Hfma terms well defined Study guides, Class notes & Summaries

HFMA terms well defined

CRCR QUESTIONS AND ANSWERS 2023 Pre-Service (Step 1) 1. The patient is scheduled and pre-registered for service Pre-Service (Step 2) 2. The encounter record is generated, and the patient and guarantor information is obtained and/or updated as required. Pre-Service (Step 3) 3. The requested service is screened for medical necessity; health plan coverage and benefits are verified, and pre-authorizations are obtained. Pre-Service (Step 4) 4. The cost of the scheduled servi...

HFMA QUESTIONS WITH COMPLETE SOLUTIONS 2023 Pre Service, Time of Service, Post Service What are the 3 critical segments in the revenue cycle? Pre Service Scheduling pre access data collection What is done at time of service (clinical) Orders entered, results reported, DX and CPT coding What is done at time of service (administravive) final account review pt positively ID preregistration record activated consents signed copayments For unscheduled pt at the time of...

provider - general - Answer A party rendering medical care such as a physician or hopsital facilities provider - Answer Includes hospitals, skilled nursing facilities, assisted living facilities, home health agencies, and ambulatory centers professional provider - Answer includes physicians, pharmacists, nurses, therapists, and allied health professionals primary care - Answer primary care physicians are usually trained in family practice, general practice, general internal medi...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR 2023 What are collection agency fees based on? - CORRECT ANSWERSA percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWERSBirthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWERSCase rates What customer serv...