Hfma test 4 - Study guides, Class notes & Summaries

1. 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 patients. D. Discount all charges to self-pay patients to an amount generally billed to a...

CRCR Cohort 6| 72 Questions with Answers 2023 EMTALA - CORRECT ANSWERS- Emergency Medical Treatment and Labor Act - requires hospitals to provide a medical screening examination and any needed stabilizing treatment to every person presenting at an ED and requesting medical evaluation or treatment - EMTALA prohibits inquiries about insurance or payment if the inquiry will delay examination or treatment MRN - CORRECT ANSWERSMedical Record Number. Will have 1 MRN wherever they go in t...

1 / 3 CRCR Test Review QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE 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 thepatient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and resolved with...

HFMA test 4

HFMA TEST 4 WITH COMPLETE SOLUTIONS 100%2023/2024

1 / 3 CRCR Test Review QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE 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 thepatient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and resolved with...

Pre-Service, Time-of-Service, Post-Service - correct answer 3 critical segments of the revenue cycle Pre-service segment (for scheduled patients) - correct answer Scheduling and pre-access processing is completed. The patient is scheduled, pre-registered for service and the required data is collected. Time-of-service segment (scheduled and unscheduled patients) - correct answer A final account review is completed for a scheduled patient prior to his/her arrival. Upon arrival...

CRCR 4 - Post-Service Financial Care - Quiz Combo and answer rated A+ 2023Credit balances may be created by any of the following activities except: (Pre-Test 4) Credits to pharmacy charges posted before the claim final bills. 3 MULTIPLE CHOICE OPTIONS 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 ...

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 Test Review Exam 2023 Questions and Answers with complete solution 1. Important revenue cycle activities in the pre-service stage include;: 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;: The amount the patient may be expected to pay after insurance. 3. Demographic and health plan edit failures are identified and resolved within the P...