Hfma terms Study guides, Class notes & Summaries

HFMA Test 7: Contracts Questions and Answers 2023 Purpose of Contracts Purpose Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction projects. Collection services. Maintenance on equipment. Leasing space. Employment of contracted staff, and a variety of other items For a contract to be valid, individual must do three things Valid Contra...

What happens during the post service stage? - Answer- Final coding of all services, preparation and submission of claims, payment processing and balance billing resolution. Acc - Answer- Ambulatory care center AAR - Answer- After hours activity report 837 record - Answer- A standard electronic message between a provider and a health plan sending data on a claim to the health plan. 835 record - Answer- A standard electronic message between a health plan and provider sending remittance...

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

HFMA QUESTIONS WITH COMPLETE SOLUTIONS 2023 Pre Service, Time of Service, Post Service What are the 3 critical segments in the revenue cycle? Pre Service Scheduling pre access data collection What is done at time of service (clinical) Orders entered, results reported, DX and CPT coding What is done at time of service (administravive) final account review pt positively ID preregistration record activated consents signed copayments For unscheduled pt at the time of...

Study HFMA CRCR Exam Topics Flashcards Learn Test Match Term 1 / 12 Revenue Cycle Definition 1 / 12 All of the major processing steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. Profile Picture Created by Felix00139 Terms in this set (12) Original

CRCR Practice 141 Questions with Answers 2023 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 p...

HFMA questions and correct answers graded A+ to pass 2023Definition of cost Can be the amount paid for the service. It can also be the amount paid for salaries or to other vendors Direct Cost Are the costs that can be traced directly to a department, product, or service (Salaries, Employee benefits, medications, supplies, aging and equipment maintenance contract Direct cost in a health Plan Would be the actual claims payments made by the plan on behalf of its members indi...

CRCR Certification Exam questions and correct answers 2023 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 is required for participation in Medicaid - CORRECT ANSWERMeet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - CORRECT ANSWER...

1 / 15 CRCR Certification Exam 2024 Questions and Answers (Verified Answers by Expert) 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the ...

1 / 15 CRCR Certification Exam 2024 Questions and Answers (Verified Answers by Expert) 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the ...