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CRCR Certification questions and answers rated A+ 2024/2025
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CRCR Certification questions and answers rated A+ 2024/2025
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CRCR CertificationOverall aggregate bills made to a hospice are difficulty to a computed "cap amount"
calculated via - ANSThe Medicare Administrative Contractor (MAC) at the stop of the
hospice cap length
Which of the subsequent is needed for participation in Medicaid - ANSMeet Income and
Assets Requirements
In choosing a putting for patient monetary discussions, corporations must first and important
- ANSRespect the patients privateness
A nightly room rate could be wrong if the patient's - ANSTransfer from ICU (extensive care
unit) to the Medical/Surgical
ground isn't always pondered in the registration system
The Affordable Care Act legislated the improvement of Health Insurance Exchanges, where
people and small agencies can - ANSPurchase certified fitness gain plans regardless of
insured's
fitness popularity
A portion of the money owed receivable stock which has NOT qualified for billing includes: -
ANSCharitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate fee from
Medicare? - ANSRevenue codes
This directive became evolved to sell and make certain healthcare quality and value and
additionally to defend purchasers and workers inside the healthcare device. This directive is
referred to as - ANSPatient invoice of rights
The activity which ends in the accurate recording of patient mattress and degree of care
evaluation, patient transfer and affected person discharge repute on a real-time foundation is
called - ANSCase management
Which announcement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation? - ANSRegistration personnel may additionally mechanically touch controlled are
plans for previous authorizations earlier than the patient is seen via the on-obligation doctor
HIPAA had followed Employer Identification Numbers (EIN) to be used in fashionable
transactions to become aware of the business enterprise of an individual described in a
transaction EIN's are
assigned with the aid of - ANSThe Internal Revenue Service
, Checks acquired via mail, cash acquired through mail, and lock field are all examples of -
ANSControl points for cash posting
What are some core elements if a board-approved monetary help policy? - ANSEligibility,
software technique, and nonpayment collection sports
A routine/collection registration is characterized with the aid of - ANSThe introduction of 1
registration report for more than one days of provider
With the appearance of the Affordable Care Act Health Insurance Marketplaces and the
enlargement of Medicaid in a few states, it's miles more essential than ever for hospitals to -
ANSAssist patients in expertise their coverage insurance and their monetary obligation
The purpose of a financial report is to: - ANSPresent economic records to decision makers
Patient financial communications first-class practices produce communications which are -
ANSConsistent, clear and obvious
Medicare has mounted guidelines known as the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that set up - ANSWhat services or healthcare
gadgets are blanketed underneath Medicare
Any issuer that has filed a well timed price file might also enchantment an unfavourable very
last decision acquired from the Medicare Administrative Contractor (MAC). This attraction
can be filed with - ANSThe Provider Reimbursement Review Board
Concurrent assessment and discharge making plans - ANSOccurs at some point of service
Duplicate bills arise: - ANSWhen vendors re-invoice claims primarily based on nonpayment
from the preliminary invoice submission
An character enrolled in Medicare who is disappointed with the authorities's declare
dedication is entitled to reconsideration of the selection. This type of enchantment is referred
to as - ANSA beneficiary attraction
Insurance verification results in which of the following - ANSThe accurate identification of the
patient's eligibility and blessings
The Medicare price-for provider appeal method for both beneficiaries and carriers includes
all the following stages EXCEPT: - ANSJudicial evaluate through a federal district court
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the providermay
no longer ask approximately a patient's insurance records if it'd delay what? - ANSMedical
screening and stabilizing remedy
Ambulance offerings are billed directly to the health plan for - ANSServices furnished earlier
than a patient is admitted and for ambulance rides organized to select up the affected
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