Health Care > EXAM > CRCR Exam: Questions & Answers: Latest Updated A+ Score Solution . (All)
CRCR Exam: Questions & Answers: Latest Updated A+ Score Solution .
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Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? (Ans - The best practices were developed specifically to help patients understand the cost of ser ... vices, their individual insurance benefits and their responsibility for balance after insurance if any The patient experience includes all of the following except: (Ans - The average number of positive mentions received by the health system or practice and the public comments refuting unfriendly posts on social media sites Corporate compliance programs play an important role in protecting the integrity of operations and ensuring compliance with federal and state requirements. The Code of Conduct is: (Ans - A critical tool to ensure the compliance with the organization's compliance standards and procedures, an essential and integral component of the organization's culture, fosters and environment where concerns and questions may be raised without fear of retaliation or retribution Specific to Medicare fee-for-service patients, which of the following payers have always been liable for payment? (Ans - Public health service programs, federal grant programs, VA programs, black lung program services and workers comp claims Provider policies and procedures should be in plan to reduce the risk of ethics violations. Examples of ethics violations are: (Ans - Financial misconduct, overcharging and miscoding claims, theft of property and falsifying records to boost reimbursement, financial misconduct and applying policies in an inconsistent manner Providers are now being reimbursed with a focus on the value of the services provided, rather than volume, which requires collaboration among providers. What is the intended outcome of collaborations made through an ACO delivery system for a population of patients? (Ans - To eliminate duplicate services, prevent medical errors and ensure appropriateness of care What is the new terminology now employed in the calculation of net patient service revenues? (Ans - Explicit price concessions and implicit price concessions What are the two KPIs used to monitor performance related to the production and submission of claims to third party payers and patients (self-pay)? (Ans - Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill submission What are the three traditional steps of the Revenue Cycle? (Ans - Pre-service, time-of-service and post-service What are the steps during pre-service? (Ans – 1. The patient is scheduled and pre-registered for service 2. The encounter record is generated and the patient/guarantor information is obtained or updated 3. The requested service is screened for med necessity; insurance is verified and pre-auths obtained 4. The cost is identified and insurance benefits are used to calculate the price of the services to the patient 5. If the service is deemed not med necessary additional processing is done 6. The patient is notified of their financial responsibility including copay/deductible and their eligibility for financial assistance is assessed [Show More]
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CRCR Exam: CRCR Exam Prep: CRCR Exam Unit 1:CRCR Unit 2:(Pre-Service Financial Care):CRCR Part 3(Time-of-service):CRCR 4 - Post-Service Financial Care - Quiz Combo: (Pre-Tests, KCs, Quizzes): CRCR Study: Questions & Answers
CRCR Exam: CRCR Exam Prep: CRCR Exam Unit 1:CRCR Unit 2:(Pre-Service Financial Care):CRCR Part 3(Time-of-service):CRCR 4 - Post-Service Financial Care - Quiz Combo: (Pre-Tests, KCs, Quizzes): CRCR Stu...
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