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
CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024) Exam with correct answers. $19.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. HFMA CRCR
  4.  
  5. HFMA CRCR

Exam (elaborations)

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024) Exam with correct answers.
 10 views  0 purchase
  • Course
  • HFMA CRCR
  • Institution
  • HFMA CRCR

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024) Exam with correct answers.

Preview 4 out of 87  pages

Document information

  • October 9, 2024
  • 87
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • crcr exam multiple choice crcr exam prep certifi

Written for

  • HFMA CRCR
  • HFMA CRCR

Seller

avatar-seller
Lectphilip

Content preview

CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR (2024) Exam with
correct answers
What |are |collection |agency |fees |based |on? |- |correct |answer |-A |percentage |of |dollars |collected



Self-funded |benefit |plans |may |choose |to |coordinate |benefits |using |the |gender |rule |or |what |other |
rule? |- |correct |answer |-Birthday



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



What |customer |service |improvements |might |improve |the |patient |accounts |department? |- |correct |
answer |-Holding |staff |accountable |for |customer |service |during |performance |reviews



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



What |is |the |initial |hospice |benefit? |- |correct |answer |-Two |90-day |periods |and |an |unlimited |
number |of |subsequent |periods



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



What |is |an |advantage |of |a |preregistration |program? |- |correct |answer |-It |reduces |processing |times |
at |the |time |of |service



What |are |the |two |statutory |exclusions |from |hospice |coverage? |- |correct |answer |-Medically |
unnecessary |services |and |custodial |care



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



What |statement |applies |to |the |scheduled |outpatient? |- |correct |answer |-The |services |do |not |
involve |an |overnight |stay



How |is |a |mis-posted |contractual |allowance |resolved? |- |correct |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? |- |correct |
answer |-Observation



Coverage |rules |for |Medicare |beneficiaries |receiving |skilled |nursing |care |require |that |the |beneficiary
|has |received |what? |- |correct |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$? |- |correct |answer |-
When |the |patient |is |the |insured



What |are |non-emergency |patients |who |come |for |service |without |prior |notification |to |the |provider
|called? |- |correct |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? |- |correct |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? |- |correct |answer |-Disclosure |rules |for |consumer |credit |sales |and |consumer |loans



What |is |a |principal |diagnosis? |- |correct |answer |-Primary |reason |for |the |patient's |admission



Collecting |patient |liability |dollars |after |service |leads |to |what? |- |correct |answer |-Lower |accounts |
receivable |levels



What |is |the |daily |out-of-pocket |amount |for |each |lifetime |reserve |day |used? |- |correct |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? |- |correct |answer |-Inpatient |care




What |code |indicates |the |disposition |of |the |patient |at |the |conclusion |of |service? |- |correct |answer |-
Patient |discharge |status |code



What |are |hospitals |required |to |do |for |Medicare |credit |balance |accounts? |- |correct |answer |-They |
result |in |lost |reimbursement |and |additional |cost |to |collect



When |an |undue |delay |of |payment |results |from |a |dispute |between |the |patient |and |the |third |party
|payer, |who |is |responsible |for |payment? |- |correct |answer |-Patient




Medicare |guidelines |require |that |when |a |test |is |ordered |for |a |LCD |or |NCD |exists, |the |information |
provided |on |the |order |must |include: |- |correct |answer |-A |valid |CPT |or |HCPCS |code



With |advances |in |internet |security |and |encryption, |revenue-cycle |processes |are |expanding |to |allow
|patients |to |do |what? |- |correct |answer |-Access |their |information |and |perform |functions |on-line




What |date |is |required |on |all |CMS |1500 |claim |forms? |- |correct |answer |-onset |date |of |current |
illness

, What |does |scheduling |allow |provider |staff |to |do |- |correct |answer |-Review |appropriateness |of |the |
service |request



What |code |is |used |to |report |the |provider's |most |common |semiprivate |room |rate? |- |correct |
answer |-Condition |code



Regulations |and |requirements |for |coding |accountable |care |organizations, |which |allows |providers |to
|begin |creating |these |organizations, |were |finalized |in: |- |correct |answer |-2012




What |is |a |primary |responsibility |of |the |Recover |Audit |Contractor? |- |correct |answer |-To |correctly |
identify |proper |payments |for |Medicare |Part |A |& |B |claims



How |must |providers |handle |credit |balances? |- |correct |answer |-Comply |with |state |statutes |
concerning |reporting |credit |balance



Insurance |verification |results |in |what? |- |correct |answer |-The |accurate |identification |of |the |patient's
|eligibility |and |benefits




What |form |is |used |to |bill |Medicare |for |rural |health |clinics? |- |correct |answer |-CMS |1500



What |activities |are |completed |when |a |scheduled |pre-registered |patient |arrives |for |service? |- |
correct |answer |-Registering |the |patient |and |directing |the |patient |to |the |service |area



In |addition |to |being |supported |by |information |found |in |the |patient's |chart, |a |CMS |1500 |claim |
must |be |coded |using |what? |- |correct |answer |-HCPCS |(Healthcare |Common |Procedure |Coding |
system)



What |results |from |a |denied |claim? |- |correct |answer |-The |provider |incurs |rework |and |appeal |costs



Why |does |the |financial |counselor |need |pricing |for |services? |- |correct |answer |-To |calculate |the |
patient's |financial |responsibility

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 Lectphilip. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $19.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77254 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$19.49
  • (0)
  Add to cart