Hfma terms - Study guides, Class notes & Summaries

HFMA test 4 Questions Answered 100% correct, updated latest 2023 Strategic Planning Process includes: Strategic Planning Process includes: Identifying the organization's current position, including its mission, vision, and long-term goals. Conducting an internal and external assessment and comparing the organization's condition against those findings. This is often called a SWOT analysis. Define environmental Assessment An environmental assessment is an examination of what's hap...

CRCR Certification 206 Questions and Answers Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - CORRECT ANSWERSThe Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - CORRECT ANSWERSMeet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - CORRECT ANSWERSRespect the ...

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 Test 7: Contracts Questions and Answers 2023 Purpose of Contracts Purpose Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction projects. Collection services. Maintenance on equipment. Leasing space. Employment of contracted staff, and a variety of other items For a contract to be valid, individual must do three things Valid Contra...

What happens during the post service stage? - Answer- Final coding of all services, preparation and submission of claims, payment processing and balance billing resolution. Acc - Answer- Ambulatory care center AAR - Answer- After hours activity report 837 record - Answer- A standard electronic message between a provider and a health plan sending data on a claim to the health plan. 835 record - Answer- A standard electronic message between a health plan and provider sending remittance...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - ANSWER-Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - ANSWER-Respect the patients privacy A nightly room charge will be incorrect if the patient...

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 Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More 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 ...

HFMA QUESTIONS WITH COMPLETE SOLUTIONS 2023 Pre Service, Time of Service, Post Service What are the 3 critical segments in the revenue cycle? Pre Service Scheduling pre access data collection What is done at time of service (clinical) Orders entered, results reported, DX and CPT coding What is done at time of service (administravive) final account review pt positively ID preregistration record activated consents signed copayments For unscheduled pt at the time of...

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 ...

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 ...