CRCR Study 1.0-1.5
What happens during the post service stage? - ANS-Final coding of all services,
preparation and submission of claims, payment processing and balance billing
resolution.
Acc - ANS-Ambulatory care center
AAR - ANS-After hours activity report
837 record - ANS-A standard electronic message between a provider and a health plan
sending data on a claim to the health plan.
835 record - ANS-A standard electronic message between a health plan and provider
sending remittance data on a claim to the provider.
Accountable care organization - ANS-A 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? - ANS-Price transparency, patient
financial communications, and medical account resolution.
What are the 3 best practices of patient financial communications? - ANS-Consistency,
clarity, and transparency.
Conversations should occur in a location and manner that are sensitive to the patients
needs at: - ANS-Discussions 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? - ANS-The 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 ? - ANS-A financial counselor or a supervisor.
What happens during the post service stage? - ANS-Final coding of all services,
preparation and submission of claims, payment processing and balance billing
resolution.
Acc - ANS-Ambulatory care center
AAR - ANS-After hours activity report
837 record - ANS-A standard electronic message between a provider and a health plan
sending data on a claim to the health plan.
835 record - ANS-A standard electronic message between a health plan and provider
sending remittance data on a claim to the provider.
Accountable care organization - ANS-A 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? - ANS-Price transparency, patient
financial communications, and medical account resolution.
What are the 3 best practices of patient financial communications? - ANS-Consistency,
clarity, and transparency.
Conversations should occur in a location and manner that are sensitive to the patients
needs at: - ANS-Discussions 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? - ANS-The 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 ? - ANS-A financial counselor or a supervisor.
