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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Review/ 530+ Q&A. $17.49   Add to cart

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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Review/ 530+ Q&A.

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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Review/ 530+ Q&A. Terms like: What is the initial hospice benefit? - Answer: Two 90-day periods and an unlimited number of subsequent periods When does a hospital add ambulance charges to the Medi...

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  • August 8, 2024
  • 118
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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  • CRCR
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docmickey
CRCR EXAM MULTIPLE CHOICE, CRCR Exam
Prep, Certified Revenue Cycle Representative -
CRCR (2021) Review/ 530+ Q&A.
What is the initial hospice benefit? - Answer: Two 90-day periods and an
unlimited number of subsequent periods


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


Page 1 of 118

,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 are collection agency fees based on? - Answer: A percentage of dollars
collected


Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday


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


What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews




Page 2 of 118

,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


What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - Answer: Bad debt adjustment


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

Page 3 of 118

, 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




Page 4 of 118

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