HFMA CRCR TEST EXAM COMPLETE QUESTIONS WITH

HFMA CRCR TEST EXAM COMPLETE QUESTIONS WITH
Regulation Z of the consumer Credit Protection Act, also known as the Truth in lending Act
establishes what? - Answer>>> Disclosure rules for consumer credit sales and consumer loans
What is a principle diagnosis? - Answer>>> Primary reason for the patients admission
Patients who require periodic skilled nursing or therapeutic care receive services from what type
of program? - Answer>>> Home health agency
Every patient who is new to the healthcare provider must be offered what? - Answer>>> A
printed copy of the provider privacy notice
Which of the following statements apples to self insured insurance plans? - Answer>>> The
employer provides a traditional HMO health plan
In addition to the member's identification number, what information is recorded in a 270
transaction - Answer>>> Name
What process does a patient's health plan use to retroactively collect payments from liability
automobile or worker's compensation plan? - Answer>>> Subrogation
In what type of payment methodology is a lump sum of bundled payment negotiated between the
payer and some or all providers? - Answer>>> DRG/Case rate
What Restriction does a managed care plan place on locations that must be used if the plan is to
pay for the service provided? - Answer>>> Site of service limitation
Patients who require periodic skilled nursing or therapeutic care receive services from what type
of program? - Answer>>> Home health agency
Every patient who is new to the healthcare provider must be offered what? - Answer>>> A
printed copy of the provider privacy notice
Which of the following statements apples to self insured insurance plans? - Answer>>> The
employer provides a traditional HMO health plan
In addition to the member's identification number, what information is recorded in a 270
transaction - Answer>>> Name
What process does a patient's health plan use to retroactively collect payments from liability
automobile or worker's compensation plan? - Answer>>> Subrogation
In what type of payment methodology is a lump sum of bundled payment negotiated between the
payer and some or all providers? - Answer>>> DRG/Case rate
What Restriction does a managed care plan place on locations that must be used if the plan is to
pay for the service provided? - Answer>>> Site of service limitation
Collecting patient liability dollars after service leads to what? - Answer>>> Lower accounts
receivable levels
A decision on whether a patient should be admitted as an inpatient or become an outpatient
observation patient requires medical judgement based on all of the following EXCEPT: -
Answer>>> The patient's home care coverage