Exam (elaborations)
CRCR Exam Prep /146 Questions And Answers (A+)
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- CRCR Exam Prep 2023-2024
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- CRCR Exam Prep 2023-2024
CRCR Exam Prep /146 Questions And Answers (A+)
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By: HELLENAH • 10 months ago
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CRCR Exam Prep 2023-2024 /146 Questions AndAnswers (A+)
Quiz :What are collection agency fees based on? - √Answer :A percentage of
dollars collected
Quiz :Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - √Answer :Birthday
Quiz :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
Quiz :What customer service improvements might improve the patient accounts
department? - √Answer :Holding staff accountable for customer service during
performance reviews
Quiz :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
Quiz :What type of account adjustment results from the patient's unwillingness
to pay for a self-pay balance? - √Answer :Bad debt adjustment
Quiz :What is the initial hospice benefit? - √Answer :Two 90-day periods and
an unlimited number of subsequent periods
Quiz :When does a hospital add ambulance charges to the Medicare inpatient
claim? - √Answer :If the patient requires ambulance transportation to a skilled
nursing facility
Quiz :How should a provider resolve a late-charge credit posted after an account
is billed? - √Answer :Post a late-charge adjustment to the account
Quiz :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
Quiz :What is an advantage of a preregistration program? - √Answer :It reduces
processing times at the time of service
Quiz :What are the two statutory exclusions from hospice coverage? -
√Answer :Medically unnecessary services and custodial care
, Quiz :What core financial activities are resolved within patient access? -
√Answer :Scheduling, insurance verification, discharge processing, and
payment of point-of-service receipts
Quiz :What statement applies to the scheduled outpatient? - √Answer :The
services do not involve an overnight stay
Quiz :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
Quiz :What type of patient status is used to evaluate the patient's need for
inpatient care? - √Answer :Observation
Quiz :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
Quiz :When is the word "SAME" entered on the CMS 1500 billing form in
Field 0$? - √Answer :When the patient is the insured
Quiz :What are non-emergency patients who come for service without prior
notification to the provider called? - √Answer :Unscheduled patients
Quiz :If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - √Answer :Neither
enrolled not entitled to benefits
Quiz :Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - √Answer :Disclosure rules for
consumer credit sales and consumer loans
Quiz :What is a principal diagnosis? - √Answer :Primary reason for the patient's
admission
Quiz :Collecting patient liability dollars after service leads to what? -
√Answer :Lower accounts receivable levels
Quiz :What is the daily out-of-pocket amount for each lifetime reserve day
used? - √Answer :50% of the current deductible amount
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