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CRCR EXAM MULTIPLE CHOICE, CRCR EXAM PREP, CERTIFIED REVENUE CYCLE REPRESENTATIVE - CRCR (2021)
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CRCR EXAM MULTIPLE CHOICE, CRCR EXAM PREP, CERTIFIED REVENUE CYCLE REPRESENTATIVE - CRCR (2021)
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CRCR EXAM MULTIPLE CHOICE, CRCREXAM PREP, CERTIFIED REVENUE
CYCLE REPRESENTATIVE - CRCR
(2021)
Whatopareopcollectionopagencyopfeesopbasedopon?op-opans--
Aoppercentageopofopdollarsopcollected
Self-
fundedopbenefitopplansopmayopchooseoptoopcoordinateopbenefitsopusingoptheopgenderopruleop
oropwhatopotheroprule?op-opans--Birthday
Inopwhatoptypeopofoppaymentopmethodologyopisopaoplumpopsumoporopbundledoppaymentopneg
otiatedopbetweenoptheoppayeropandopsomeoporopallopproviders?op-opans--Caseoprates
Whatopcustomeropserviceopimprovementsopmightopimproveoptheoppatientopaccountsopdepart
ment?op-opans--
Holdingopstaffopaccountableopforopcustomeropserviceopduringopperformanceopreviews
WhatopisopanopABNop(AdvanceopBeneficiaryopNoticeopofopNon-coverage)oprequiredoptoopdo?
op-opans--
InformopaopMedicareopbeneficiaryopthatopMedicareopmayopnotoppayopforoptheoporderoporopser
vice
Whatoptypeopofopaccountopadjustmentopresultsopfromoptheoppatient'sopunwillingnessoptooppa
yopforopaopself-payopbalance?op-opans--Badopdebtopadjustment
Whatopisoptheopinitialophospiceopbenefit?op-opans--Twoop90-
dayopperiodsopandopanopunlimitedopnumberopofopsubsequentopperiods
WhenopdoesopaophospitalopaddopambulanceopchargesoptooptheopMedicareopinpatientopclaim
?op-opans--
Ifoptheoppatientoprequiresopambulanceoptransportationoptoopaopskilledopnursingopfacility
,Howopshouldopaopprovideropresolveopaoplate-
chargeopcreditoppostedopafteropanopaccountopisopbilled?op-opans--Postopaoplate-
chargeopadjustmentoptooptheopaccount
anopincreaseopinoptheopdollarsopagedopgreateropthanop90opdaysopfromopdateopofopserviceopind
icateopwhatopaboutopaccountsop-opans--
Theyopareopnotopbeingopprocessedopinopaoptimelyopmanner
Whatopisopanopadvantageopofopaoppreregistrationopprogram?op-opans--
Itopreducesopprocessingoptimesopatoptheoptimeopofopservice
Whatopareoptheoptwoopstatutoryopexclusionsopfromophospiceopcoverage?op-opans--
Medicallyopunnecessaryopservicesopandopcustodialopcare
Whatopcoreopfinancialopactivitiesopareopresolvedopwithinoppatientopaccess?op-opans--
Scheduling,opinsuranceopverification,opdischargeopprocessing,opandoppaymentopofoppoint-
of-serviceopreceipts
Whatopstatementopappliesoptooptheopscheduledopoutpatient?op-opans--
Theopservicesopdoopnotopinvolveopanopovernightopstay
Howopisopaopmis-postedopcontractualopallowanceopresolved?op-opans--
Comparingoptheopcontractopreimbursementopratesopwithoptheopcontractoponoptheopadmittanc
eopadviceoptoopidentifyoptheopcorrectopamount
Whatoptypeopofoppatientopstatusopisopusedoptoopevaluateoptheoppatient'sopneedopforopinpatient
opcare?op-opans--Observation
CoverageoprulesopforopMedicareopbeneficiariesopreceivingopskilledopnursingopcareoprequireo
pthatoptheopbeneficiaryophasopreceivedopwhat?op-opans--
Medicallyopnecessaryopinpatientophospitalopservicesopforopatopleastop3opconsecutiveopdaysop
beforeoptheopskilledopnursingopcareopadmission
Whenopisoptheopwordop"SAME"openteredoponoptheopCMSop1500opbillingopformopinopFieldop0$
?op-opans--Whenoptheoppatientopisoptheopinsured
Whatopareopnon-
emergencyoppatientsopwhoopcomeopforopserviceopwithoutopprioropnotificationoptooptheopprovi
deropcalled?op-opans--Unscheduledoppatients
Ifoptheopinsuranceopverificationopresponseopreportsopthatopaopsubscriberophasopaopsingleoppo
licy,opwhatopisoptheopstatusopofoptheopsubscriber'sopspouse?op-opans--
Neitheropenrolledopnotopentitledoptoopbenefits
,RegulationopZopofoptheopConsumeropCreditopProtectionopAct,opalsoopknownopasoptheopTrutho
pinopLendingopAct,opestablishesopwhat?op-opans--
