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CRCR EXAM MULTIPLE CHOICE, CRCR
a a a a
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Exam Prep, Certified Revenue Cycle
a a a a
Representative - CRCR (2021) questions
a a a a a
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and answers well illustrated.
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What aare acollection aagency afees abased aon? a- acorrect aanswer. a a a aA apercentage aof
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Self-funded abenefit aplans amay achoose ato acoordinate abenefits ausing athe agender
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what aother arule? a- acorrect aanswer. a a a
aBirthday
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In awhat atype aof apayment amethodology ais aa alump asum aor abundled apayment
anegotiated a
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between athe apayer aand asome aor aall aproviders? a- acorrect aanswer. a a a aCase
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What acustomer aservice aimprovements amight aimprove athe apatient aaccounts
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What ais aan aABN a(Advance aBeneficiary aNotice aof aNon-coverage) arequired ato ado? a-
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answer. a a a aInform aa aMedicare abeneficiary athat aMedicare amay anot apay afor athe
aorder aor
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What atype aof aaccount aadjustment aresults afrom athe apatient's aunwillingness ato apay
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self-pay abalance? a- acorrect aanswer. a a a aBad adebt
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When adoes aa ahospital aadd aambulance acharges ato athe aMedicare ainpatient aclaim? a-
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What ais aan aadvantage aof aa apreregistration aprogram? a- acorrect aanswer. a a a a It
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What aare athe atwo astatutory aexclusions afrom ahospice acoverage? a- acorrect
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When ais athe aword a"SAME" aentered aon athe aCMS a1500 abilling aform ain aField a0$? a-
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What ais aa aprincipal adiagnosis? a- acorrect aanswer. a a a a Primary areason afor athe
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What ais athe adaily aout-of-pocket aamount afor aeach alifetime areserve aday aused? a-
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What aservice aprovided ato aa aMedicare abeneficiary ain aa arural ahealth aclinic a(RHC)
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billable aas aan aRHC aservices? a- acorrect aanswer. a a a aInpatient
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What acode aindicates athe adisposition aof athe apatient aat athe aconclusion aof aservice? a-
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What aare ahospitals arequired ato ado afor aMedicare acredit abalance aaccounts? a-
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When aan aundue adelay aof apayment aresults afrom aa adispute abetween athe apatient aand
athe a
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Medicare aguidelines arequire athat awhen aa atest ais aordered afor aa aLCD aor aNCD
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What adoes ascheduling aallow aprovider astaff ato ado a- acorrect aanswer. a a a
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appropriateness aof athe aservice
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What acode ais aused ato areport athe aprovider's amost acommon asemiprivate aroom
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CRCR EXAM MULTIPLE CHOICE, CRCR
a a a a
a
Exam Prep, Certified Revenue Cycle
a a a a
Representative - CRCR (2021) questions
a a a a a
a
and answers well illustrated.
a a a
a
a
a
a
a
a
a
a
a
What aare acollection aagency afees abased aon? a- acorrect aanswer. a a a aA apercentage aof
adollars a
a
collected
a
Self-funded abenefit aplans amay achoose ato acoordinate abenefits ausing athe agender
arule aor a
a
what aother arule? a- acorrect aanswer. a a a
aBirthday
a
In awhat atype aof apayment amethodology ais aa alump asum aor abundled apayment
anegotiated a
a
between athe apayer aand asome aor aall aproviders? a- acorrect aanswer. a a a aCase
arates
a
What acustomer aservice aimprovements amight aimprove athe apatient aaccounts
adepartment? a- acorrect aanswer. a a a aHolding astaff aaccountable afor acustomer aservice
aduring aperformance a
reviews a
a
What ais aan aABN a(Advance aBeneficiary aNotice aof aNon-coverage) arequired ato ado? a-
acorrect a
a
answer. a a a aInform aa aMedicare abeneficiary athat aMedicare amay anot apay afor athe
aorder aor
a
service
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What atype aof aaccount aadjustment aresults afrom athe apatient's aunwillingness ato apay
afor aa a
a
self-pay abalance? a- acorrect aanswer. a a a aBad adebt
aadjustment
a
,What ais athe ainitial ahospice abenefit? a- acorrect aanswer. Two a90-day aperiods
a a a a
aand aan a
a
unlimited anumber aof asubsequent
aperiods
a
When adoes aa ahospital aadd aambulance acharges ato athe aMedicare ainpatient aclaim? a-
