Exam (elaborations)
CRCR EXAM PREP QUESTIONS WITH ANSWERS
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CRCR EXAM PREP QUESTIONS WITH ANSWERS
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CRCR EXAM PREP QUESTIONS WITH ANSWERS What vare vcollection vagency vfees vbased von? v-vcorrect vanswer -Avpercentage vofvdollars vcollected Self-
funded vbenefit vplans vmay vchoose vtovcoordinate vbenefits vusing vthe vgender vrule vor vwhat vo
ther vrule? v-vcorrect vanswer -Birthday Invwhat vtype vofvpayment vmethodology visvavlump vsum vor vbundled vpayment vnegotiated vbe
tween vthe vpayer vand vsome vor vall vproviders? v-vcorrect vanswer -Case vrates What vcustomer vservice vimprovements vmight vimprove vthe vpatient vaccounts vdepartment
?v-vcorrect vanswer -
Holding vstaff vaccountable vfor vcustomer vservice vduring vperformance vreviews What visvan vABN v(Advance vBeneficiary vNotice vofvNon-coverage) vrequired vtovdo? v-
vcorrect vanswer -
Inform vavMedicare vbeneficiary vthat vMedicare vmay vnot vpay vfor vthe vorder vor vservice What vtype vofvaccount vadjustment vresults vfrom vthe vpatient's vunwillingness vtovpay vfor vavse
lf-pay vbalance? v-vcorrect vanswer -Bad vdebt vadjustment What visvthe vinitial vhospice vbenefit? v-vcorrect vanswer -Two v90-
day vperiods vand van vunlimited vnumber vofvsubsequent vperiods When vdoes vavhospital vadd vambulance vcharges vtovthe vMedicare vinpatient vclaim? v-
vcorrect vanswer -
Ifvthe vpatient vrequires vambulance vtransportation vtovavskilled vnursing vfacility How vshould vavprovider vresolve vavlate-charge vcredit vposted vafter van vaccount visvbilled? v-
vcorrect vanswer -Post vavlate-charge vadjustment vtovthe vaccount an vincrease vinvthe vdollars vaged vgreater vthan v90 vdays vfrom vdate vofvservice vindicate vwhat v
about vaccounts v-vcorrect vanswer -They vare vnot vbeing vprocessed vinvavtimely vmanner What visvan vadvantage vofvavpreregistration vprogram? v-vcorrect vanswer -
Itvreduces vprocessing vtimes vatvthe vtime vofvservice What vare vthe vtwo vstatutory vexclusions vfrom vhospice vcoverage? v-vcorrect vanswer -
Medically vunnecessary vservices vand vcustodial vcare What vcore vfinancial vactivities vare vresolved vwithin vpatient vaccess? v-vcorrect vanswer -
Scheduling, vinsurance vverification, vdischarge vprocessing, vand vpayment vofvpoint -of-
service vreceipts What vstatement vapplies vtovthe vscheduled voutpatient? v-vcorrect vanswer -
The vservices vdo vnot vinvolve van vovernight vstay How visvavmis-posted vcontractual vallowance vresolved? v-vcorrect vanswer -
Comparing vthe vcontract vreimbursement vrates vwith vthe vcontract von vthe vadmittance vadvic
evtovidentify vthe vcorrect vamount What vtype vofvpatient vstatus visvused vtovevaluate vthe vpatient's vneed vfor vinpatient vcare? v-
vcorrect vanswer -Observation Coverage vrules vfor vMedicare vbeneficiaries vreceiving vskilled vnursing vcare vrequire vthat vth
evbeneficiary vhas vreceived vwhat? v-vcorrect vanswer -
Medically vnecessary vinpatient vhospital vservices vfor vatvleast v3vconsecutive vdays vbefore vt
he vskilled vnursing vcare vadmission When visvthe vword v"SAME" ventered von vthe vCMS v1500 vbilling vform vinvField v0$? v-
vcorrect vanswer -When vthe vpatient visvthe vinsured What vare vnon-
emergency vpatients vwho vcome vfor vservice vwithout vprior vnotification vtovthe vprovider vcalle
d? v-vcorrect vanswer -Unscheduled vpatients Ifvthe vinsurance vverification vresponse vreports vthat vavsubscriber vhas vavsingle vpolicy, vwhat
visvthe vstatus vofvthe vsubscriber's vspouse? v-vcorrect vanswer -
Neither venrolled vnot ventitled vtovbenefits Regulation vZvofvthe vConsumer vCredit vProtection vAct, valso vknown vas vthe vTruth vinvLendin
gvAct, vestablishes vwhat? v-vcorrect vanswer -
Disclosure vrules vfor vconsumer vcredit vsales vand vconsumer vloans What visvavprincipal vdiagnosis? v-vcorrect vanswer -
Primary vreason vfor vthe vpatient's vadmission Collecting vpatient vliability vdollars vafter vservice vleads vtovwhat? v-vcorrect vanswer -
Lower vaccounts vreceivable vlevels What visvthe vdaily vout-of-pocket vamount vfor veach vlifetime vreserve vday vused? v-
vcorrect vanswer -50% vofvthe vcurrent vdeductible vamount What vservice vprovided vtovavMedicare vbeneficiary vinvavrural vhealth vclinic v(RHC) visvnot vbill
able vas van vRHC vservices? v-vcorrect vanswer -Inpatient vcare
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