Gemini wrld

CRCR In-class activity (2023) What do Case Managers do? - Monitor high resource cases to ensure effective utilization What is HIM responsible for? - all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - manage cases: services correct, on time What are the three types of utilization review? - Prospective, Concurrent, Retrospective Where can home health services be offered? -...

CRCR In-class activity HFMA patient financial communications best practices call for annual training for all staff EXCEPT - A. Patient access B. Customer service representatives **C. Nursing D. Staff who engage in patient financial communications discussions What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? - Medical necessity documentation B. The CMS 1500 Part B attachment C. Correct Part A and B procedural codes **D. Revenu...

CRCR Practice Questions 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...

CRCR EXAM (CORRECT ANSWERS A+) In-class activity Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Recognition that revenue cycle processes must be patient-centric and effi...

Certified Revenue Cycle Representative - CRCR Which of the following statements are true of HFMA's Financial Communications Best Practices - The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - The average number of positive mentions received by the health system or practice and...

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

HFMA CRCR In-class activity 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...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2023) 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...

CIC - Certified Professional in Infection Control EXAM with correct answers and summary

CBIC CIC Practice Exam Medical intervention factors that affect risk of infection - indwelling devices, staffing ratio, lengths of stay, duration of invasive procedures, medications, # of exams by providers, type of institution, and knowledge/experience of providers environmental intervention factors that affect risk of infection - disinfectant type used, contact with animals, hand hygiene anatomical/phys factors that affect risk of infection - preexisting diseases, trauma, ...