Crcr stuvia - Study guides, Class notes & Summaries

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CRCR Certification exam review 2023/2024 questions and answers Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - correct answer The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following iCRCR Certification exam review 2023/2024 questions and answersCRCR Certification exam review 2023/2024 questions and answersCRCR Certification exam review 2023/2024 questions and answersCRCR Certification exam r...

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 and updates as ...

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Patient-Centric Revenue Cycle - ANSWER-The major processing steps required for a request for service through closing the account at zero balance. Pre-Service - ANSWER-Scheduled & pre-registered pt.,cost est., data colleted Time-Of-Service - ANSWER-Scheduled & Unscheduled-caser mgmt. & discharge, consents, pt is id'd, copay & amt collected, pre reg record activated.Unsched pt have comprehensive regis & financial processing Post-Service - ANSWER-After pt is discharged-bill to healthplan,...

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