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CRCS Exam Complete Questions And Answers | Verified
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CRCS Exam Complete Questions And Answers | Verified
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CRCS Exam Complete Questions AndAnswers | Verified
HHS CORRECT ANSWERS Health and Human Services
CMS CORRECT ANSWERS Centers for Medicare and Medicaid Services
HHS CORRECT ANSWERS U.S. Department of Health and Human Services
NIH CORRECT ANSWERS National Institutes of Health
FDA CORRECT ANSWERS Food and Drug Administration
ACL CORRECT ANSWERS Administration for Community Living; one of the HHS
Operating Divisions.
QIO CORRECT ANSWERS Quality Improvement Organization
OIG CORRECT ANSWERS Office of Inspector General
ACF CORRECT ANSWERS Administration for Children and Families
Title XVIII CORRECT ANSWERS Medicare
Title XIX CORRECT ANSWERS Medicaid
AHA CORRECT ANSWERS American Hospital Association
Patient's Bill of Rights CORRECT ANSWERS Patient Care Partnership
HIPAA CORRECT ANSWERS Health Insurance Portability and Accountability Act
PHI CORRECT ANSWERS Protected Health Information
TPO CORRECT ANSWERS Treatment, Payment & Operations
ERA CORRECT ANSWERS Electronic Remittance Advice
PSDA CORRECT ANSWERS Patient Self-Determination Act
DNR CORRECT ANSWERS do not resuscitate
PPACA CORRECT ANSWERS Patient Protection and Affordable Care Act
,CMP CORRECT ANSWERS Civil Monetary Penalty
TCPA CORRECT ANSWERS Telephone Consumer Protection Act
Regulation Z CORRECT ANSWERS Truth in Lending Act
EMTALA /Anti-Dumping Statute CORRECT ANSWERS Emergency Medical Treatment
and Active Labor Act
TJC CORRECT ANSWERS The Joint Commission
ABN CORRECT ANSWERS Advance Beneficiary Notice of Noncoverage
HINN CORRECT ANSWERS Hospital Issued Notice of Non coverage
ALOS CORRECT ANSWERS average length of stay
MOON CORRECT ANSWERS Medicare Outpatient Observation Notice
Patient Care Partnership CORRECT ANSWERS Replaces the Patient's Bill of Rights,
was adopted by the AHA, and is a plain-language brochure
PHI CORRECT ANSWERS Can be shared without explicit consent, cannot be shared
for marketing purposes w/o explicit consent, cannot be shared with law enforcement
without consent or notification to the patient, except under court order
Advance Directive CORRECT ANSWERS Living will, Healthcare Power of Attorney,
DNR Order
Administrative Sanction for Inappropriate Behavior on the part of a provider CORRECT
ANSWERS Denial or revocation of the provider number application, suspension of
provider payments, application of CMP's
True of TJC CORRECT ANSWERS TJC will conduct an audit of a hospital every 39
months
PSDA CORRECT ANSWERS Deals with advance directives
ECOA CORRECT ANSWERS Prohibits credit discrimination, allowing creditors to
request info but not use it to grant credit or set terms
EMTALA CORRECT ANSWERS Prohibits questions about payment until an ED patient
has been medically screened
PPACA CORRECT ANSWERS Has primary aim to decrease number of uninsured
Americans and reduce healthcare costs
,Regulation Z CORRECT ANSWERS Requires clear identification of APR's and finance
charges
HIPAA CORRECT ANSWERS Mandates patient right to examine/obtain a copy of their
own health records and request corrections
False Claims Act CORRECT ANSWERS Prohibits submitting false/fraudulent claims
Front Office CORRECT ANSWERS Acts as a liaison between the physician and the
patient
Primary functions and responsibilities of Patient Access CORRECT ANSWERS 1.
Scheduling
2. Pre-admission and preregistration
3. Pre-certification and pre-authorization
4. Registration and admission
5. Insurance verification
6. Financial counseling
7. Collection
8. Compliance
Office productivity begins with... CORRECT ANSWERS efficient patient scheduling
Balance in scheduling CORRECT ANSWERS 1. Patient satisfaction
2. Collection of financial information, demographic information, and insurance
information
3. Clinical services
Collection process gathers CORRECT ANSWERS 1. Patient demographics
2. Financial information
3. Socioeconomic information
Pre-admission/service testing CORRECT ANSWERS Diagnostic medical testing of
patients in advance of surgical or invasive procedures to determine
hospitalization/surgical situability
Collection Points- Institutional Setting CORRECT ANSWERS 1. Pre-admission
2. Admission
3. In-house
4. At discharge
5. After discharge
Collection Points- Professional Setting CORRECT ANSWERS 1. Pre-service
2. Time of Service
3. In-house
, 4. At checkout
5. Post service
Advantages of a deposit collection program CORRECT ANSWERS Increased Hospital
Cash Collections
Reduced Amount Due at Discharge
Reduced Overall Accounts Receivable
Reduced Financial Risk and Bad Debt
NOTICE CORRECT ANSWERS Notice of Observation Treatment and Implication for
Care Eligibility Act requires that hospitals must inform patients who are hospitalized for
more than 24 hours if they are in observation status
MOON CORRECT ANSWERS Standardized notice developed to inform beneficiaries
when they are an outpatient receiving observation services and are not inpatient of
hospital or critical access hospital
Refusal to Sign CORRECT ANSWERS If the beneficiary refuses to sign the MOON and
there is no rep to sign on behalf of the beneficiary, the notice must be signed by the
staff member of the hospital or CAH (Critical Access Hospital) who presented the
written notification
When a service does not meet or is not expected to meet medical necessity...
CORRECT ANSWERS The beneficiary is given an ABN before services are furnished
that states that the provider believes that Medicare will not or probably will not cover the
specified item
ABN CORRECT ANSWERS Contains a brief description of the service, the estimated
cost, and the reason the service is not expected to be covered
If a valid and signed ABN is not obtained prior to the services being rendered...
CORRECT ANSWERS the provider cannot bill the beneficiary for those services and
will be held financially liable if payment if not received by Medicare
ABN CORRECT ANSWERS Notice of Non-coverage- Medicare's rule that a beneficiary
is not protected from financial liability of a non-covered service if that person has
knowledge or should have had knowledge of the non-coverage **should not be given
unless there is genuine doubt of a Medicare payment**must be retained for 5 years
from discharge or completion of care
Don't Require an ABN or HINN CORRECT ANSWERS Screening mammogram
Prostate Screening Antigen
Routine Physical
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