d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
HFMA CRCR questions and answers 100%
d d d d d
guaranteed success.
d d d
d
d
d
d
d
d
d
d
Through dwhat ddocument ddoes da dhospital destablish dcompliance dstandards? d- d
dcorrect d
d
answer. d d dcode dof
dconduct
d
What dis dthe dpurpose dOIG dwork dplant? d- d dcorrect danswer. d d d Identify
dAcceptable d
d
compliance dprograms din dvarious dprovider
dsetting
d
If da dMedicare dpatient dis dadmitted don dFriday, dwhat dservices dfall dwithin dthe dthree-day
dDRG d
window drule? d- d dcorrect danswer. d d dNon-diagnostic dservice dprovided don dTuesday
dthrough
d
Friday
d
What ddoes da dmodifier dallow da dprovider dto ddo? d- d dcorrect danswer. d d dReport da
dspecific d
circumstance dthat daffected da dprocedure dor dservice dwithout dchanging dthe dcode
dor dits d
d
definition
d
d
IF doutpatient ddiagnostic dservices dare dprovided dwithin dthree ddays dof dthe dadmission
dof da
Medicare dbeneficiary dto dan dIPPS d(Inpatient dProspective dPayment dSystem) dhospital,
dwhat d
must dhappen dto dthese dcharges d- d dcorrect danswer. d d dThey dmust dbe dbilled dseparately
dto dthe d
, d
part d B
dCarrier
d
what dis da drecurring dor dseries dregistration? d- d d correct danswer. d d d One dregistration
drecord dis d
d
created dfor dmultiple ddays dof
dservice
d
What dare dnonemergency dpatients dwho dcome dfor dservice dwithout dprior dnotification dto
dthe d
d
provider dcalled? d- d dcorrect danswer. d d dUnscheduled
dpatients
d
Which dof dthe dfollowing dstatement dapply dto dthe dobservation dpatient dtype? d- d
dcorrect d
d
answer. d d dIt dis dused dto devaluate dthe dneed dfor dan dinpatient
dadmission
d
which dservices dare dhospice dprograms drequired dto dprovide daround dthe dclock
dpatient d-
d
correct danswer. d d dPhysician, dNursing,
dPharmacy
d
Scheduler dinstructions dare dused dto dprompt dthe dscheduler dto ddo dwhat? d- d dcorrect
danswer. d d d
d
Complete dthe dscheduling dprocess dcorrectly dbased don dservice
drequeste
d
The dTime dneeded dto dprepare dthe dpatient dbefore dservice dis dthe ddifference dbetween
dthe dpatients darrival dtime dand dwhich dof dthe dfollowing? d- d dcorrect danswer. d d
dProcedure dtime d
d
Medicare dguidelines drequire dthat dwhen da dtest dis dordered dfor da dLCD dor dNCD dexists,
dthe dinformation dprovided don dthe dorder dmust dinclude: d- d dcorrect danswer. d d
dDocumentation dof dthe dmedical dnecessity dfor dthe dtest d
d
What dis dthe dadvantage dof da dpre-registration dprogram d- d d correct danswer. d d d It
dreduces d
d
processing dtimes dat dthe dtime dof
dservice
d
What ddate dare drequired dto destablish da dnew dMPI(Master dpatient dIndex) dentry d- d
dcorrect d
d
answer. d d dThe dresponsible dparty's dfull dlegal dname, ddate dof dbirth, dand dsocial
dsecurity
d
number
d
, Which dof dthe dfollowing dstatements dis dtrue dabout dthird-party dpayments? d- d dcorrect
danswer. d d dThe dpayments dare dreceived dby dthe dprovider dfrom dthe dpayer dresponsible
dfor dreimbursing dthe dprovider dfor dthe dpatient's dcovered dservices. d
d
Which dprovision dprotects dthe dpatient dfrom dmedical dexpenses dthat dexceed dthe
dpre-set d
d
level d- d dcorrect danswer. d d dstop
dloss
d
what ddocumentation dmust da dprimary dcare dphysician dsend dto dHMO dpatient dto
dauthorize da d
d
visit dto da dspecialist dfor dadditional dtesting dor dcare? d- d dcorrect danswer. d d
dReferral
d
Under dEMTALA d(Emergency dMedical dTreatment dand dLabor dAct) dregulations, dthe
dprovider dmay dnot dask dabout da dpatient's dinsurance dinformation dif dit dwould ddelay
dwhat? d- d dcorrect danswer. d d dMedical dscreening dand dstabilizing dtreatment d
d
Which dof dthe dfollowing dis da dstep din dthe ddischarge dprocess? d- d dcorrect danswer. d d
dHave da d
d
case dmanagement dservice dcomplete dthe ddischarge
dplan
d
The dhospital dhas da dAPC dbased dcontract dfor dthe dpayment dof doutpatient dservices.
