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CRCR EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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CRCR EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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CRCR EXAM 2024/2025 WITH 100%ACCURATE SOLUTIONS
What are collection agency fees based on? - Precise Answer ✔✔A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - Precise Answer ✔✔Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
Precise Answer ✔✔Case rates
What customer service improvements might improve the patient
accounts department? - Precise Answer ✔✔Holding staff accountable
for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? - Precise 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? - Precise Answer ✔✔Bad debt adjustment
,What is the initial hospice benefit? - Precise Answer ✔✔Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient
claim? - Precise 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? - Precise 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 - Precise Answer ✔✔They are not being
processed in a timely manner
What is an advantage of a preregistration program? - Precise Answer
✔✔It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? - Precise
Answer ✔✔Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? -
Precise Answer ✔✔Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
,What statement applies to the scheduled outpatient? - Precise Answer
✔✔The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - Precise 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? - Precise Answer ✔✔Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what? - Precise Answer
✔✔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$? - Precise Answer ✔✔When the patient is the insured
What are non-emergency patients who come for service without prior
notification to the provider called? - Precise 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? - Precise
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? - Precise Answer
✔✔Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - Precise Answer ✔✔Primary reason for
the patient's admission
Collecting patient liability dollars after service leads to what? - Precise
Answer ✔✔Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day
used? - Precise 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? - Precise Answer
✔✔Inpatient care
What code indicates the disposition of the patient at the conclusion of
service? - Precise Answer ✔✔Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts?
- Precise Answer ✔✔They result in lost reimbursement and additional
cost to collect
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