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CRCR 4 - Post-Service Financial Care - (Q’s & A’s) 100% Verified

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CRCR 4 - Post-Service Financial Care - (Q’s & A’s) 100% Verified Quiz Combo (Pre-Tests, KCs, Quizzes) (Pre-Test 4) Credit balances may be created by any of the following activities except: (Ans- Credits to pharmacy charges posted before the claim final bills. Which of the following sta...

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  • August 25, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • crcr 4 post service financial care qs as
  • quiz combo pre tests kcs quizzes pre test 4

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  • Certified Revenue Cycle Representative - CRCR
  • Certified Revenue Cycle Representative - CRCR

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CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
Quiz Combo


(Pre-Tests, KCs, Quizzes)


(Pre-Test 4)


Credit balances may be created by any of the following activities except:


(Ans- Credits to pharmacy charges posted before the claim final bills.


Which of the following statements represent common reasons for inpatient


claim denials?


(Ans- Failure to obtain a required pre-authorization; failure to complete a


continued stay authorization and services provided which were not


medically necessary.


A 68-year-old patient, a Medicare beneficiary, was in a car accident. A


medical insurance claim was filed with the auto insurance carrier. Six


months later this claim remains unpaid.


How can the provider pursue payment from Medicare?

, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
(Ans- The provider must first bill the auto insurer; however, after a period of


120 days, if the claim remains unpaid, the provider may cancel the liability


claim and bill Medicare.


The difference between bad debt and financial assistance (charity) is:


(Ans- Bad debt represents a refusal to pay; charity represents an inability to


pay.


In order to qualify for financial assistance, a patient or guarantor should:


(Ans- Provide the following documents: prior year tax return, employment


check stubs from the prior three months and bank statements from the prior


three months.


To comply with the requirements of Section 501(r) for tax-exempt hospitals


chartered as 510(c)3 providers, the hospital must complete with of the


following activities:


(Ans- A community needs assessment.

, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:


(Ans- Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization,


and Chapter 13 - Debtor Rehabilitation


Which of the following medical debt collection practices are recommended


as part of HFMA's Best Practices for medical account resolution:


(Ans- Establish policies and ensure that they are followed.


Organizations may opt to contract with or outsource to specific vendors for


some or all components of revenue cycle processing. This practice has


both advantages and disadvantages.


Which of the following statements is not an advantage of utilizing an


outsourcing vendor?


(Ans- The need for legal review if the outside vendor's staff represents


themselves as employees of the healthcare facility.


Each hospital covered by the 501(r) regulations is required to develop a

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