Exam (elaborations)
HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND 100% CORRECT ANSWERS (Latest 2024)
- Course
- Institution
HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND 100% CORRECT ANSWERS (Latest 2024)
[Show more]
Content preview
HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND 100% CORRECT ANSWERS (Latest 2024 ) 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 They mu st be billed separately to the part B Carrier what is a recurring or series registration? One registration record is created for multiple days of service What are nonemergency patients who come for service without prior notification to the provider called? Unscheduled patients Which of the following statement apply to the observation patient type? It is used to evaluate the need for an inpatient admission which services are hospice programs required to provide around the clock patient Physician, Nursing, Ph armacy Scheduler instructions are used to prompt the scheduler to do what? Complete the scheduling process correctly based on service requeste d The Time needed to prepare the patient before service is the difference between the patients arrival time and whi ch of the following? Procedure time Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information provided on the order must include: Documentation of the medical necessity for the test What i s the advantage of a pre -registration program It reduces processing times at the time of service What date are required to establish a new MPI(Master patient Index) entry The responsible party's full legal name, date of birth, and social security number Which of the following statements is true about third -party payments? The payments are received by the provider from the payer responsible for reimbursing the provider for the patient's covered services . Which provision protects the patient from medical ex penses that exceed the pre -set level stop loss what documentation must a primary care physician send to HMO patient to authorize a visit to a specialist for additional testing or care? Referral Under EMTALA (Emergency Medical Treatment and Labor Act) regul ations, the provider may not ask about a patient's insurance information if it would delay what? Medical screening and stabilizing treatment Which of the following is a step in the discharge process? Have a case management service complete the discharge pl an The hospital has a APC based contract for the payment of outpatient services. Total anticipated charges for the visit are $2,380. The approved APC payment rate is $780. Where will the patients benefit package be applied? To the approved APC payment rate A patient has met the $200 individual deductible and $900 of the $1000 co -insurance responsibility. The co -insurance rate is 20%. The estimated insurance plan responsibility is $1975.00. What amount of coinsurance is due from the patient? $100.00 When is a patient considered to be medically indigent? The patient's outstanding medical bills exceed a defined dollar amount or percentage of assets. What patient assets are considered in the financial assistance application? Sources of readily available funds , vehicles, campers, boats and saving accounts If the patient cannot agree to payment arrangements, What is the next option? Warn the patient that unpaid accounts are placed with collection agencies for further processing
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller OriginalTestBanks. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72349 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now