. Important revenue cycle activities in the pre-service stage include; ANS Obtain- ing or updating patient and guarantor information 2. 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; ANS The amount the patient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and resolved within the Pa...

HFMA CRCR Exam MOD 1 2023(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 servi...

CRCR EXAM 154 Questions and Answers 2023 What do Case Managers do? - CORRECT ANSWERSMonitor high resource cases to ensure effective utilization What is HIM responsible for? - CORRECT ANSWERSall pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - CORRECT ANSWERSmanage cases: services correct, on time What are the three types of utilization review? - CORRECT ANSWERSProspective, Concurrent, Retros...

CRCR Exam Prep Questions And Answers on Flashcard 2023 Update A+ HFMA - ANS-Healthcare Financial Management Association Revenue Cycle Overview: What are the 3 segments? - ANS-Pre-Service, Time of Service, Post-Service Scheduling is part of which segment of the Revenue Cycle? - ANS-Pre-service Patient-Centric Revenue Cycle - ANS-1) Engaged Consumer 2) Engaged Patient 3) Satisfied Customer Healthcare Dollars & Sense - ANS-1) Price Transparency 2) Patient Financial Communications ...

CRCR Exam Unit 1 Questions and Answers 2023 Net Days in AR Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding The dollars in credit balance at the account level divided by the three month daily average of total net patient service revenue. Credit balances should be resolved tim...

CRCR Exam Unit 1 Questions and Answers 2023 Net Days in AR Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding The dollars in credit balance at the account level divided by the three month daily average of total net patient service revenue. Credit balances should be resolved tim...

1 / 15 CRCR Certification Exam 2024 Questions and Answers (Verified Answers by Expert) 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the ...