CRCR EXAM TEST BANK LATEST WITH 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) 100% COMPLETE 2024/2025
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CRCR EXAM TEST BANK LATEST WITH 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) 100% COMPLETE 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 l...
CRCR EXAM TEST BANK LATEST 2023-2024
WITH 400+ QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) 100%
COMPLETE
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
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
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
What is a principal diagnosis? - ANSWER- Primary reason for
the patient's admission
Collecting patient liability dollars after service leads to what? -
ANSWER- Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime
reserve day used? - ANSWER- 50% of the current deductible
amount
What service provided to a Medicare beneficiary in a rural health
clinic (RHC) is not billable as an RHC services? - ANSWER-
Inpatient care
What code indicates the disposition of the patient at the
conclusion of service? - ANSWER- Patient discharge status code
What are hospitals required to do for Medicare credit
balance accounts? - ANSWER- They result in lost
reimbursement and additional cost to collect
,When an undue delay of payment results from a dispute
between the patient and the third party payer, who is
responsible for payment? - ANSWER- Patient
, Medicare guidelines require that when a test is ordered for a
LCD or NCD exists, the information provided on the order must
include: - ANSWER- A valid CPT or HCPCS code
With advances in internet security and encryption, revenue-cycle
processes are expanding to allow patients to do what? - ANSWER-
Access their information and perform functions on-line
What date is required on all CMS 1500 claim forms? - ANSWER-
onset date of current illness
What does scheduling allow provider staff to do -
ANSWER- Review appropriateness of the service
request
What code is used to report the provider's most common
semiprivate room rate? - ANSWER- Condition code
Regulations and requirements for coding accountable care
organizations, which allows providers to begin creating these
organizations, were finalized in: - ANSWER- 2012
What is a primary responsibility of the Recover Audit Contractor?
- ANSWER- To correctly identify proper payments for Medicare
Part A & B claims
How must providers handle credit balances? - ANSWER-
Comply with state statutes concerning reporting credit
balance
Insurance verification results in what? - ANSWER- The accurate
identification of the patient's eligibility and benefits
What form is used to bill Medicare for rural health clinics? -
ANSWER- CMS 1500
What activities are completed when a scheduled pre-registered
patient arrives for service? - ANSWER- Registering the patient
and directing the patient to the service area
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