HFMA CRCR Exam with 100% Correct Answers
2023 CORRECT AND VERIFIED
ANSWERS)|ALREADY GRADED A+
Through what document does a hospital establish compliance
standards? - Correct answer-code of conduct
what is a recurring or series registration? - Correct answer-One
registration record is created for multiple days of service
What are nonemergency patients who come for service without prior
notification to the provider called? - Correct answer-Unscheduled
patients
Which of the following statement apply to the observation
patient type? - Correct answer-It is used to evaluate the need for
an inpatient admission
which services are hospice programs required to provide around
the clock patient - Correct answer-Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what?
- Correct answer- Complete the scheduling process correctly based
on service requeste
The Time needed to prepare the patient before service is the
difference between the patients arrival time and which of the
following? - Correct answer-Procedure time
Medicare guidelines require that when a test is ordered for a LCD or
NCD exists, the information provided on the order must include: -
Correct answer-Documentation of the medical necessity for the test
,What is the advantage of a pre-registration program - Correct
answer-It reduces processing times at the time of service
What date are required to establish a new MPI(Master patient Index)
entry - Correct answer-The responsible party's full legal name, date of
birth, and social security number
Which of the following statements is true about third-party payments?
- Correct answer- The payments are received by the provider from the
payer responsible for reimbursing the provider for the patient's
covered services.
Which provision protects the patient from medical expenses that
exceed the pre-set level - Correct answer-stop loss
what documentation must a primary care physician send to HMO
patient to authorize a visit to a specialist for additional testing or care?
- Correct answer-Referral
Under EMTALA (Emergency Medical Treatment and Labor Act)
regulations, the provider may not ask about a patient's insurance
information if it would delay what? - Correct answer-Medical
screening and stabilizing treatment
Which of the following is a step in the discharge process? - Correct
answer-Have a case management service complete the discharge plan
The hospital has a APC based contract for the payment of outpatient
services. Total anticipated charges for the visit are $2,380. The
approved APC payment rate is $780. Where will the patients benefit
package be applied? - Correct answer-To the approved APC
payment rate
A patient has met the $200 individual deductible and $900 of the
$1000 co-insurance responsibility. The co-insurance rate is 20%.
The estimated insurance plan responsibility is $1975.00. What
amount of coinsurance is due from the patient? - Correct answer-
$100.00
, When is a patient considered to be medically indigent? - Correct
answer-The patient's outstanding medical bills exceed a defined
dollar amount or percentage of assets.
What patient assets are considered in the financial assistance
application? - Correct answer-Sources of readily available funds ,
vehicles, campers, boats and saving accounts
If the patient cannot agree to payment arrangements, What is the next
option? - Correct answer-Warn the patient that unpaid accounts are
placed with collection agencies for further processing
2023 CORRECT AND VERIFIED
ANSWERS)|ALREADY GRADED A+
Through what document does a hospital establish compliance
standards? - Correct answer-code of conduct
what is a recurring or series registration? - Correct answer-One
registration record is created for multiple days of service
What are nonemergency patients who come for service without prior
notification to the provider called? - Correct answer-Unscheduled
patients
Which of the following statement apply to the observation
patient type? - Correct answer-It is used to evaluate the need for
an inpatient admission
which services are hospice programs required to provide around
the clock patient - Correct answer-Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what?
- Correct answer- Complete the scheduling process correctly based
on service requeste
The Time needed to prepare the patient before service is the
difference between the patients arrival time and which of the
following? - Correct answer-Procedure time
Medicare guidelines require that when a test is ordered for a LCD or
NCD exists, the information provided on the order must include: -
Correct answer-Documentation of the medical necessity for the test
,What is the advantage of a pre-registration program - Correct
answer-It reduces processing times at the time of service
What date are required to establish a new MPI(Master patient Index)
entry - Correct answer-The responsible party's full legal name, date of
birth, and social security number
Which of the following statements is true about third-party payments?
- Correct answer- The payments are received by the provider from the
payer responsible for reimbursing the provider for the patient's
covered services.
Which provision protects the patient from medical expenses that
exceed the pre-set level - Correct answer-stop loss
what documentation must a primary care physician send to HMO
patient to authorize a visit to a specialist for additional testing or care?
- Correct answer-Referral
Under EMTALA (Emergency Medical Treatment and Labor Act)
regulations, the provider may not ask about a patient's insurance
information if it would delay what? - Correct answer-Medical
screening and stabilizing treatment
Which of the following is a step in the discharge process? - Correct
answer-Have a case management service complete the discharge plan
The hospital has a APC based contract for the payment of outpatient
services. Total anticipated charges for the visit are $2,380. The
approved APC payment rate is $780. Where will the patients benefit
package be applied? - Correct answer-To the approved APC
payment rate
A patient has met the $200 individual deductible and $900 of the
$1000 co-insurance responsibility. The co-insurance rate is 20%.
The estimated insurance plan responsibility is $1975.00. What
amount of coinsurance is due from the patient? - Correct answer-
$100.00
, When is a patient considered to be medically indigent? - Correct
answer-The patient's outstanding medical bills exceed a defined
dollar amount or percentage of assets.
What patient assets are considered in the financial assistance
application? - Correct answer-Sources of readily available funds ,
vehicles, campers, boats and saving accounts
If the patient cannot agree to payment arrangements, What is the next
option? - Correct answer-Warn the patient that unpaid accounts are
placed with collection agencies for further processing
