HFMA CRCR CHAMBERLIN
ACTUAL EXAM 2024/2025
[GRADED A+] NEW!!! NEW!!!
What is the advantage of a pre-registration program - ANS✔✔-It reduces
processing times at the time of service
In the pre-service stage, the cost of the schedule services is identified and the
patient's health plan and benefits are used to calculate: - ANS✔✔-The amount
the patient may be expected to pay after insurance.
What does a modifier allow a provider to do? - ANS✔✔-Report a specific
circumstance that affected a procedure or service without changing the code or
its definition
What activities are completed when a scheduled pre-registered patient arrives
for service? - ANS✔✔-Registering the patient and directing the patient to the
service area
Internal controls addressing coding and reimbursement charges are put in place
to guard against: - ANS✔✔-Compliance fraud by "upcoding"
IF outpatient diagnostic services are provided within three days of the admission
of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System)
hospital, what must happen to these charges - ANS✔✔-They must be billed
separately to the part B Carrier
what is a recurring or series registration? - ANS✔✔-One registration record is
created for multiple days of service
What are nonemergency patients who come for service without prior notification
to the provider called? - ANS✔✔-Unscheduled patients
Which of the following statement apply to the observation patient type? -
ANS✔✔-It is used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock
patient - ANS✔✔-Physician, Nursing, Pharmacy
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