Disclosureoprulesopforopconsumeropcreditopsalesopandopconsumeroploans
Whatopisopaopprincipalopdiagnosis?op-opans--
Primaryopreasonopforoptheoppatient'sopadmission
Collectingoppatientopliabilityopdollarsopafteropserviceopleadsoptoopwhat?op-opans--
Loweropaccountsopreceivableoplevels
Whatopisoptheopdailyopout-of-pocketopamountopforopeachoplifetimeopreserveopdayopused?op-
opans--50%opofoptheopcurrentopdeductibleopamount
WhatopserviceopprovidedoptoopaopMedicareopbeneficiaryopinopaopruralophealthopclinicop(RHC)o
pisopnotopbillableopasopanopRHCopservices?op-opans--Inpatientopcare
Whatopcodeopindicatesoptheopdispositionopofoptheoppatientopatoptheopconclusionopofopservice
?op-opans--Patientopdischargeopstatusopcode
WhatopareophospitalsoprequiredoptoopdoopforopMedicareopcreditopbalanceopaccounts?op-
opans--Theyopresultopinoplostopreimbursementopandopadditionalopcostoptoopcollect
Whenopanopundueopdelayopofoppaymentopresultsopfromopaopdisputeopbetweenoptheoppatientop
andoptheopthirdoppartyoppayer,opwhoopisopresponsibleopforoppayment?op-opans--Patient
MedicareopguidelinesoprequireopthatopwhenopaoptestopisoporderedopforopaopLCDoporopNCDope
xists,optheopinformationopprovidedoponoptheoporderopmustopinclude:op-opans--
AopvalidopCPToporopHCPCSopcode
Withopadvancesopinopinternetopsecurityopandopencryption,oprevenue-
cycleopprocessesopareopexpandingoptoopallowoppatientsoptoopdoopwhat?op-opans--
Accessoptheiropinformationopandopperformopfunctionsopon-line
WhatopdateopisoprequiredoponopallopCMSop1500opclaimopforms?op-opans--
onsetopdateopofopcurrentopillness
Whatopdoesopschedulingopallowopprovideropstaffoptoopdoop-opans--
Reviewopappropriatenessopofoptheopserviceoprequest
Whatopcodeopisopusedoptoopreportoptheopprovider'sopmostopcommonopsemiprivateoproomoprat
e?op-opans--Conditionopcode
, Regulationsopandoprequirementsopforopcodingopaccountableopcareoporganizations,opwhichop
allowsopprovidersoptoopbeginopcreatingoptheseoporganizations,opwereopfinalizedopin:op-
opans--2012
WhatopisopaopprimaryopresponsibilityopofoptheopRecoveropAuditopContractor?op-opans--
ToopcorrectlyopidentifyopproperoppaymentsopforopMedicareopPartopAop&opBopclaims
Howopmustopprovidersophandleopcreditopbalances?op-opans--
Complyopwithopstateopstatutesopconcerningopreportingopcreditopbalance
Insuranceopverificationopresultsopinopwhat?op-opans--
Theopaccurateopidentificationopofoptheoppatient'sopeligibilityopandopbenefits
WhatopformopisopusedoptoopbillopMedicareopforopruralophealthopclinics?op-opans--CMSop1500
Whatopactivitiesopareopcompletedopwhenopaopscheduledoppre-
registeredoppatientoparrivesopforopservice?op-opans--
Registeringoptheoppatientopandopdirectingoptheoppatientoptooptheopserviceoparea
Inopadditionoptoopbeingopsupportedopbyopinformationopfoundopinoptheoppatient'sopchart,opaopC
MSop1500opclaimopmustopbeopcodedopusingopwhat?op-opans--
HCPCSop(HealthcareopCommonopProcedureopCodingopsystem)
Whatopresultsopfromopaopdeniedopclaim?op-opans--
Theopprovideropincursopreworkopandopappealopcosts
Whyopdoesoptheopfinancialopcounseloropneedoppricingopforopservices?op-opans--
Toopcalculateoptheoppatient'sopfinancialopresponsibility
Whatoptypeopofopprovideropbillsopthird-partyoppayersopusingopCMSop1500opformop-opans--
Hospital-basedopmammographyopcenters
Howopareopdisputesopwithopnongovernmentaloppayersopresolved?op-opans--
Appealopconditionsopspecifiedopinoptheopindividualoppayer'sopcontract
TheopimportantopmessageopfromopMedicareopprovidesopbeneficiariesopwithopinformationopc
oncerningopwhat?op-opans--
Rightoptoopappealopaopdischargeopdecisionopifoptheoppatientopdisagreesopwithoptheopservices
Whyopdoopmanagedopcareopplansophaveopagreementsopwithophospitals,opphysicians,opandop
otherophealthcareopprovidersoptoopofferopaoprangeopofopservicesoptoopplanopmembers?op-
opans--Toopimproveopaccessoptoopqualityophealthcare
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