HFMA CRCR EXAM 2024 VERSION 600 EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) AND RATIONALES /A+ GRADE ASSURED

It is important to have high registration quality standards because
a) Inaccurate or incomplete pt data will delay payment or cause
denials
b) Incomplete registrations will trigger exclusion from Medicare
participation
c) Inaccurate registration may cause discharge before full treatment is
obtained
d) Incomplete registrations will raise satisfaction scores for the
hospital - ....ANSWER...A
When recovery audit contractors (RAC) identify improper payments
as over payments the
claims processing contractor must
a) Assume legal responsibility for repaying the overage amount
b) Make recovery of the overpayment the top processing priority
c) Send a demand letter to the provider to recover the over payment
amount
d) Conduct an audit of all the effected providers claims within the
past 12 months - ....ANSWER...C
Internal controls addressing coding and reimbursement changes are
put I place to guard
against
a) Underpayments
b) Denials
c) Compliance fraud by upcoding
d) Charge master error - ....ANSWER...C
The pt discharge process begins when
a) The physician writes the discharge orders
b) Clinical services are completed and pt accounts have all the info
necessary to bill
c) The physician writes the discharge orders and the third-party payer
sign-off on the
necessity of the services provided
d) Clinical services are completed, pt accounts can generated and
accurate bill and there
is agreement o the handling of pt financial responsibilities -
....ANSWER...A
Most major health plans including medicare and Medicaid, offer
a) Toll free verification hot lines, staffed around the clock
b) Electronic and/or web portal verification
c) Pt "verification of benefits" cards
d) A grace period for obtaining verification within 72 hours of
treatment - ....ANSWER...B
The physician who wrote the order for an inpatient service and is in
charge of the pts
treatment during admission is
a) The pts personal physician
b) The primary care physician
c) The attending physician
d) The physician pt care director - ....ANSWER...C
An originating site is
a) The location where the pts bill is generated
b) The location of the pt at the time the service is provided
c) The site that generates reimbursement of a claim
d) The location of the medical treatment provider - ....ANSWER...B
HFMA best practices stipulate that a reasonable attempt should be
made to have the
financial
responsibilities discussion
a) As early as possible, before a financial obligation is incurred
b) During the registration process
c) Before scheduling of services
d) No later than the evening of the day of admission -
....ANSWER...A
HFMA's pt financial communications best practices specify that pts
should be told about
the
types of services provided and
a) An explanation of why a specific service is not provided
b) The service providers that typically participate in the service,
e.g.radiologists,
pathologists, etc.
c) A satisfaction survey regarding clinical service providers
d) The price of service to their covering health plan - ....ANSWER...B