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HFMA CRCR ALREADY GRADED
A+
Question : What are collection agency fees based on?
Correct answer: A percentage of dollars collected
Question : Self-funded benefit plans may choose to
coordinate benefits using the gender rule or what other rule?
Correct answer: Birthday
Question : In what type of payment methodology is a
lump sum or bundled payment negotiated between the payer and some or all providers?
Correct answer: Case rates
Question : What customer service improvements might
improve the patient accounts department?
Correct answer: Holding staff accountable for customer
service during performance reviews
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Question : What is an ABN (Advance Beneficiary Notice
of Non-coverage) required to do?
Correct answer: Inform a Medicare beneficiary that
Medicare may not pay for the order or service
Question : What type of account adjustment results from
the patient's unwillingness to pay for a self-pay balance?
Correct answer: Bad debt adjustment
Question : What is the initial hospice benefit?
Correct answer: Two 90-day periods and an unlimited
number of subsequent periods
Question : When does a hospital add ambulance charges
to the Medicare inpatient claim?
Correct answer: If the patient requires ambulance
transportation to a skilled nursing facility
Question : How should a provider resolve a late-charge
credit posted after an account is billed?
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Correct answer: Post a late-charge adjustment to the
account
Question : an increase in the dollars aged greater than 90
days from date of service indicate what about accounts
Correct answer: They are not being processed in a timely
manner
Question : What is an advantage of a preregistration
program?
Correct answer: It reduces processing times at the time of
service
Question : What are the two statutory exclusions from
hospice coverage?
Correct answer: Medically unnecessary services and
custodial care
Question : What core financial activities are resolved
within patient access?
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Correct answer: Scheduling, insurance verification,
discharge processing, and payment of point-of-service receipts
Question : What statement applies to the scheduled
outpatient?
Correct answer: The services do not involve an overnight
stay
Question : How is a mis-posted contractual allowance
resolved?
Correct answer: Comparing the contract reimbursement
rates with the contract on the admittance advice to identify the correct amount
Question : What type of patient status is used to evaluate
the patient's need for inpatient care?