CRCR Exam Prep Q&A

What are collection agency fees based on? - Answer- A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Answer- Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Answer- Case rates What customer service improvements might improve the patient accounts department? - Answer- Holding staff accountable for customer service during performance reviews What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - Answer- Inform a Medicare beneficiary that Medicare may not pay for the order or service What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance? - Answer- Bad debt adjustment What is the initial hospice benefit? - Answer- Two 90-day periods and an unlimited number of subsequent periods When does a hospital add ambulance charges to the Medicare inpatient claim? - Answer- If the patient requires ambulance transportation to a skilled nursing facility How should a provider resolve a late-charge credit posted after an account is billed? - Answer- Post a late-charge adjustment to the account an increase in the dollars aged greater than 90 days from date of service indicate what about accounts - Answer- They are not being processed in a timely manner What is an advantage of a preregistration program? - Answer- It reduces processing times at the time of service What are the two statutory exclusions from hospice coverage? - Answer- Medically unn