CRCR HFMA CERTIFICATION EXAM | QUESTIONS AND ANSWERS
| VERIFIED AND WELL DETAILED ANSWERS | ALREADY GRADED
A+ | LATEST UPDATE
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - CORRECT ANSWER - The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - CORRECT
ANSWER - Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - CORRECT ANSWER - Respect the patients privacy
A nightly room charge will be incorrect if the patient's - CORRECT ANSWER
- Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - CORRECT
ANSWER - Purchase qualified health benefit plans regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - CORRECT ANSWER - Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - CORRECT ANSWER - Revenue codes
,This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system. This
directive is called - CORRECT ANSWER - Patient bill of rights
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis
is known as - CORRECT ANSWER - Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? - CORRECT ANSWER - Registration staff may
routinely contact managed are plans for prior authorizations before the patient is
seen by the on-duty physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's are
assigned by - CORRECT ANSWER - The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - CORRECT ANSWER - Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
CORRECT ANSWER - Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by - CORRECT ANSWER -
The creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and
the expansion of Medicaid in some states, it is more important than ever for
hospitals to - CORRECT ANSWER - Assist patients in understanding their
insurance coverage and their financial obligation
, The purpose of a financial report is to: - CORRECT ANSWER - Present
financial information to decision makers
Patient financial communications best practices produce communications that
are - CORRECT ANSWER - Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish -
CORRECT ANSWER - What services or healthcare items are covered under
Medicare
Any provider that has filed a timely cost report may appeal an adverse final
decision received from the Medicare Administrative Contractor (MAC). This
appeal may be filed with - CORRECT ANSWER - The Provider
Reimbursement Review Board
Concurrent review and discharge planning - CORRECT ANSWER - Occurs
during service
Duplicate payments occur: - CORRECT ANSWER - When providers re-bill
claims based on nonpayment from the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the government's
claim determination is entitled to reconsideration of the decision. This type of
appeal is known as - CORRECT ANSWER - A beneficiary appeal
Insurance verification results in which of the following - CORRECT
ANSWER - The accurate identification of the patient's eligibility and benefits
| VERIFIED AND WELL DETAILED ANSWERS | ALREADY GRADED
A+ | LATEST UPDATE
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - CORRECT ANSWER - The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - CORRECT
ANSWER - Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - CORRECT ANSWER - Respect the patients privacy
A nightly room charge will be incorrect if the patient's - CORRECT ANSWER
- Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - CORRECT
ANSWER - Purchase qualified health benefit plans regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - CORRECT ANSWER - Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - CORRECT ANSWER - Revenue codes
,This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system. This
directive is called - CORRECT ANSWER - Patient bill of rights
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis
is known as - CORRECT ANSWER - Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? - CORRECT ANSWER - Registration staff may
routinely contact managed are plans for prior authorizations before the patient is
seen by the on-duty physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's are
assigned by - CORRECT ANSWER - The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - CORRECT ANSWER - Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
CORRECT ANSWER - Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by - CORRECT ANSWER -
The creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and
the expansion of Medicaid in some states, it is more important than ever for
hospitals to - CORRECT ANSWER - Assist patients in understanding their
insurance coverage and their financial obligation
, The purpose of a financial report is to: - CORRECT ANSWER - Present
financial information to decision makers
Patient financial communications best practices produce communications that
are - CORRECT ANSWER - Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish -
CORRECT ANSWER - What services or healthcare items are covered under
Medicare
Any provider that has filed a timely cost report may appeal an adverse final
decision received from the Medicare Administrative Contractor (MAC). This
appeal may be filed with - CORRECT ANSWER - The Provider
Reimbursement Review Board
Concurrent review and discharge planning - CORRECT ANSWER - Occurs
during service
Duplicate payments occur: - CORRECT ANSWER - When providers re-bill
claims based on nonpayment from the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the government's
claim determination is entitled to reconsideration of the decision. This type of
appeal is known as - CORRECT ANSWER - A beneficiary appeal
Insurance verification results in which of the following - CORRECT
ANSWER - The accurate identification of the patient's eligibility and benefits
