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CRCR EXAM PREP/146 QUESTIONS AND ANSWERS (A+)
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CRCR EXAM PREP/146 QUESTIONS AND ANSWERS (A+)
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CRCR EXAM PREP/146QUESTIONS AND ANSWERS
(A+)
What are collection agency fees based on? - =A
percentage of dollars collected
-Self-funded benefit plans may choose to coordinate
benefits using the gender rule or what another rule? -
=Birthday
-In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and
some or all providers? - =Case rates
-What customer service improvements might improve
the patient accounts department? - =Holding staff
accountable for customer service during performance
reviews
-What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - =Inform a Medicare
beneficiary that Medicare may not pay for the order or
service
-What type of account adjustment results from the
patient's unwillingness to pay for a self-pay balance? -
=Bad debt adjustment
-What is the initial hospice benefit? - =Two 90-day
periods and an unlimited number of subsequent periods
,-When does a hospital add ambulance charges to the
Medicare inpatient claim? - =If the patient requires
ambulance transportation to a skilled nursing facility
-How should a provider resolve a late-charge credit
posted after an account is billed? - =Post a late-charge
adjustment to the account
-an increase in the dollars aged greater than 90 days
from date of service indicate what about accounts -
=They are not being processed in a timely manner
-What is an advantage of a preregistration program? -
=It reduces processing times at the time of service
-What are the two statutory exclusions from hospice
coverage? - =Medically unnecessary services and
custodial care
-What core financial activities are resolved within patient
access? - =Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
-What statement applies to the scheduled outpatient? -
=The services do not involve an overnight stay
-How is a mis-posted contractual allowance resolved? -
=Comparing the contract reimbursement rates with the
contract on the admittance advice to identify the correct
amount
-What type of patient status is used to evaluate the
patient's need for inpatient care? - =Observation
, -Coverage rules for Medicare beneficiaries receiving
skilled nursing care require that the beneficiary has
received what? - =Medically necessary inpatient
hospital services for at least 3 consecutive days before
the skilled nursing care admission
-When is the word "SAME" entered on the CMS 1500
billing form in Field 0$? - =When the patient is the
insured
-What are non-emergency patients who come for
service without prior notification to the provider called? -
=Unscheduled patients
-If the insurance verification response reports that a
subscriber has a single policy, what is the status of the
subscriber's spouse? - =Neither enrolled not entitled to
benefits
-Regulation Z of the Consumer Credit Protection Act,
also known as the Truth in Lending Act, establishes
what? - =Disclosure rules for consumer credit sales and
consumer loans
-What is a principal diagnosis? - =Primary reason for the
patient's admission
-Collecting patient liability dollars after service leads to
what? - =Lower accounts receivable levels
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