Exam (elaborations)
CRCR EXAM PREP/146 QUESTIONS AND ANSWERS (A+)
- Module
- CRCR EXAM PREP
- Institution
- CRCR EXAM PREP
CRCR EXAM PREP/146 QUESTIONS AND ANSWERS (A+)
[Show more]
Content preview
CRCR EXAM PREP/146QUESTIONS AND ANSWERS
(A+)
What are collection agency fees based on? - =A
percentage of dollars collected
-Self-funded benefit plans may choose to coordinate
benefits using the gender rule or what another rule? -
=Birthday
-In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and
some or all providers? - =Case rates
-What customer service improvements might improve
the patient accounts department? - =Holding staff
accountable for customer service during performance
reviews
-What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - =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? -
=Bad debt adjustment
-What is the initial hospice benefit? - =Two 90-day
periods and an unlimited number of subsequent periods
,-When does a hospital add ambulance charges to the
Medicare inpatient claim? - =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? - =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 -
=They are not being processed in a timely manner
-What is an advantage of a preregistration program? -
=It reduces processing times at the time of service
-What are the two statutory exclusions from hospice
coverage? - =Medically unnecessary services and
custodial care
-What core financial activities are resolved within patient
access? - =Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
-What statement applies to the scheduled outpatient? -
=The services do not involve an overnight stay
-How is a mis-posted contractual allowance resolved? -
=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? - =Observation
, -Coverage rules for Medicare beneficiaries receiving
skilled nursing care require that the beneficiary has
received what? - =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$? - =When the patient is the
insured
-What are non-emergency patients who come for
service without prior notification to the provider called? -
=Unscheduled patients
-If the insurance verification response reports that a
subscriber has a single policy, what is the status of the
subscriber's spouse? - =Neither enrolled not entitled to
benefits
-Regulation Z of the Consumer Credit Protection Act,
also known as the Truth in Lending Act, establishes
what? - =Disclosure rules for consumer credit sales and
consumer loans
-What is a principal diagnosis? - =Primary reason for the
patient's admission
-Collecting patient liability dollars after service leads to
what? - =Lower accounts receivable levels
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card for the summaries. There is no membership needed.
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 HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.93. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76462 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now