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Revenue Cycle Representative Study
CRCRGuide
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Revenue Cycle Representative Study Guide Practice Questions.pdf
CRCR Exam Prep Certified
Revenue Cycle
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Guide Practice Questions
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CRCR Exam Prep Certified Revenue Cycle Representative Study
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Certified Revenue Cycle Representative Study
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Revenue Cycle Representative Study Guide Practice Questions.pdf
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1. What are collection agency A percentage of dollars collected
fees based on?
2. Self-funded benefit plans may Birthday
choose to coordinate benefits
using the gender rule or what
other rule?
3. In what type of payment Case rates
methodology is a lump sum
or bundled payment negoti-
ated between the payer and
some or all providers?
4. What customer service im- Holding staff accountable for customer service during perfor-
provements might improve mance reviews
the patient accounts depart-
ment?
5. What is an ABN (Advance Ben- Inform a Medicare beneficiary that Medicare may not pay for
eficiary Notice of Non-cover- the order or service
age) required to do?
6. What type of account adjust- Bad debt adjustment
ment results from the pa-
tient's unwillingness to pay
for a self-pay balance?
7. What is the initial hospice Two 90-day periods and an unlimited number of subsequent
benefit? periods
8. If the patient requires ambulance transportation to a skilled
nursing facility
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When does a hospital add
ambulance charges to the
Medicare inpatient claim?
9. How should a provider re- Post a late-charge adjustment to the account
solve a late-charge credit
posted after an account is
billed?
10. an increase in the dollars They are not being processed in a timely manner
aged greater than 90 days
from date of service indicate
what about accounts
11. What is an advantage of a pre- It reduces processing times at the time of service
registration program?
12. What are the two statutory ex- Medically unnecessary services and custodial care
clusions from hospice cover-
age?
13. What core financial activities Scheduling, insurance verification, discharge processing, and
are resolved within patient ac- payment of point-of-service receipts
cess?
14. What statement applies to The services do not involve an overnight stay
the scheduled outpatient?
15. How is a mis-posted contrac- Comparing the contract reimbursement rates with the contract
tual allowance resolved? on the admittance advice to identify the correct amount
16. What type of patient status is Observation
used to evaluate the patient's
need for inpatient care?
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