HFMA CRCR exam 2025 with 100% correct
@hx @hx @hx @hx @hx @hx
answers
@hx
Through @hxwhat @hxdocument @hxdoes @hxa @hxhospital @hxestablish @hxcompliance @hxstandards? @ h x ✔Ans✔ @hxcode @hxof
@hxconduct
What @hxis @hxthe @hxpurpose @hxOIG @hxwork @hxplant? @hx✔Ans✔ @hxIdentify @hxAcceptable @hxcompliance
@hxprograms @hxin @hxvarious @hxprovider @hxsetting
If @hxa @hxMedicare @hxpatient @hxis @hxadmitted @hxon @hxFriday, @hxwhat @hxservices @hxfall @hxwithin @hxthe @hxthree-day @hxDRG
@hxwindow @hxrule?
✔Ans✔ @hxNon-diagnostic @hxservice @hxprovided @hxon @hxTuesday @hxthrough @hxFriday
What @hxdoes @hxa @hxmodifier @hxallow @hxa @hxprovider @hxto @hxdo? @hx✔Ans✔ @hxReport @hxa @hxspecific
@hxcircumstance @hxthat @hxaffected @hxa @hxprocedure @hxor @hxservice @hxwithout @hxchanging @hxthe @hxcode @hxor
@hxits @hxdefinition
IF @hxoutpatient @hxdiagnostic @hxservices @hxare @hxprovided @hxwithin @hxthree @hxdays @hxof @hxthe @hxadmission
@hxof @hxa @hxMedicare @hxbeneficiary @hxto @hxan @hxIPPS @hx(Inpatient @hxProspective @hxPayment @hxSystem)
@hxhospital, @hxwhat @hxmust @hxhappen @hxto @hxthese @hxcharges @ h x ✔Ans✔ @hxThey @hxmust @hxbe @hxbilled
@hxseparately @hxto @hxthe @hxpart @hxB @hxCarrier
what @hxis @hxa @hxrecurring @hxor @hxseries @hxregistration? @hx✔Ans✔ @hxOne @hxregistration @hxrecord @hxis @hxcreated
@hxfor @hxmultiple @hxdays @hxof @hxservice
What @hxare @hxnonemergency @hxpatients @hxwho @hxcome @hxfor @hxservice @hxwithout @hxprior @hxnotification @hxto @hxthe
@hxprovider @hxcalled?
✔Ans✔ @hxUnscheduled @hx patients
Which @hxof @hxthe @hxfollowing @hxstatement @hxapply @hxto @hxthe @hxobservation @hxpatient @hxtype? @hx✔Ans✔ @hxIt
@hxis @hxused @hxto @hxevaluate @hxthe @hxneed @hxfor @hxan @hxinpatient @hxadmission
which @hxservices @hxare @hxhospice @hxprograms @hxrequired @hxto @hxprovide @hxaround @hxthe @hxclock @hxpatient
@ h x ✔Ans✔ @hxPhysician, @hxNursing, @hxPharmacy
,Scheduler @hxinstructions @hxare @hxused @hxto @hxprompt @hxthe @hxscheduler @hxto @hxdo @hxwhat? @hx✔Ans✔
@hxComplete @hxthe @hxscheduling @hxprocess @hxcorrectly @hxbased @hxon @hxservice @hxrequeste
, The Time needed to prepare the patient before service is the difference between the patients arrival
time and which of the following? ✔Ans✔ 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: ✔Ans✔ Documentation of the medical necessity for the test
What is the advantage of a pre-registration program ✔Ans✔ It reduces processing times at the time of
service
What date are required to establish a new MPI(Master patient Index) entry ✔Ans✔ 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? ✔Ans✔ 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 ✔Ans✔ 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? ✔Ans✔ 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? ✔Ans✔ Medical screening and
stabilizing treatment
Which of the following is a step in the discharge process? ✔Ans✔ 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? ✔Ans✔ To the approved APC payment rate
@hx @hx @hx @hx @hx @hx
answers
@hx
Through @hxwhat @hxdocument @hxdoes @hxa @hxhospital @hxestablish @hxcompliance @hxstandards? @ h x ✔Ans✔ @hxcode @hxof
@hxconduct
What @hxis @hxthe @hxpurpose @hxOIG @hxwork @hxplant? @hx✔Ans✔ @hxIdentify @hxAcceptable @hxcompliance
@hxprograms @hxin @hxvarious @hxprovider @hxsetting
If @hxa @hxMedicare @hxpatient @hxis @hxadmitted @hxon @hxFriday, @hxwhat @hxservices @hxfall @hxwithin @hxthe @hxthree-day @hxDRG
@hxwindow @hxrule?