dTotal danticipated dcharges dfor dthe dvisit dare d$2,380. dThe dapproved dAPC dpayment drate
dis d$780. dWhere dwill dthe dpatients dbenefit dpackage dbe dapplied? d- d dcorrect danswer. d d
dTo dthe dapproved dAPC dpayment drate d
d
A dpatient dhas dmet dthe d$200 dindividual ddeductible dand d$900 dof dthe d$1000 dco-
insurance d
d
responsibility. dThe dco-insurance drate dis d20%. dThe destimated dinsurance
dplan
d d
responsibility dis d$1975.00. dWhat damount dof dcoinsurance dis ddue dfrom dthe
dpatient? d-
d
correct danswer. d d
d$100.00
d
When dis da dpatient dconsidered dto dbe dmedically dindigent? d- d dcorrect danswer. d d dThe
dpatient's d
d
outstanding dmedical dbills dexceed da ddefined ddollar damount dor dpercentage dof
dassets.
d
What dpatient dassets dare dconsidered din dthe dfinancial dassistance dapplication? d- d
dcorrect d
d
answer. d d dSources dof dreadily davailable dfunds d, dvehicles, dcampers, dboats dand
dsaving
d
accounts
d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
d
HFMA CRCR questions and answers 100%
d d d d d
guaranteed success.
d d d
d
d
d
d
d
d
d
d
Through dwhat ddocument ddoes da dhospital destablish dcompliance dstandards? d- d
dcorrect d
d
answer. d d dcode dof
dconduct
d
What dis dthe dpurpose dOIG dwork dplant? d- d dcorrect danswer. d d d Identify
dAcceptable d
d
compliance dprograms din dvarious dprovider
dsetting
d
If da dMedicare dpatient dis dadmitted don dFriday, dwhat dservices dfall dwithin dthe dthree-day
dDRG d
window drule? d- d dcorrect danswer. d d dNon-diagnostic dservice dprovided don dTuesday
dthrough
d
Friday
d
What ddoes da dmodifier dallow da dprovider dto ddo? d- d dcorrect danswer. d d dReport da
dspecific d
circumstance dthat daffected da dprocedure dor dservice dwithout dchanging dthe dcode
dor dits d
d
definition
d
d
IF doutpatient ddiagnostic dservices dare dprovided dwithin dthree ddays dof dthe dadmission
dof da
Medicare dbeneficiary dto dan dIPPS d(Inpatient dProspective dPayment dSystem) dhospital,
dwhat d
must dhappen dto dthese dcharges d- d dcorrect danswer. d d dThey dmust dbe dbilled dseparately
dto dthe d
, d
part d B
dCarrier
d
what dis da drecurring dor dseries dregistration? d- d d correct danswer. d d d One dregistration
drecord dis d
d
created dfor dmultiple ddays dof
dservice
d
What dare dnonemergency dpatients dwho dcome dfor dservice dwithout dprior dnotification dto
dthe d
d
provider dcalled? d- d dcorrect danswer. d d dUnscheduled
dpatients
d
Which dof dthe dfollowing dstatement dapply dto dthe dobservation dpatient dtype? d- d
dcorrect d
d
answer. d d dIt dis dused dto devaluate dthe dneed dfor dan dinpatient
dadmission
d
which dservices dare dhospice dprograms drequired dto dprovide daround dthe dclock
dpatient d-
d
correct danswer. d d dPhysician, dNursing,
dPharmacy
d
Scheduler dinstructions dare dused dto dprompt dthe dscheduler dto ddo dwhat? d- d dcorrect
danswer. d d d
d
Complete dthe dscheduling dprocess dcorrectly dbased don dservice
