Patient Centric Revenue Cycle - Correct answer-This includes all the major processing
steps required to process a pt account from the request for service
... [Show More] 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
CRCR Exam 2023 With 100% Correct
Answers
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 answerwhat 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?
One registration record is created for multiple days of service - Correct answer-What is
recurring or series registration?
unscheduled patients - Correct answer-what are non-emergency pt who come for
service w/o prior notification to the provider called?
used to evaluate the need for an IP admission - Correct answer-Which of the following
statements apply to the Obs patient type?
physician, nursing, and pharmacy - Correct answer-which services are hospice
programs required to provide on a around-the-clock patient?q
complete the scheduling process correctly based on service requested - Correct
answer-Scheduler instructions are used to prompt the scheduler to do what?
procedure time - Correct answer-This is the time needed to prepare the patient before
services is the difference between the patients arrival time?
Documentation of the medical necessity for the test - Correct answer-Medicare
guidelines require that when a test is ordered for which an LCD (local cover
determination) or NCD (national coverage determination) exists, the info on the order
must include what?
it reduces processing times at the time of service - Correct answer-what is an
advantage of a pre-registration program?
the responsible party's full legal name, DOB, and SSN - Correct answer-what data is
required to est. a new MPI (Master patient index) entry?. [Show Less]