CRCR Study Guide Questions with Correct Answers

CRCR Study Guide Questions with Correct Answers Accountable Care Organization - Answer-Assumes responsibility for the care of a clearly defined population of Medicare beneficiaries attributed to it on the basis of their pattern of use of primary care; Groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients Accounts Receivable - Answer-money owed by third-party payers and patients to the provider for health care services Advanced Beneficiary Notice - Answer-"waiver of liability"; medical providers are required to give a patient notice when they offer services or items that they know or have reason to believe Medicare will determine to be medically unnecessary, and therefore will not pay for Aged Trial Balance - Answer-report that shows accounts receivable totals by financial class and aging Ambulatory Payment Classificaiton - Answer-government's method of paying for facility outpatient services for Medicare when a patient is discharged or transferred to another facility not affiliated with the initial treatment facility Average Daily Gross Revenue - Answer-Monthly Gross Patient Service Revenue divided by Days in the month Bad Debt Agency - Answer-third-party that focuses on working self-pay claims including patient balances remaining after insurance has paid Bundled Payment - Answer-the reimbursement of health care providers on the basis of expected costs for clinically-defined episodes of care Care Management - Answer-method of managing the provision of healthcare with the goal of improving continuity and quality of care while lowering cost Case Mix Index - Answer-average DRG weight for all of a hospital's Medicare volume Centers for Medicare and Medicaid Services - Answer-US federal agency that administers Medicare rules and payment