100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
  2.  
  3. CRCR
  4.  
  5. CRCR

Exam (elaborations)

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Review/ 535 Q&A.

 2 purchases
  • Course
  • CRCR
  • Institution
  • CRCR

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Review/ 535 Q&A. Terms like: What are collection agency fees based on? - Answer: A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rul...

[Show more]

Preview 4 out of 118  pages

Document information

  • August 8, 2024
  • 118
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • CRCR
  • CRCR

Seller

avatar-seller
Pronurse1

Reviews received

Content preview

CRCR EXAM MULTIPLE CHOICE, CRCR Exam
Prep, Certified Revenue Cycle Representative -
CRCR (2021) Review/ 535 Q&A.
What are collection agency fees based on? - Answer: A percentage of dollars
collected


Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday


In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - Answer: Case rates




Page 1 of 118

,What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews


What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
Answer: 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? - Answer: Bad debt adjustment


What is the initial hospice benefit? - Answer: Two 90-day periods and an
unlimited number of subsequent periods


When does a hospital add ambulance charges to the Medicare inpatient claim? -
Answer: 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? - Answer: 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 - Answer: They are not being processed in a timely manner




Page 2 of 118

,What is an advantage of a preregistration program? - Answer: It reduces
processing times at the time of service


What are the two statutory exclusions from hospice coverage? - Answer:
Medically unnecessary services and custodial care


What core financial activities are resolved within patient access? - Answer:
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts


What statement applies to the scheduled outpatient? - Answer: The services do
not involve an overnight stay


How is a mis-posted contractual allowance resolved? - Answer: 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? - Answer: Observation


Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - Answer: Medically necessary inpatient
hospital services for at least 3 consecutive days before the skilled nursing care
admission



Page 3 of 118

, When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
Answer: When the patient is the insured


What are non-emergency patients who come for service without prior notification
to the provider called? - Answer: Unscheduled patients


If the insurance verification response reports that a subscriber has a single policy,
what is the status of the subscriber's spouse? - Answer: Neither enrolled not
entitled to benefits


Regulation Z of the Consumer Credit Protection Act, also known as the Truth in
Lending Act, establishes what? - Answer: Disclosure rules for consumer credit
sales and consumer loans


What is a principal diagnosis? - Answer: Primary reason for the patient's
admission


Collecting patient liability dollars after service leads to what? - Answer: Lower
accounts receivable levels


What is the daily out-of-pocket amount for each lifetime reserve day used? -
Answer: 50% of the current deductible amount


What service provided to a Medicare beneficiary in a rural health clinic (RHC) is
not billable as an RHC services? - Answer: Inpatient care

Page 4 of 118

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Pronurse1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $0.00. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
Free  2x  sold
  • (0)
Download