CRCR Exam Updated 2023/2024 With 100% Correct Answers (ACTUAL EXAM)

CRCR Exam Updated 2023/2024 With 100% Correct Answers (ACTUAL EXAM) Patient Centric Revenue Cycle - Correct answer-This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service - Correct answer-this is the period in which scheduling and pre-access takes place, including different steps that will be completed pre-service - Correct answer-what is it when the requested service is screened for medical necessity, health plan coverage & benefits are verified, and pre-auth is obtained scheduled patient- Time of Service - Correct answer-what is it when a final account review is completed prior to the patient's arrival? (Pre-reg record is activated, consents are signed, and co-payments and other amounts are collected) express arrival - Correct answer-pre-processed patient's can report to this, which is a desk located in a centralized access, upon their arrival . post-service - Correct answer-this includes account activities that occur after the patient is d/c until the account reaches a zero balance post-service - Correct answer-Final coding of all services, perparation and submission of claims, payment processing and balance billing are all included and finalized when? Patient Financial Communications Best Practices - Correct answer-This brings consistency, clarity, and transparency to patient financial communications Patient Financial Communications Best Practices - Correct answer-this outlines steps to help patient's understand the cost of services they receive, their insurance coverage , and their individual responsibility (review Patient Financial Comm. Best Practice document) true - Correct answer-true or false: Conversations should occur in a location and manner that are sensitive to the patient's needs timely discussions - Correct answer-this type of discussion will help ensure that patient's understand their financial obligation and that providers are aware of the patient's ability to pay guarantor - Correct answer-the person responsible for payment of the bill true - Correct answer-true or false: A financial counselor or supervisor should be involved for complex situations such as uninsured or underinsured patient's false; NO patient financial discussions should occur before a patient is screened and stabilized - Correct answer-true or false: You MUST obtain basic registration info and insurance coverage before the patient is cared for in the ED . true - Correct answer-true or false: When the provider takes the initiative to communicate financial matters with the patient, it actually take a burden off the patient. false; Technology evaluation may be performed by ANY qualified individual or organization, internal or external - Correct answer-true or false: Technology evaluation can ONLY be done by a qualified individual, internal to the facililty HFMA's Adopter Program - Correct answer-this program is a recognition for providers who implement and support the best practices are eligible and encouraged to apply Code of Conduct - Correct answer-Through what document does a hospital est. compliance standards? Identify acceptable compliance programs in various provider setting - Correct answer- what is the purpose OIG work plan? non-diagnostic services provided on Tuesday through Friday - Correct answer-If a Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule? reports a specific circumstance that affects a procedure or service without changing the code or its definition. - Correct answer-What does a modifier allow a provider to do? they must be billed separately to the Part B carrier - Correct answer-if OP diagnostic services are provided within 3 day of admission of a medicare beneficiary to an IPPS (Inpatient Prospective Payment system) hospital, what must happen?