Crcr Study 1.0-1.5 With Complete Solutions|100% Pass

What happens during the post service stage? Final coding of all services, preparation and submission of claims, payment processing and balance billing resolution. Acc Ambulatory care center 00:14 01:25 AAR After hours activity report 837 record A standard electronic message between a provider and a health plan sending data on a claim to the health plan. 835 record A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. Accountable care organization 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? Price transparency, patient financial communications, and medical account resolution. What are the 3 best practices of patient financial communications? Consistency, clarity, and transparency. Conversations should occur in a location and manner that are sensitive to the patients needs at: 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? 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 ? A financial counselor or a supervisor. Individuals and small businesses can compare and purchase qualified health benefit plans because of the? Health insurance exchange act 00:02 01:25 price transparency 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 : Educate, bills, policies, consistency, coordinate, judgement, timing, and report and track. Best practices established by the medical debt task force 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? Process compliance UB-04 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 To Provide a standardized method for evaluating patients perspectives on hospital care. Hard cost Loss of future revenue Soft cost Customer passing on negative information which may deter others from using our facilities/services (in person and/or social media communication) CMS Center for Medicare and Medicaid services HCAHPS Hospital Consumer Assessment of Healthcare Providers and Systems Team members role in patient satisfaction includes: Implement, educate and communicate True or False: 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? Information technology Which option is NOT a department that supports and collaborates with the revenue cycle? Assisted living services Finance in information technology Provides analysis and reporting to ensure compliance.