acorrect a
a
answer. a a a aIf athe apatient arequires aambulance atransportation ato aa askilled anursing
afacility
a
How ashould aa aprovider aresolve aa alate-charge acredit aposted aafter aan aaccount ais
abilled? a-
a
correct aanswer. a a a aPost aa alate-charge aadjustment ato athe
aaccount
a
an aincrease ain athe adollars aaged agreater athan a90 adays afrom adate aof aservice aindicate
awhat a
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about aaccounts a- acorrect aanswer. a a a aThey aare anot abeing aprocessed ain aa atimely
amanner
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What ais aan aadvantage aof aa apreregistration aprogram? a- acorrect aanswer. a a a a It
areduces a
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processing atimes aat athe atime aof
aservice
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What aare athe atwo astatutory aexclusions afrom ahospice acoverage? a- acorrect
aanswer. a a a a
a
Medically aunnecessary aservices aand acustodial
acare
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What acore afinancial aactivities aare aresolved awithin apatient aaccess? a- acorrect
aanswer. a a a a
Scheduling, ainsurance averification, adischarge aprocessing, aand apayment aof apoint-
of
a
service
areceipts
-
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What astatement aapplies ato athe ascheduled aoutpatient? a- acorrect aanswer. a a a a The
aservices a
a
do anot ainvolve aan aovernight
astay
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How ais aa amis-posted acontractual aallowance aresolved? a- acorrect aanswer. a a a
aComparing athe acontract areimbursement arates awith athe acontract aon athe aadmittance
aadvice ato aidentify athe a
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What atype aof apatient astatus ais aused ato aevaluate athe apatient's aneed afor ainpatient
acare? a-
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correct aanswer. a a a
aObservation
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Coverage arules afor aMedicare abeneficiaries areceiving askilled anursing acare arequire athat
athe a
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beneficiary ahas areceived awhat? a- acorrect aanswer. a a a aMedically anecessary
ainpatient
a
hospital aservices afor aat aleast a3 aconsecutive adays abefore athe askilled anursing
acare
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admission
a
When ais athe aword a"SAME" aentered aon athe aCMS a1500 abilling aform ain aField a0$? a-
acorrect a
a
answer. a a a aWhen athe apatient ais athe
ainsured
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What aare anon-emergency apatients awho acome afor aservice awithout aprior anotification ato
athe a
a
provider acalled? a- acorrect aanswer. a a a aUnscheduled
apatients
a
If athe ainsurance averification aresponse areports athat aa asubscriber ahas aa asingle apolicy,
awhat ais athe astatus aof athe asubscriber's aspouse? a- acorrect aanswer. a a a aNeither aenrolled
anot aentitled ato abenefits a
a
Regulation aZ aof athe aConsumer aCredit aProtection aAct, aalso aknown aas athe aTruth ain
aLending a
a
Act, aestablishes awhat? a- acorrect aanswer. a a a aDisclosure arules afor aconsumer acredit
asales
a
and aconsumer
aloans
a
What ais aa aprincipal adiagnosis? a- acorrect aanswer. a a a a Primary areason afor athe
apatient's a
a
admission
a
Collecting apatient aliability adollars aafter aservice aleads ato awhat? a- acorrect aanswer. a a a
aLower a
a
accounts areceivable
alevels
a
What ais athe adaily aout-of-pocket aamount afor aeach alifetime areserve aday aused? a-
acorrect a
, a
answer. a a a 50% aof athe acurrent adeductible
a
aamount
a
What aservice aprovided ato aa aMedicare abeneficiary ain aa arural ahealth aclinic a(RHC)
ais anot a
a
billable aas aan aRHC aservices? a- acorrect aanswer. a a a aInpatient
acare
a
What acode aindicates athe adisposition aof athe apatient aat athe aconclusion aof aservice? a-
acorrect a
a
answer. a a a aPatient adischarge astatus
acode
a
What aare ahospitals arequired ato ado afor aMedicare acredit abalance aaccounts? a-
acorrect a
a
answer. a a a aThey aresult ain alost areimbursement aand aadditional acost ato
acollect
a
When aan aundue adelay aof apayment aresults afrom aa adispute abetween athe apatient aand
athe a
a
third aparty apayer, awho ais aresponsible afor apayment? a- acorrect aanswer. a a a
aPatient
a
Medicare aguidelines arequire athat awhen aa atest ais aordered afor aa aLCD aor aNCD
aexists, athe a
a
information aprovided aon athe aorder amust ainclude: a- acorrect aanswer. a a a aA avalid
aCPT aor
a
HCPCS
acode
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With aadvances ain ainternet asecurity aand aencryption, arevenue-cycle aprocesses aare
aexpanding ato aallow apatients ato ado awhat? a- acorrect aanswer. a a a aAccess atheir
ainformation aand aperform afunctions aon-line a
a
What adate ais arequired aon aall aCMS a1500 aclaim aforms? a- acorrect aanswer. a a a aonset
adate aof a
a
current
aillness
a
What adoes ascheduling aallow aprovider astaff ato ado a- acorrect aanswer. a a a
aReview a
a
appropriateness aof athe aservice
arequest
a
What acode ais aused ato areport athe aprovider's amost acommon asemiprivate aroom
arate? a-