✔Ans✔ @hxNon-diagnostic @hxservice @hxprovided @hxon @hxTuesday @hxthrough @hxFriday
What @hxdoes @hxa @hxmodifier @hxallow @hxa @hxprovider @hxto @hxdo? @hx✔Ans✔ @hxReport @hxa @hxspecific
@hxcircumstance @hxthat @hxaffected @hxa @hxprocedure @hxor @hxservice @hxwithout @hxchanging @hxthe @hxcode @hxor
@hxits @hxdefinition
IF @hxoutpatient @hxdiagnostic @hxservices @hxare @hxprovided @hxwithin @hxthree @hxdays @hxof @hxthe @hxadmission
@hxof @hxa @hxMedicare @hxbeneficiary @hxto @hxan @hxIPPS @hx(Inpatient @hxProspective @hxPayment @hxSystem)
@hxhospital, @hxwhat @hxmust @hxhappen @hxto @hxthese @hxcharges @ h x ✔Ans✔ @hxThey @hxmust @hxbe @hxbilled
@hxseparately @hxto @hxthe @hxpart @hxB @hxCarrier
what @hxis @hxa @hxrecurring @hxor @hxseries @hxregistration? @hx✔Ans✔ @hxOne @hxregistration @hxrecord @hxis @hxcreated
@hxfor @hxmultiple @hxdays @hxof @hxservice
What @hxare @hxnonemergency @hxpatients @hxwho @hxcome @hxfor @hxservice @hxwithout @hxprior @hxnotification @hxto @hxthe
@hxprovider @hxcalled?
✔Ans✔ @hxUnscheduled @hx patients
Which @hxof @hxthe @hxfollowing @hxstatement @hxapply @hxto @hxthe @hxobservation @hxpatient @hxtype? @hx✔Ans✔ @hxIt
@hxis @hxused @hxto @hxevaluate @hxthe @hxneed @hxfor @hxan @hxinpatient @hxadmission
which @hxservices @hxare @hxhospice @hxprograms @hxrequired @hxto @hxprovide @hxaround @hxthe @hxclock @hxpatient
@ h x ✔Ans✔ @hxPhysician, @hxNursing, @hxPharmacy
,Scheduler @hxinstructions @hxare @hxused @hxto @hxprompt @hxthe @hxscheduler @hxto @hxdo @hxwhat? @hx✔Ans✔
@hxComplete @hxthe @hxscheduling @hxprocess @hxcorrectly @hxbased @hxon @hxservice @hxrequeste
, The Time needed to prepare the patient before service is the difference between the patients arrival
time and which of the following? ✔Ans✔ 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: ✔Ans✔ Documentation of the medical necessity for the test
What is the advantage of a pre-registration program ✔Ans✔ It reduces processing times at the time of
service
What date are required to establish a new MPI(Master patient Index) entry ✔Ans✔ 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? ✔Ans✔ 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 ✔Ans✔ 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? ✔Ans✔ 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? ✔Ans✔ Medical screening and
stabilizing treatment
Which of the following is a step in the discharge process? ✔Ans✔ 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? ✔Ans✔ To the approved APC payment rate
