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Overall aggregate payments made to a hospice are subject to a computed "cap
amount"
calculated by ✔✔The Medicare Administrative Contractor (MAC) at the end of
the hospice cap
period
Which of the following is required for participation in Medicaid ✔✔Meet
Income and Assets
Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost
✔✔Respect the patients privacy
A nightly room charge will be incorrect if the patient's ✔✔Transfer from ICU
(intensive care
unit) to the Medical/Surgical
floor is not reflected in the registration system
,CRCR Certification; QUESTIONS AND ANSWERS
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The Affordable Care Act legislated the development of Health Insurance
Exchanges, where
individuals and small businesses can ✔✔Purchase qualified health benefit plans
regardless of
insured's
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes:
✔✔Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from
Medicare? ✔✔Revenue codes
This directive was developed to promote and ensure healthcare quality and
value and also to
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protect consumers and workers in the healthcare system. This directive is called
✔✔Patient bill
of rights
The activity which results in the accurate recording of patient bed and level of
care assessment,
patient transfer and patient discharge status on a real-time basis is known as
✔✔Case
management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act)
violation? ✔✔Registration staff may routinely contact managed are plans for
prior authorizations
before the patient is seen by the on-duty physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions
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to identify the employer of an individual described in a transaction EIN's are
assigned by ✔✔The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of
✔✔Control points for cash posting
What are some core elements if a board-approved financial assistance policy?
✔✔Eligibility,
application process, and nonpayment collection activities
A recurring/series registration is characterized by ✔✔The creation of one
registration record for
multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and
the expansion of
Medicaid in some states, it is more important than ever for hospitals to
✔✔Assist patients in