Crcr exam 2024 - Study guides, Class notes & Summaries

HFMA CRCR EXAM 2023/2024 QUESTIONS AND CORRECT ANSWERS LATEST Guide

HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND 100% CORRECT ANSWERS (Latest 2024)

HFMA CRCR (ACTUAL) EXAM | 170 QUESTIONS AND VERIFIED SOLUTIONS 2024/2025 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 - CORRECT ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - CORRECT ANSWER- One registration record is created for multiple days of service What are nonemergen...

What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Holding staff accountabl...

1. Through what document does a hospital establish compliance standards?- ANS code of conduct 2. What is the purpose OIG work plant ANS Identify Acceptable compliance pro- grams in various provider setting 3. If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule ANS Non-diagnostic service provided on Tuesday through Friday 4. What does a modifier allow a provider to do ANS Report a specific circumstance that affected a procedure or service w...

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CRCR EXAM 2024. 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? - ANS...

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