CRCR UPDATED FINAL EXAMS ALL QUESTIONS
AND ANSWERS SURE A+
✔✔With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - ✔✔Access their information and perform
functions on-line
✔✔What date is required on all CMS 1500 claim forms? - ✔✔onset date of current
illness
✔✔What does scheduling allow provider staff to do - ✔✔Review appropriateness of the
service request
✔✔What code is used to report the provider's most common semiprivate room rate? -
✔✔Condition code
✔✔Regulations and requirements for coding accountable care organizations, which
allows providers to begin creating these organizations, were finalized in: - ✔✔2012
✔✔What is a primary responsibility of the Recover Audit Contractor? - ✔✔To correctly
identify proper payments for Medicare Part A & B claims
, ✔✔How must providers handle credit balances? - ✔✔Comply with state statutes
concerning reporting credit balance
✔✔Insurance verification results in what? - ✔✔The accurate identification of the
patient's eligibility and benefits
✔✔What form is used to bill Medicare for rural health clinics? - ✔✔CMS 1500
✔✔What activities are completed when a scheduled pre-registered patient arrives for
service? - ✔✔Registering the patient and directing the patient to the service area
✔✔In addition to being supported by information found in the patient's chart, a CMS
1500 claim must be coded using what? - ✔✔HCPCS (Healthcare Common Procedure
Coding system)
✔✔What results from a denied claim? - ✔✔The provider incurs rework and appeal costs
✔✔Why does the financial counselor need pricing for services? - ✔✔To calculate the
patient's financial responsibility
✔✔What type of provider bills third-party payers using CMS 1500 form - ✔✔Hospital-
based mammography centers
✔✔How are disputes with nongovernmental payers resolved? - ✔✔Appeal conditions
specified in the individual payer's contract
✔✔The important message from Medicare provides beneficiaries with information
concerning what? - ✔✔Right to appeal a discharge decision if the patient disagrees with
the services
✔✔Why do managed care plans have agreements with hospitals, physicians, and other
healthcare providers to offer a range of services to plan members? - ✔✔To improve
access to quality healthcare
✔✔If a patient remains an inpatient of an SNF (skilled nursing facility for more than 30
days, what is the SNF permitted to do? - ✔✔Submit interim bills to the Medicare
program.
✔✔90. MSP (Medicare Secondary Payer) rules allow providers to bill Medicare for
liability claims after what happens? - ✔✔120 days passes, but the claim then be
withdrawn from the liability carrier
AND ANSWERS SURE A+
✔✔With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - ✔✔Access their information and perform
functions on-line
✔✔What date is required on all CMS 1500 claim forms? - ✔✔onset date of current
illness
✔✔What does scheduling allow provider staff to do - ✔✔Review appropriateness of the
service request
✔✔What code is used to report the provider's most common semiprivate room rate? -
✔✔Condition code
✔✔Regulations and requirements for coding accountable care organizations, which
allows providers to begin creating these organizations, were finalized in: - ✔✔2012
✔✔What is a primary responsibility of the Recover Audit Contractor? - ✔✔To correctly
identify proper payments for Medicare Part A & B claims
, ✔✔How must providers handle credit balances? - ✔✔Comply with state statutes
concerning reporting credit balance
✔✔Insurance verification results in what? - ✔✔The accurate identification of the
patient's eligibility and benefits
✔✔What form is used to bill Medicare for rural health clinics? - ✔✔CMS 1500
✔✔What activities are completed when a scheduled pre-registered patient arrives for
service? - ✔✔Registering the patient and directing the patient to the service area
✔✔In addition to being supported by information found in the patient's chart, a CMS
1500 claim must be coded using what? - ✔✔HCPCS (Healthcare Common Procedure
Coding system)
✔✔What results from a denied claim? - ✔✔The provider incurs rework and appeal costs
✔✔Why does the financial counselor need pricing for services? - ✔✔To calculate the
patient's financial responsibility
✔✔What type of provider bills third-party payers using CMS 1500 form - ✔✔Hospital-
based mammography centers
✔✔How are disputes with nongovernmental payers resolved? - ✔✔Appeal conditions
specified in the individual payer's contract
✔✔The important message from Medicare provides beneficiaries with information
concerning what? - ✔✔Right to appeal a discharge decision if the patient disagrees with
the services
✔✔Why do managed care plans have agreements with hospitals, physicians, and other
healthcare providers to offer a range of services to plan members? - ✔✔To improve
access to quality healthcare
✔✔If a patient remains an inpatient of an SNF (skilled nursing facility for more than 30
days, what is the SNF permitted to do? - ✔✔Submit interim bills to the Medicare
program.
✔✔90. MSP (Medicare Secondary Payer) rules allow providers to bill Medicare for
liability claims after what happens? - ✔✔120 days passes, but the claim then be
withdrawn from the liability carrier