drequeste
d
The dTime dneeded dto dprepare dthe dpatient dbefore dservice dis dthe ddifference dbetween
dthe dpatients darrival dtime dand dwhich dof dthe dfollowing? d- d dcorrect danswer. d d
dProcedure dtime d
d
Medicare dguidelines drequire dthat dwhen da dtest dis dordered dfor da dLCD dor dNCD dexists,
dthe dinformation dprovided don dthe dorder dmust dinclude: d- d dcorrect danswer. d d
dDocumentation dof dthe dmedical dnecessity dfor dthe dtest d
d
What dis dthe dadvantage dof da dpre-registration dprogram d- d d correct danswer. d d d It
dreduces d
d
processing dtimes dat dthe dtime dof
dservice
d
What ddate dare drequired dto destablish da dnew dMPI(Master dpatient dIndex) dentry d- d
dcorrect d
d
answer. d d dThe dresponsible dparty's dfull dlegal dname, ddate dof dbirth, dand dsocial
dsecurity
d
number
d
, Which dof dthe dfollowing dstatements dis dtrue dabout dthird-party dpayments? d- d dcorrect
danswer. d d dThe dpayments dare dreceived dby dthe dprovider dfrom dthe dpayer dresponsible
dfor dreimbursing dthe dprovider dfor dthe dpatient's dcovered dservices. d
d
Which dprovision dprotects dthe dpatient dfrom dmedical dexpenses dthat dexceed dthe
dpre-set d
d
level d- d dcorrect danswer. d d dstop
dloss
d
what ddocumentation dmust da dprimary dcare dphysician dsend dto dHMO dpatient dto
dauthorize da d
d
visit dto da dspecialist dfor dadditional dtesting dor dcare? d- d dcorrect danswer. d d
dReferral
d
Under dEMTALA d(Emergency dMedical dTreatment dand dLabor dAct) dregulations, dthe
dprovider dmay dnot dask dabout da dpatient's dinsurance dinformation dif dit dwould ddelay
dwhat? d- d dcorrect danswer. d d dMedical dscreening dand dstabilizing dtreatment d
d
Which dof dthe dfollowing dis da dstep din dthe ddischarge dprocess? d- d dcorrect danswer. d d
dHave da d
d
case dmanagement dservice dcomplete dthe ddischarge
dplan
d
The dhospital dhas da dAPC dbased dcontract dfor dthe dpayment dof doutpatient dservices.
dTotal danticipated dcharges dfor dthe dvisit dare d$2,380. dThe dapproved dAPC dpayment drate
dis d$780. dWhere dwill dthe dpatients dbenefit dpackage dbe dapplied? d- d dcorrect danswer. d d
dTo dthe dapproved dAPC dpayment drate d
d
A dpatient dhas dmet dthe d$200 dindividual ddeductible dand d$900 dof dthe d$1000 dco-
insurance d
d
responsibility. dThe dco-insurance drate dis d20%. dThe destimated dinsurance
dplan
d d
responsibility dis d$1975.00. dWhat damount dof dcoinsurance dis ddue dfrom dthe
dpatient? d-
d
correct danswer. d d
d$100.00
d
When dis da dpatient dconsidered dto dbe dmedically dindigent? d- d dcorrect danswer. d d dThe
dpatient's d
d
outstanding dmedical dbills dexceed da ddefined ddollar damount dor dpercentage dof
dassets.
d
What dpatient dassets dare dconsidered din dthe dfinancial dassistance dapplication? d- d
dcorrect d
d
answer. d d dSources dof dreadily davailable dfunds d, dvehicles, dcampers, dboats dand
dsaving
d
accounts
d
