CRCR Study 1.0-1.5

CRCR Study 1.0-1.5 What happens during the post service stage? - correct answer Final coding of all services, preparation and submission of claims, payment processing and balance billing resolution. Acc - correct answer Ambulatory care center AAR - correct answer After hours activity report 837 record - correct answer A standard electronic message between a provider and a health plan sending data on a claim to the health plan. 835 record - correct answer A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. Accountable care organization - correct answer 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? - correct answer Price transparency, patient financial communications, and medical account resolution. What are the 3 best practices of patient financial communications? - correct answer Consistency, clarity, and transparency. Conversations should occur in a location and manner that are sensitive to the patients needs at: - correct answer 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? - correct answer 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 ? - correct answer A financial counselor or a supervisor. Individuals and small businesses can compare and purchase qualified health benefit plans because of the? - correct answer Health insurance exchange act price transparency - correct answer Taking the charge for service based on CPT or MS-DRG code and applying a hospitals payer contract terms and the patients benefit plan to the charges to determine an accurate patient liability. Medical account resolution best practices are : - correct answer Educate, bills, policies, consistency, coordinate, judgement, timing, and report and track. Best practices established by the medical debt task force - correct answer Follow best practices for communication, educate patients, be consistent in key aspects of account resolution, and coordinate to avoid duplicate patient contacts. Which is not a main HFMA healthcare dollars and sense revenue cycle initiative? - correct answer Process compliance UB-04 - correct answer Uniform billing form 04 also know as form HCFA-1450; document using uniformly established coding systems agreed to by the national uniform billing committee to bill institutional services HCAHPS survey objective - correct answer To Provide a standardized method for evaluating patients perspectives on hospital care. Hard cost - correct answer Loss of future revenue Soft cost - correct answer Customer passing on negative information which may deter others from using our facilities/services (in person and/or social media communication) CMS - correct answer Center for Medicare and Medicaid services HCAHPS - correct answer Hospital Consumer Assessment of Healthcare Providers and Systems Team members role in patient satisfaction includes: - correct answer Implement, educate and communicate True or False: - correct answer Data transfer/sharing interfaces may be used to allow data flow between software applications, to support clinical and financial functions and reporting? What enables healthcare providers to enhance a patients experiences through efficient scheduling, tracking and reporting? - correct answer Information technology