Certified Revenue Cycle Representative – CRCR EXAMS complete solution

Name the guideline that Medicare established to determine which diagnoses, signs, or symptoms are payable. – A. Patient Identifiers **B. Local Coverage Determinations C. Advance Beneficiary Notice D. Scheduling Instructions What is the purpose of insurance verification? – A. To identify information that does not have to be collected from the patient. **B. To ensure accuracy of the health plan information. C. To effectively complete the MSP screening process. D. To complete guarantor information if the guarantor is not the patient. Which option is a federally-aided, state-operated program to provide health and long-term care coverage? – A. Medicare **B. Medicaid C. Self-Insured Plans D. Liability Coverage Which option is NOT a specific managed care requirement? – A. Referrals B. Notification **C. Preferred Provider Organization D. Discharge Planning What is the first component of a pricing determination? – A. Identify the service or test involved **B. Verification of the patient's insurance eligibility and benefits C. Inform the patient that physician services are or are not included D. Use a worksheet or other tool for guidance in determining an estimate The correct sequential order of the financial counseling steps for an uninsured patient's surgery case are: - Greet patient and give your na