CRCR Certification exam review 2023/2024 questions and answers
Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - correct answer The Medicare Administrative Contractor (MAC) at the end of the hospice cap period
Which of the following iCRCR Certi...
CRCR Certification exam review 2023/2024
questions and answers
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - correct answer The Medicare Administrative Contractor
(MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - correct answer
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - correct answer Respect the patients privacy
A nightly room charge will be incorrect if the patient's - correct answer 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 - correct answer 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: - correct answer Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - correct answer 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 - correct answer 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 - correct answer Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - correct answer 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 - correct answer The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - correct answer Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
correct answer Eligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - correct answer 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 - correct answer Assist patients in understanding their insurance
coverage and their financial obligation
The purpose of a financial report is to: - correct answer Present financial
information to decision makers
, Patient financial communications best practices produce communications that are
- correct answer Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - correct answer
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 - correct answer The Provider Reimbursement Review Board
Concurrent review and discharge planning - correct answer Occurs during service
Duplicate payments occur: - correct answer 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 - correct answer A beneficiary appeal
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