CRCR Exam Prep Graded A+ Updated 2023
- What are collection agency fees based on? - Correct AnswerA percentage of dollars
- Correct AnswerHolding staff accountable for customer service during performance reviews
collected 2.Self-funded benefit plans may choose to coordinate b enefits using the gender rule or what other rule? - Correct Answer Birthday 3.In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Correct AnswerCase rates 4.What customer service improvements might improve the patient accounts department?
5.What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - Correct AnswerInform a Medicare beneficiary that Medicare may not pay for the order or service 6.What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance? - Correct AnswerBad debt adjustment What is the initial hospice benefit? - Correct AnswerTwo 90-day periods and an unlimited number of subsequent periods 7.When does a hospital add ambulance charges to the Medicare inpatient claim? - Correct AnswerIf the patient requires ambulance transportation to a skilled nursing facility 8.How should a provider resolve a late-charge credit posted after an account is billed? - Correct AnswerPost a late-charge adjustment to the account 9.an increase in the dollars aged greater than 90 days from date of service indicate what about accounts - Correct AnswerThey are not being processed in a timely manner 1 / 2
10.What is an advantage of a preregistration program? - Correct AnswerIt reduces processing times at the time of service 11.What are the two statutory exclusions from hospice coverage? - Correct AnswerMedically unnecessary services and custodial care 12.What core financial activities are resolved within patient access? - Correct AnswerScheduling, insurance verification, discharge processing, and payment of point-of- service receipts 13.What statement applies to the scheduled outpatient? - Correct AnswerThe services do not involve an overnight stay 14.How is a mis-posted contractual allowance resolved? - Correct AnswerComparing the contract reimbursement rates with the contract on the admittance advice to identify the correct amount 15.What type of patient status is used to evaluate the patient's need for inpatient care? - Correct AnswerObservation 17.Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what? - Correct AnswerMedically necessary inpatient hospital services for at least 3 consecutive days before the skilled nursing care admission 18.When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? - Correct AnswerWhen the patient is the insured 19.What are non-emergency patients who come for service without prior notification to the provider called? - Correct AnswerUnscheduled patients
- / 2