FREE AND STUDY GAMES ABOUT CRCR EXAM QUESTIONS

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FREE AND STUDY GAMES ABOUT CRCR EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -31 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: SNF

Answer:

Skilled Nursing Facility

Question 2: What are the 3 HFMA revenue cycle initiatives?

Answer:

Patient financial communications best practices. Best practices for price transparency. Medical account resolution.

Question 3: What are the areas of focus of the code of conduct?

Answer:

Human resources. Confidentiality. Quality of care. Billing and coding. Conflicts of interest. Laws and regulations.Question 4: Leader ship and staff must always remember what three points in patient satisfaction?

Answer:

Implement. Educate. Communicate.

Question 5: Taking the charge for service based on the CPT/HCPCS or MS-DRG code and applying a hospitals health plan contract terms and the patient's benefit plan to the charges to determine an accurate patient liability is called what?

Answer:

Pricing Transparency

Question 6: What does remittance mean?

Answer:

A sum of money sent.

Question 7: The patient centric revenue cycle consists of what three steps?

Answer:

Pre-service. Time of service. Post service.Question 8: Defined as "systematic" procedures instituted by a organization to ensure that the provisions of the regulations imposed by a government agency are being met is called:

Answer:

Corporate Compliance Program

Question 9: HCAHPS

Answer:

Hospital Consumer Assessment of Healthcare Providers and Systems (Patient Satisfaction Metric within the Industry)

Question 10: What does pre-service consist of?

Answer:

The patient is scheduled and registered. Patient service costs are calculated.

Question 11: CCO

Answer:

Chief Compliance Officer

Question 12: Why was the office of Inspector General (OIG) created?

Answer:

To protect the integrity of the Health and Human Services (HHS) Department programs and operations and the well-being of beneficiaries by detecting and preventing fraud, waste, and abuse.

Question 13: Revenue cycle activities for improving communication and customer service include what?

Answer:

Modify billing statements. Extend normal business hours. Make sure all staff answer the phone courteously. Resolve questions or complaints. Follow up on all customer inquiries or complaints w/ in 48 hours.

Question 14: What does the code of conduct represent?

Answer:

The organizations compliance program as well as the organizations culture.

Question 15: What's the name given to the 3 HFMA revenue cycle initiatives?

Answer:

Healthcare dollars and sense

Question 16: What are The Office of Inspector General (OIG) responsibilities?

Answer:

Identifying opportunities to improve program economy, efficiency and effectiveness. Holding accountable those who do not meet program requirements or who violate federal laws.

Question 17: OIG

Answer:

Office of Inspector General

Question 18: HIPAA

Answer:

Health Insurance Portability and Accountability Act

Question 19: What does time of service consist of?

Answer:

Case management and discharge planning services are provided.Question 20: When it comes to compliance the burden of proof is generally on the healthcare facility; therefore, it is imperative to what?

Answer:

Have a plan. Follow the plan.

Question 21: What does post service consist of?

Answer:

Bill is sent electronically to health plan. Patient's account is monitored for payment.Question 22: This legislated the development of a Health Insurance Marketplace also known as Health Insurance Exchange, where individuals and small businesses can compare and purchase qualified health benefit plans?

Answer:

The Affordable Care Act Question 23: A way of coordinating and linking healthcare resources to avoid duplication, that's facilitating a seamless movement among care settings is called what?

Answer:

Continuum of Care

Question 24: How many corporate compliance program elements are there?

Answer:

16 Question 25: There are 27 questions on the HCAHPS patient questionnaire. What is the most important one?

Answer:

Would you recommend this hospital to your friends and family?Question 26: What percent of billing information is obtained during the registration process?

Answer:

40%

Question 27: What is the purpose of a compliance program?

Answer:

To mitigate potential fraud and abuse in the industry specific key risk areas.

Question 28: DME

Answer:

Durable Medical Equipment