{"id":113686,"date":"2023-08-16T03:10:28","date_gmt":"2023-08-16T03:10:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113686"},"modified":"2023-08-16T03:10:30","modified_gmt":"2023-08-16T03:10:30","slug":"hfma-crcr-exam-latest-2023-2024-exam-170-questions-and-correct-answersverified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/hfma-crcr-exam-latest-2023-2024-exam-170-questions-and-correct-answersverified-answers\/","title":{"rendered":"HFMA CRCR EXAM LATEST 2023-2024 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)"},"content":{"rendered":"\n<p>HFMA CRCR EXAM LATEST 2023-2024<br>EXAM 170+ QUESTIONS AND CORRECT<br>ANSWERS(VERIFIED ANSWERS)<br>IF outpatient diagnostic services are provided within three days of the<br>admission of a Medicare beneficiary to an IPPS (Inpatient Prospective<br>Payment System) hospital, what must happen to these charges &#8211;<br>ANSWER- They must be billed separately to the part B Carrier<br>what is a recurring or series registration? &#8211; ANSWER- One registration<br>record is created for multiple days of service<br>What are nonemergency patients who come for service without prior<br>notification to the provider called? &#8211; ANSWER- Unscheduled patients<br>Which of the following statement apply to the observation patient type?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ANSWER- It is used to evaluate the need for an inpatient admission<br>which services are hospice programs required to provide around the<br>clock patient &#8211; ANSWER- Physician, Nursing, Pharmacy<br>Scheduler instructions are used to prompt the scheduler to do what? &#8211;<br>ANSWER- Complete the scheduling process correctly based on service<br>requeste<br>The Time needed to prepare the patient before service is the difference<br>between the patients arrival time and which of the following? &#8211;<br>ANSWER- Procedure time<\/li>\n<\/ul>\n\n\n\n<p>Medicare guidelines require that when a test is ordered for a LCD or<br>NCD exists, the information provided on the order must include: &#8211;<br>ANSWER- Documentation of the medical necessity for the test<br>What is the advantage of a pre-registration program &#8211; ANSWER- It<br>reduces processing times at the time of service<br>What date are required to establish a new MPI(Master patient Index)<br>entry &#8211; ANSWER- The responsible party&#8217;s full legal name, date of birth,<br>and social security number<br>Which of the following statements is true about third-party payments? &#8211;<br>ANSWER- The payments are received by the provider from the payer<br>responsible for reimbursing the provider for the patient&#8217;s covered<br>services.<br>Which provision protects the patient from medical expenses that exceed<br>the pre-set level &#8211; ANSWER- stop loss<br>what documentation must a primary care physician send to HMO patient<br>to authorize a visit to a specialist for additional testing or care? &#8211;<br>ANSWER- Referral<br>Under EMTALA (Emergency Medical Treatment and Labor Act)<br>regulations, the provider may not ask about a patient&#8217;s insurance<br>information if it would delay what? &#8211; ANSWER- Medical screening and<br>stabilizing treatment<br>Which of the following is a step in the discharge process? &#8211; ANSWERHave a case management service complete the discharge plan<br>The hospital has a APC based contract for the payment of outpatient<br>services. Total anticipated charges for the visit are $2,380. The approved<br>APC payment rate is $780. Where will the patients benefit package be<br>applied? &#8211; ANSWER- To the approved APC payment rate<\/p>\n\n\n\n<p>A patient has met the $200 individual deductible and $900 of the $1000<br>co-insurance responsibility. The co-insurance rate is 20%. The estimated<br>insurance plan responsibility is $1975.00. What amount of coinsurance<br>is due from the patient? &#8211; ANSWER- $100.00<br>When is a patient considered to be medically indigent? &#8211; ANSWER- The<br>patient&#8217;s outstanding medical bills exceed a defined dollar amount or<br>percentage of assets.<br>What patient assets are considered in the financial assistance<br>application? &#8211; ANSWER- Sources of readily available funds , vehicles,<br>campers, boats and saving accounts<br>If the patient cannot agree to payment arrangements, What is the next<br>option? &#8211; ANSWER- Warn the patient that unpaid accounts are placed<br>with collection agencies for further processing<br>What core financial activities are resolved within patient access? &#8211;<br>ANSWER- scheduling , pre-registration, insurance verification and<br>managed care processing<br>What is an unscheduled direct admission? &#8211; ANSWER- A patient who<br>arrives at the hospital via ambulance for treatment in the emergency<br>department<br>When is it not appropriate to use observation status? &#8211; ANSWER- As a<br>substitute for an inpatient admission<br>Patients who require periodic skilled nursing or therapeutic care receive<br>services from what type of program? &#8211; ANSWER- Home health agency<br>Every patient who is new to the healthcare provider must be offered<br>what? &#8211; ANSWER- A printed copy of the provider privacy notice<\/p>\n","protected":false},"excerpt":{"rendered":"<p>HFMA CRCR EXAM LATEST 2023-2024EXAM 170+ QUESTIONS AND CORRECTANSWERS(VERIFIED ANSWERS)IF outpatient diagnostic services are provided within three days of theadmission of a Medicare beneficiary to an IPPS (Inpatient ProspectivePayment System) hospital, what must happen to these charges &#8211;ANSWER- They must be billed separately to the part B Carrierwhat is a recurring or series registration? &#8211; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113686","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113686","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113686"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113686\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113686"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113686"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}