CRCR Certification QuestionsandAnswers Already Passed

CRCR Certification QuestionsandAnswers Already PassedOverall 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 hospicecapperiod 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 careunit) to the Medical/Surgical floor is not reflected in the registration system The Affordable Care Act legislated the development of Health Insurance Exchanges, whereindividuals and small businesses can Purchase qualified health benefit plans regardless of insured's ONLYSTUDENTS STORE 2025 ALL THE BEST CHAMPAGRADESTUVIA STORE 2 DO NOT COPY 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 fromMedicare? Revenue codes This directive was developed to promote and ensure healthcare quality and value and alsotoprotect 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 authorizationsbefore the patient is seen by the on-duty physician ONLYSTUDENTS STORE 2025 ALL THE BEST CHAMPAGRADESTUVIA STORE 3 DO NOT COPY HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactionsto 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 recordfor multiple days of service With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansionof Medicaid in some states, it is more important than ever for hospitals to Assist patients inunderstanding their insurance coverage and their financial obligation The purpose of a financial report is to: Present financial information to decision makers ONLYSTUDENTS STORE 2025 ALL THE BEST CHAMPAGRADESTUVIA STORE 4 DO NOT COPY Patient financial communications best practices produce communications that are Consistent, clear and transparent Medicare has established guidelines called the Local Coverage Determinations (LCD) andNational Coverage Determinations (NCD) that establish What services or healthcare itemsare covered under Medicare Any provider that has filed a timely cost report may appeal an adverse final decision receivedfrom the Medicare Administrative Contractor (MAC). This appeal may be filed with TheProvider Reimbursement Review Board Concurrent review and discharge planning Occurs during service Duplicate payments occur: When providers re-bill claims based on nonpayment fromtheinitial bill submission An individual enrolled in Medicare who is dissatisfied with the government's claimdetermination is entitled to reconsideration of the decision. This type of appeal is known as A beneficiary appeal ONLYSTUDENTS STORE 2025 ALL THE BEST CHAMPAGRADESTUVIA STORE 5 DO NOT COPY Insurance verification results in which of the following The accurate identification of thepatient's eligibility and benefits The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the following levels EXCEPT: Judicial review by a federal district court Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the providermaynot ask about a patient's insurance information if it would delay what? Medical screeningandstabilizing treatment Ambulance services are billed directly to the health plan for Services provided before a patient is admitted and for ambulance rides arranged to pick up the patient fromthe hospital afterdischarge to take him/her home or to another facility Key performance indicators (KPIs) set standards for accounts receivables (A/R) and Providea method of measuring the collection and control of A/R he patient discharge process begins when The physician writes the discharge orders ONLYSTUDENTS STORE 2025 ALL THE BEST CHAMPAGRADESTUVIA STORE 6 DO NOT COPY The nightly room charge will be incorrect if the patient's Transfer from ICUto the Medical/Surgical floor is not reflected in the registration system. The soft cost of a dissatisfied customer is The customer passing on info about their negativeexperience to potential pts or through social media channels An advantage of a pre-registration program is The opportunity to reduce the corporate compliance failures within the registration process It is important to have high registration quality standards because Inaccurate or incompletepatient data will delay payment or cause denials Telemed seeks to improve a patient's health by Permitting 2-way real time interactive communication between the patient and the clinical professional Any healthcare insurance plan that provides or ensures comprehensive health maintenance andtreatment services for an enrolled group of persons based on a monthly fee is known as a HMO