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M MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021)535 terms Questions & Answers: Latest Updated A Plus Score Solutions What are collection agency fees based on? - Answer A percentage of dollars collected Self-funded$11.49
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M MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021)535 terms Questions & Answers: Latest Updated A Plus Score Solutions What are collection agency fees based on? - Answer A percentage of dollars collected Self-funded
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M MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021)535 terms 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...
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
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - Answer Case rates
Across all care settings, if a pt consents to a financial discussion during a medical
encounter
to expedite discharge, the HFMA best practice is to
a) Have a pt financial responsibilities kit ready for the pt containing all of the
required
registration forms and instructions
b) Make sure that the attending staff can answer questions and assist in obtaining
required pt financial data
,c) Support that choice, providing that the discussion does not interfere with pt
care or
disrupt pt flow
d) Decline such request as finance discussions can disrupt pt care and pt flow -
Answer C
The office of inspector general (OIG) publishes a compliance work plan
a) Monthly
b) Quarterly
c) Semi-annually
d) Annually - Answer D
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
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - Answer Case rates
What customer service improvements might improve the patient accounts
department? - Answer Holding staff accountable for customer service during
performance reviews
,What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
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? - Answer Bad debt adjustment
What is the initial hospice benefit? - Answer Two 90-day periods and an unlimited
number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? -
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? - 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 - Answer They are not being processed in a timely manner
What is an advantage of a preregistration program? - Answer It reduces
processing times at the time of service
What are the two statutory exclusions from hospice coverage? - Answer
Medically unnecessary services and custodial care
, What core financial activities are resolved within patient access? - Answer
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient? - Answer The services do
not involve an overnight stay
How is a mis-posted contractual allowance resolved? - 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? - Answer Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - 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$? -
Answer When the patient is the insured
What are non-emergency patients who come for service without prior notification
to the provider called? - Answer Unscheduled patients
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