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Exam (elaborations)

HFMA CRCR Certification (Latest 2025/2026 Update) Questions with Verified Answers | 100% Correct| Graded A.

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What service provided to a Medicare beneficiary in a rural health clinic(RHC) is not billable as an RHC service? Inpatient care What code indicates the disposition of the patient at the conclusion of service? Patient discharge status code What are hospitals required to do for Medicare credit balance accounts? They result in lost reimbursement and additional cost to collect. When an undue delay of payment results from a dispute between the patient and the third party payer, who is responsible for payment? Patient With advances in internet security and encryption, revenue-cycle processes are expanding to allow patients to do what? Access their information and perform functions on-line What date is required on all CMS 1500 claim forms? onset date of current illness What code is used to report the provider's most common semiprivate room rate? Condition code Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday

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HFMA CRCR
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Institution
HFMA CRCR
Course
HFMA CRCR

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Uploaded on
January 24, 2025
Number of pages
30
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

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HFMA CRCR Certification (Latest 2025/2026
i,- i,- i,- i,- i,-




Update) Questions with Verified Answers | i,- i,- i,- i,- i,- i,-




100% Correct| Graded A. i,- i,- i,-




What service provided to a Medicare beneficiary in a rural health
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



clinic(RHC) is not billable as an RHC service?
i,-Inpatient care
i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-




What code indicates the disposition of the patient at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



conclusion of service? Patient discharge status code
i,- i,- i,-i,- i,- i,- i,- i,-




What are hospitals required to do for Medicare credit balance
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



accounts? They result in lost reimbursement and additional
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



cost to collect.
i,- i,-




When an undue delay of payment results from a dispute between
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the patient and the third party payer, who is responsible for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



payment? Patient i,-i,- i,-




With advances in internet security and encryption, revenue-cycle
i,- i,- i,- i,- i,- i,- i,- i,-



processes are expanding to allow patients to do what?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



Access their information and perform functions on-line
i,- i,- i,- i,- i,- i,-

,What date is required on all CMS 1500 claim forms?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- onset i,-



date of current illness
i,- i,- i,-




What code is used to report the provider's most common
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



semiprivate room rate? Condition code i,- i,- i,-i,- i,- i,-




Through what document does a hospital establish compliance
i,- i,- i,- i,- i,- i,- i,- i,-



standards? code of conduct i,-i,- i,- i,- i,-




What is the purpose OIG work plant?
i,- Identify Acceptable
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-



compliance programs in various provider setting i,- i,- i,- i,- i,-




If a Medicare patient is admitted on Friday, what services fall
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



within the three-day DRG window rule?
i,- Non-diagnostic
i,- i,- i,- i,- i,-i,- i,- i,-



service provided on Tuesday through Friday
i,- i,- i,- i,- i,-




What does a modifier allow a provider to do?
i,- Report a i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-



specific circumstance that affected a procedure or service without
i,- i,- i,- i,- i,- i,- i,- i,- i,-



changing the code or its definition i,- i,- i,- i,- i,-




IF outpatient diagnostic services are provided within three days of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the admission of a Medicare beneficiary to an IPPS (Inpatient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Prospective Payment System) hospital, what must happen to i,- i,- i,- i,- i,- i,- i,- i,-

, these chargesi,- i,-i,- i,- They must be billed separately to the part B
i,- i,- i,- i,- i,- i,- i,- i,- i,-



Carrier


what is a recurring or series registration?
i,- i,- i,- One registration i,- i,- i,- i,-i,- i,- i,- i,-



record is created for multiple days of service
i,- i,- i,- i,- i,- i,- i,-




What are nonemergency patients who come for service without
i,- i,- i,- i,- i,- i,- i,- i,- i,-



prior notification to the provider called?
i,- Unscheduled patients i,- i,- i,- i,- i,-i,- i,- i,-




Which of the following statement apply to the observation
i,- i,- i,- i,- i,- i,- i,- i,- i,-



patient type? It is used to evaluate the need for an inpatient
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



admission


which services are hospice programs required to provide around
i,- i,- i,- i,- i,- i,- i,- i,- i,-



the clock patient
i,- Physician, Nursing, Pharmacy
i,- i,-i,- i,- i,- i,-




Scheduler instructions are used to prompt the scheduler to do
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



what? Complete the scheduling process correctly based on
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



service requeste i,-




The Time needed to prepare the patient before service is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



difference between the patients arrival time and which of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



following? Procedure time i,-i,- i,- i,-

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