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CRCR Test Review; Q’s & A’s

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CRCR Test Review; Q’s & A’s Important revenue cycle activities in the pre-service stage include; Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; The amount the patient may be expected to pay after insurance. Demographic and health plan edit failures are identified and resolved within the Patient Access

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CRCR Test Review; Q’s & A’s
Important revenue cycle activities in the pre-service stage include; ✔✔Obtaining

or updating


patient and guarantor information


In the pre-service stage, the cost of the scheduled service is identified and the

patient's health


plan and benefits are used to calculate; ✔✔The amount the patient may be

expected to pay after


insurance.


Demographic and health plan edit failures are identified and resolved within the

Patient Access


area. Census activity is processed, Discharges are completed and correctly

coded. These


activities are considered ✔✔Point-of-service revenue cycle activities.


HFMA best practices call for patient financial discussions to be reinforced;

✔✔With a written


statement of the conversation

, CRCR Test Review; Q’s & A’s
HFMA's patient financial communications best practices specify that patients

should be told


about the types of services provided and; ✔✔Who participates in providing the

service, e.g.


surgeons, radiologists, etc.


The process of evaluating compliance with financial assistance policies involves;

✔✔The annual


observation, monitoring, and tracking of results for all best practices.


The account resolution clock begins when ✔✔The first statement is sent to the

patient


The soft cost of a dissatisfied customer is ✔✔The customer passing on

information about their


negative experience to potential patients or through social media channels


The hard cost of a dissatisfied customer is ✔✔loss of future revenue


When there is a request for service, scheduling staff must first ✔✔Confirm the

patients key

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