Certified Revenue Cycle Representative (CRCR)
UPDATED ACTUAL Exam Questions and
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Terms in this set (68)
Pricing transparency is defined as Identify, compare, and choose providers that
readily available information on the offer the desired level of value.
price of healthcare services, that
together with other information,
help define the value of those
services and enable consumers to
Because case managers document A good resource when developing written
the clinical reasons for treatment, appeals and denials.
they are
All of the following information The claim editing process slowed down the
describe claim edits EXCEPT receipt of payments, increases account
receivable outstanding, and decreases cash flow.
, What types of services are Hospice Care, Clinic Services & Skilled Nursing
classified as non-acute?
The unscheduled "direct" admission Is admitted from a physician's office on an urgent
represents a patient who: basis.
The process of creating the pre- That access staff will have complete and valid
registration record ensures information needed to finalize any remaining pre-
access activities.
An advantage of a pre-registration The opportunity to reduce processing times at
program is the time of service.
Claim edits are Rules developed to verify the accuracy of claims
based on each health plan's policies.
Examples of ethic violations that Seeking payment options for patient self-pay
impact the revenue cycle include all
of the following EXCEPT
EMTALA and HFMA best practices No patient financial discussions should occur
specify that, in an Emergency before a patient is screened and stabilized.
Department setting
Which of the following is usually Release of information
covered on a Conditions of
Admission form
The nuanced data resulting from Obtain higher compensation for physicians
detailed ICD-10 coding allows
senior leadership to work with
physicians to do all of the following
EXCEPT
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Save
Terms in this set (68)
Pricing transparency is defined as Identify, compare, and choose providers that
readily available information on the offer the desired level of value.
price of healthcare services, that
together with other information,
help define the value of those
services and enable consumers to
Because case managers document A good resource when developing written
the clinical reasons for treatment, appeals and denials.
they are
All of the following information The claim editing process slowed down the
describe claim edits EXCEPT receipt of payments, increases account
receivable outstanding, and decreases cash flow.
, What types of services are Hospice Care, Clinic Services & Skilled Nursing
classified as non-acute?
The unscheduled "direct" admission Is admitted from a physician's office on an urgent
represents a patient who: basis.
The process of creating the pre- That access staff will have complete and valid
registration record ensures information needed to finalize any remaining pre-
access activities.
An advantage of a pre-registration The opportunity to reduce processing times at
program is the time of service.
Claim edits are Rules developed to verify the accuracy of claims
based on each health plan's policies.
Examples of ethic violations that Seeking payment options for patient self-pay
impact the revenue cycle include all
of the following EXCEPT
EMTALA and HFMA best practices No patient financial discussions should occur
specify that, in an Emergency before a patient is screened and stabilized.
Department setting
Which of the following is usually Release of information
covered on a Conditions of
Admission form
The nuanced data resulting from Obtain higher compensation for physicians
detailed ICD-10 coding allows
senior leadership to work with
physicians to do all of the following
EXCEPT
