CRCR Certification 206 Questions and Answers,100% CORRECT
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CRCR Certification 206 Questions and Answers
Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - CORRECT ANSWERSThe Medicare Administrative Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participa...
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - CORRECT ANSWERSThe Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - CORRECT
ANSWERSMeet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - CORRECT ANSWERSRespect the patients privacy
A nightly room charge will be incorrect if the patient's - CORRECT
ANSWERSTransfer 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
ANSWERSPurchase 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 ANSWERSCharitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - CORRECT ANSWERSRevenue 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 ANSWERSPatient 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 ANSWERSCase management
,Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - CORRECT ANSWERSRegistration 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 ANSWERSThe Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - CORRECT ANSWERSControl points for cash posting
What are some core elements if a board-approved financial assistance policy? -
CORRECT ANSWERSEligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - CORRECT ANSWERSThe
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 ANSWERSAssist patients in understanding their insurance
coverage and their financial obligation
The purpose of a financial report is to: - CORRECT ANSWERSPresent financial
information to decision makers
Patient financial communications best practices produce communications that are
- CORRECT ANSWERSConsistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - CORRECT
ANSWERSWhat 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 ANSWERSThe Provider Reimbursement
Review Board
Concurrent review and discharge planning - CORRECT ANSWERSOccurs during
service
Duplicate payments occur: - CORRECT ANSWERSWhen 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 ANSWERSA beneficiary appeal
Insurance verification results in which of the following - CORRECT ANSWERSThe
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: - CORRECT ANSWERSJudicial 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? - CORRECT ANSWERSMedical screening and stabilizing treatment
Ambulance services are billed directly to the health plan for - CORRECT
ANSWERSServices 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 - CORRECT ANSWERSProvide a method of measuring the collection and
control of A/R
he patient discharge process begins when - CORRECT ANSWERSThe physician
writes the discharge orders
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