CRCR Patient Centric Revenue Cycle correct answerThis includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service correct answerthis is the period in which scheduling and pre-access takes place, including different steps that will be completed pre-service correct answerwhat is it when the requested service is screened for medical necessity, health plan coverage & benefits are verified, and pre-auth is obtained scheduled patient- Time of Service correct answerwhat is it when a final account review is completed prior to the patient's arrival? (Pre-reg record is activated, consents are signed, and co-payments and other amounts are collected) express arrival correct answerpre-processed patient's can report to this, which is a desk located in a centralized access, upon their arrival.post-service correct answerthis includes account activities that occur after the patient is d/c until the account reaches a zero balance post-service correct answerFinal coding of all services, perparation and submission of claims, payment processing and balance billing are all included and finalized when?Patient Financial Communications Best Practices correct answerThis brings consistency, clarity, and transparency to patient financial communications Patient Financial Communications Best Practices correct answerthis outlines steps to help patient's understand the cost of services they receive, their insurance coverage, and their individual responsibility (review Patient Financial Comm. Best Practice document) 1 / 2
true correct answertrue or false: Conversations should occur in a location and manner that are sensitive to the patient's needs timely discussions correct answerthis type of discussion will help ensure that patient's understand their financial obligation and that providers are aware of the patient's ability to pay guarantor correct answerthe person responsible for payment of the bill true correct answertrue or false: A financial counselor or supervisor should be involved for complex situations such as uninsured or underinsured patient's false; NO patient financial discussions should occur before a patient is screened and stabilized correct answertrue or false: You MUST obtain basic registration info and insurance coverage before the patient is cared for in the ED.true correct answertrue or false: When the provider takes the initiative to communicate financial matters with the patient, it actually take a burden off the patient.false; Technology evaluation may be performed by ANY qualified individual or organization, internal or external correct answertrue or false: Technology evaluation can ONLY be done by a qualified individual, internal to the facililty HFMA's Adopter Program correct answerthis program is a recognition for providers who implement and support the best practices are eligible and encouraged to apply Code of Conduct correct answerThrough what document does a hospital est. compliance standards?Identify acceptable compliance programs in various provider setting correct answerwhat is the purpose OIG work plan?non-diagnostic services provided on Tuesday through Friday correct answerIf a Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
- / 2