CRCR Study 1.0-1.5
What happens during the post service stage? - answerFinal coding of all services,
preparation and submission of claims, payment processing and balance billing
resolution.
Acc - answerAmbulatory care center
AAR - answerAfter hours activity report
837 record - answerA standard electronic message between a provider and a health
plan sending data on a claim to the health plan.
835 record - answerA standard electronic message between a health plan and provider
sending remittance data on a claim to the provider.
Accountable care organization - answerA coordinated group of healthcare providers
(including physicians, hospitals, and other types of providers) organized to improve
quality and lower the costs of care to a defined group of patients.
What are the three HFMA revenue cycle initiatives? - answerPrice transparency, patient
financial communications, and medical account resolution.
What are the 3 best practices of patient financial communications? -
answerConsistency, clarity, and transparency.
Conversations should occur in a location and manner that are sensitive to the patients
needs at: - answerDiscussions in advance to the service. May occur via outbound or
inbound call to patient from a scheduling center at the time an appointment is made.
For routine scenarios, such as patients with insurance coverage or a known ability to
pay, financial discussions should take place between whom? - answerThe patient or
guarantor and the properly trained provider representatives.
For non-routine or complex scenarios, such as uninsured or underinsured patients
whom should be involved ? - answerA financial counselor or a supervisor.
What happens during the post service stage? - answerFinal coding of all services,
preparation and submission of claims, payment processing and balance billing
resolution.
Acc - answerAmbulatory care center
AAR - answerAfter hours activity report
837 record - answerA standard electronic message between a provider and a health
plan sending data on a claim to the health plan.
835 record - answerA standard electronic message between a health plan and provider
sending remittance data on a claim to the provider.
Accountable care organization - answerA coordinated group of healthcare providers
(including physicians, hospitals, and other types of providers) organized to improve
quality and lower the costs of care to a defined group of patients.
What are the three HFMA revenue cycle initiatives? - answerPrice transparency, patient
financial communications, and medical account resolution.
What are the 3 best practices of patient financial communications? -
answerConsistency, clarity, and transparency.
Conversations should occur in a location and manner that are sensitive to the patients
needs at: - answerDiscussions in advance to the service. May occur via outbound or
inbound call to patient from a scheduling center at the time an appointment is made.
For routine scenarios, such as patients with insurance coverage or a known ability to
pay, financial discussions should take place between whom? - answerThe patient or
guarantor and the properly trained provider representatives.
For non-routine or complex scenarios, such as uninsured or underinsured patients
whom should be involved ? - answerA financial counselor or a supervisor.
