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CRCR CERTIFICATION ALREADY
GRADED A+
Question : The disadvantages of outsourcing include all
of the following EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts
receivable services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on
outsourced staff
Correct answer: D
Question : The Medicare fee-for service appeal process
for both beneficiaries and providers
includes all of the following levels EXCEPT:
a) Medical necessity review by an independent
physician's panel
b) Judicial review by a federal district court
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c) Redetermination by the company that handles claims
for Medicare
d) Review by the Medicare Appeals Council (Appeals
Council)
Correct answer: B
Question : Business ethics, or organizational ethics
represent:
a) The principles and standards by which organizations
operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct
Correct answer: A
Question : A portion of the accounts receivable inventory
which has NOT qualified for billing
includes:
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a) Charitable pledges
b) Accounts created during pre-registration but not
activated
c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency
Correct answer: A
Question : Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are reimbursable
d) What Medicare reimburses and what should be referred
to Medicaid
Correct answer: C
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Question : Days in A/R is calculated based on the value
of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date
Correct answer: C
Question : Patients are contacting hospitals to proactively
inquire about costs and fees prior to agreeing to service. The problem for hospitals in
providing such information is:
a) That hospitals don't want to establish a price without
knowing if the patient has insurance and how much reimbursement can be expected