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CRCR Certification Exam|206 Questions with Accurate Answers
CRCR Certification Exam|206 Questions with Accurate Answers
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CRCR Certification Exam|206 Questionswith Accurate Answers
Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by - -The Medicare Administrative Contractor (MAC)
at the end of the hospice cap period
-Which of the following is required for participation in Medicaid - -Meet
Income and Assets Requirements
-In choosing a setting for patient financial discussions, organizations should
first and foremost - -Respect the patients privacy
-A nightly room charge will be incorrect if the patient's - -Transfer from ICU
(intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
-The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - -Purchase qualified
health benefit plans regardless of insured's
health status
-A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - -Charitable pledges
-What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? - -Revenue codes
-This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system.
This directive is called - -Patient bill of rights
-The activity which results in the accurate recording of patient bed and level
of care assessment, patient transfer and patient discharge status on a real-
time basis is known as - -Case management
-Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? - -Registration staff may routinely contact managed are
plans for prior authorizations before the patient is seen by the on-duty
physician
-HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's are
,assigned by - -The Internal Revenue Service
-Checks received through mail, cash received through mail, and lock box are
all examples of - -Control points for cash posting
-What are some core elements if a board-approved financial assistance
policy? - -Eligibility, application process, and nonpayment collection
activities
-A recurring/series registration is characterized by - -The creation of one
registration record for multiple days of service
-With the advent of the Affordable Care Act Health Insurance Marketplaces
and the expansion of Medicaid in some states, it is more important than ever
for hospitals to - -Assist patients in understanding their insurance coverage
and their financial obligation
-The purpose of a financial report is to: - -Present financial information to
decision makers
-Patient financial communications best practices produce communications
that are - -Consistent, clear and transparent
-Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations (NCD) that
establish - -What services or healthcare items are covered under Medicare
-Any provider that has filed a timely cost report may appeal an adverse final
decision received from the Medicare Administrative Contractor (MAC). This
appeal may be filed with - -The Provider Reimbursement Review Board
-Concurrent review and discharge planning - -Occurs during service
-Duplicate payments occur: - -When providers re-bill claims based on
nonpayment from the initial bill submission
-An individual enrolled in Medicare who is dissatisfied with the government's
claim determination is entitled to reconsideration of the decision. This type
of appeal is known as - -A beneficiary appeal
-Insurance verification results in which of the following - -The accurate
identification of the patient's eligibility and benefits
-The Medicare fee-for service appeal process for both beneficiaries and
providers includes all of the following levels EXCEPT: - -Judicial review by a
federal district court
, -Under EMTALA (Emergency Medical Treatment and Labor Act) regulations,
the providermay not ask about a patient's insurance information if it would
delay what? - -Medical screening and stabilizing treatment
-Ambulance services are billed directly to the health plan for - -Services
provided before a patient is admitted and for ambulance rides arranged to
pick up the patient from the hospital after discharge to take him/her home or
to another facility
-Key performance indicators (KPIs) set standards for accounts receivables
(A/R) and - -Provide a method of measuring the collection and control of A/R
-he patient discharge process begins when - -The physician writes the
discharge orders
-The nightly room charge will be incorrect if the patient's - -Transfer from
ICU to the Medical/Surgical floor is not reflected in the registration system.
-The soft cost of a dissatisfied customer is - -The customer passing on info
about their negative experience to potential pts or through social media
channels
-An advantage of a pre-registration program is - -The opportunity to reduce
the corporate compliance failures within the registration process
-It is important to have high registration quality standards because - -
Inaccurate or incomplete patient data will delay payment or cause denials
-Telemed seeks to improve a patient's health by - -Permitting 2-way real
time interactive communication between the patient and the clinical
professional
-Any healthcare insurance plan that provides or ensures comprehensive
health maintenance and treatment services for an enrolled group of persons
based on a monthly fee is known as a - -HMO
-Identifying the patient, in the MPI, creating the registration record,
completing medical necessity screening, determining insurance eligibility
and benefits resolving managed care, requirements and completing financial
education/resolution are all - -The data collection steps for scheduling and
pre-registering a patient
-Medicare Part B has an annual deductible, and the beneficiary is
responsible for - -A co-insurance payment for all Part B covered services
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