HFMA CRCR
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HFMA CRCR 3
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HFMA CRCR 
 
Through what document does a hospital establish compliance standards? - Answer-code of conduct 
 
Through what document does a hospital establish compliance standards? - Answer-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? - Answer-Non-diagnostic service provided on Tuesday through Friday 
 
What does a modifier allow a provider to do? - Answer-Report a spec...
- Package deal
- Exam (elaborations)
- • 11 pages's •
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HFMA CRCR•HFMA CRCR
-
Certified Revenue Cycle Representative - CRCR (2024)• By Freshy
Preview 2 out of 11 pages
HFMA CRCR 
 
Through what document does a hospital establish compliance standards? - Answer-code of conduct 
 
Through what document does a hospital establish compliance standards? - Answer-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? - Answer-Non-diagnostic service provided on Tuesday through Friday 
 
What does a modifier allow a provider to do? - Answer-Report a spec...
HFMA CRCR 
 
Pre-Service activities - Answer-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. Encounter record is generated and patient and guarantor info is obtained an...
- Package deal
- Exam (elaborations)
- • 11 pages's •
-
HFMA CRCR•HFMA CRCR
-
Certified Revenue Cycle Representative - CRCR (2024)• By Freshy
Preview 2 out of 11 pages
HFMA CRCR 
 
Pre-Service activities - Answer-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. Encounter record is generated and patient and guarantor info is obtained an...
HFMA CRCR 
 
Through what document does a hospital establish compliance standards? - Answer-code of conduct 
 
What is the purpose OIG work plant? - Answer-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? - Answer-Non-diagnostic service provided on Tuesday through Friday 
 
What does a modifier allow a provider to do? - Answer-Report a specific circumstance that affected a ...
- Package deal
- Exam (elaborations)
- • 11 pages's •
-
HFMA CRCR•HFMA CRCR
-
Certified Revenue Cycle Representative - CRCR (2024)• By Freshy
Preview 2 out of 11 pages
HFMA CRCR 
 
Through what document does a hospital establish compliance standards? - Answer-code of conduct 
 
What is the purpose OIG work plant? - Answer-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? - Answer-Non-diagnostic service provided on Tuesday through Friday 
 
What does a modifier allow a provider to do? - Answer-Report a specific circumstance that affected a ...