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stions & Answers: Latest Updated A Plus Score Solutions What are collection agency fees based on? - Answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Answer $10.99
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stions & Answers: Latest Updated A Plus Score Solutions What are collection agency fees based on? - Answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Answer
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Stiowers: Latet Upated A Pus Sore Solu
stions & Answers: Latest Updated A Plus Score Solutions
What are collection agency fees based on? - Answer A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Answer Birthday
What is a serious consequen...
CRCR Exam Prep Questions &
Answers: Latest Updated A Plus
Score Solutions
What are collection agency fees based on? - Answer A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer Birthday
What is a serious consequence of misidentifying a patient in the MPI? - Answer
The services will be documented in the wrong record
When a patient reports directly to a clinical department for service, what will the
clinical department staff do? - Answer Redirect the patient to the patient access
department for registration
What process can be used to shorten claim turnaround time? - Answer Send high-
dollar hard-copy claims with required attachments by overnight mail or registered
mail
How are patient reminder calls used? - Answer To make sure the patient follows
the prep instructions and arrives at the scheduled time for service
,If a patient declares a straight bankruptcy, what must the provider do? - Answer
Write off the account to the contractual adjustment account
According to the Department of Health and Human Services guidelines, what is
NOT considered income? - Answer Sale of property, house, or car
The situation where neither the patient nor spouse is employed is described to
the patient using: - Answer A condition code
What option is an alternative to valid long-term payment plans? - Answer Bank
loans
What is an advantage of using a collection agency to collect delinquent patient
accounts? - Answer Collection agencies collect accounts faster than hospital does
What statement DOES NOT apply to revenue codes? - Answer revenue codes
identify the payer
When a patient's illness results in an unusually high amount of medical bills not
covered by insurance or other patient pay resources, what type of account is
created - Answer catastrophic charity
What happens when a patient receives non-emergent services from and out-of-
network provider? - Answer Patient payment responsibility is higher
, Every patient who is new to the healthcare provider must be offered what? -
Answer A printed copy of the provider's privacy notice
How may a collection agency demonstrate its performance? - Answer Calculate
the rate of recovery
What is true of the information the provider supplies to indicate that an
authorization for service has been received from the patient's primary payer? -
Answer It is posted on the remittance advice by the payer
What standard claim forms are currently used by the healthcare industry to
submit claims to third-party payers? - Answer The UB-04 and the CMS 1500
Unless the patient encounter is an emergency, what is the efficient and effective
procedure for obtaining information? - Answer Obtain the required demographic
and insurance information before services are rendered
what protocol was developed through the Patient Friendly Billing Project? -
Answer Provide information using language that is easily understood by the
average reader
What technique is acceptable way to complete the MSP screening for a facility
situation? - Answer Ask if the patient's current services was accident related
What is a valid reason for a payer to delay a claim? - Answer Failure to complete
authorization requirements
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