CRCR Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

CRCR Questions and Correct Detailed Answers
(Verified Answers) ||Already Graded A+||Newest
Version
Quiz: What do Case Managers do?

Ans: Monitor high resource cases to ensure effective utilization



Quiz: What is HIM responsible for?

Ans: all pt medical records: transcribe, coding, release to biling, answer requests for
documentation



Quiz: What is utilization management responsible for?

Ans: manage cases: services correct, on time



Quiz: What are the three types of utilization review?

Ans: Prospective, Concurrent, Retrospective



Quiz: Where can home health services be offered?

Ans: Home, Assist Living, neighbors: just not SNF nor Hospital



Quiz: To receive -Care payments, what must a SNF have when receiving a pt from a
hosp?

Ans: A transfer agreement approved by -Care.



Quiz: Can a home health agency employ another agency to provide services?

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, Ans: Yes, so long as at least one employee of the original agency provides care.



Quiz: What is the Net Collection Rate?

Ans: how much cash was collected as a % of available to collect?



Quiz: What is the Net Collection Rate benchmark?

Ans: 95%



Quiz: What is the benchmark for denials

Ans: <2% on first submission



Quiz: Formual for cost to collect

Ans: total PFS expenses/gross pt care collections



Quiz: What is the benchmark for cost to collect

Ans: 2.25%



Quiz: What % of the UB-04 source of data is from pt access?

Ans: 40%



Quiz: What % of the UB-04 source of data is from service depts?

Ans: 11%



Quiz: What % of the UB-04 source of data is from HIM?
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, Ans: 20%



Quiz: What % of the UB-04 source of data is from billing?

Ans: 20%



Quiz: What % of the UB-04 source of data is not used?

Ans: 9%



Quiz: What % of the CMS 1500 source of data is from pt access?

Ans: 53%



Quiz: What % of the CMS 1500 source of data is from service?

Ans: 14%



Quiz: What % of the CMS 1500 source of data is from HIM

Ans: 7%



Quiz: What % of the CMS 1500 source of data is from billing?

Ans: 26%



Quiz: From whom is the UB-04 directed?

Ans: institutional: hospitals, SNF, hospice



Quiz: From whom is the CMS 1500?
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