Tentamen (uitwerkingen)
HFMA CRCR 2024/2025 already graded A+
- Vak
- Instelling
HFMA CRCR 2024/2025 already graded A+
[Meer zien]Voorbeeld 2 van de 13 pagina's
Voorbeeld 2 van de 13 pagina's
In winkelwagen
In winkelwagen
gesponsord bericht van onze partner
1 beoordeling
Door: makah0911 • 3 maanden geleden
Door: Ashley96 • 3 maanden geleden
Thank you for the Review, wishing you very success in your studies. You are always welcome to my page any time you need any academic material.
Verkoper
Volgen
Ashley96
Ontvangen beoordelingen
Voorbeeld van de inhoud
HFMA CRCRThrough what document does a hospital establish compliance standards? - ANScode of
conduct
What is the purpose OIG work plant? - ANSIdentify 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? - ANSNon-diagnostic service provided on Tuesday through Friday
What does a modifier allow a provider to do? - ANSReport 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 - ANSThey must be billed separately to the part B Carrier
what is a recurring or series registration? - ANSOne registration record is created for multiple
days of service
What are nonemergency patients who come for service without prior notification to the provider
called? - ANSUnscheduled patients
Which of the following statement apply to the observation patient type? - ANSIt is used to
evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock patient -
ANSPhysician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - ANSComplete the
scheduling process correctly based on service requeste
The Time needed to prepare the patient before service is the difference between the patients
arrival time and which of the following? - ANSProcedure time
Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include: - ANSDocumentation of the medical necessity for the test
What is the advantage of a pre-registration program - ANSIt reduces processing times at the
time of service
, What date are required to establish a new MPI(Master patient Index) entry - ANSThe
responsible party's full legal name, date of birth, and social security number
Which of the following statements is true about third-party payments? - ANSThe payments are
received by the provider from the payer responsible for reimbursing the provider for the patient's
covered services.
Which provision protects the patient from medical expenses that exceed the pre-set level -
ANSstop loss
what documentation must a primary care physician send to HMO patient to authorize a visit to a
specialist for additional testing or care? - ANSReferral
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the provider may
not ask about a patient's insurance information if it would delay what? - ANSMedical screening
and stabilizing treatment
Which of the following is a step in the discharge process? - ANSHave a case management
service complete the discharge plan
The hospital has a APC based contract for the payment of outpatient services. Total anticipated
charges for the visit are $2,380. The approved APC payment rate is $780. Where will the
patients benefit package be applied? - ANSTo the approved APC payment rate
A patient has met the $200 individual deductible and $900 of the $1000 co-insurance
responsibility. The co-insurance rate is 20%. The estimated insurance plan responsibility is
$1975.00. What amount of coinsurance is due from the patient? - ANS$100.00
When is a patient considered to be medically indigent? - ANSThe patient's outstanding medical
bills exceed a defined dollar amount or percentage of assets.
What patient assets are considered in the financial assistance application? - ANSSources of
readily available funds , vehicles, campers, boats and saving accounts
If the patient cannot agree to payment arrangements, What is the next option? - ANSWarn the
patient that unpaid accounts are placed with collection agencies for further processing
What core financial activities are resolved within patient access? - ANSscheduling ,
pre-registration, insurance verification and managed care processing
What is an unscheduled direct admission? - ANSA patient who arrives at the hospital via
ambulance for treatment in the emergency department
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper Ashley96. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €13,18. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 79223 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen