CRCR Exam Prep QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

CRCR Exam Prep QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE 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 unnecessary services and custodial care