CRCR EXAM MULTIPLE CHOICE, CRCR EXAM PREP, CERTIFIED REVENUE
CYCLE REPRESENTATIVE - CRCR (2021) NEWEST EXAM WITH MULTIPLE
CHOICE OF QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
What are collection agency fees based on? - CORRECT ANSWERS-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender
rule or what other rule? - CORRECT ANSWERS-Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - CORRECT
ANSWERS-Case rates
What customer service improvements might improve the patient accounts
department? - CORRECT ANSWERS-Holding staff accountable for customer
service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
CORRECT ANSWERS-Inform a Medicare beneficiary that Medicare may not
pay for the order or service
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - CORRECT ANSWERS-Bad debt adjustment
What is the initial hospice benefit? - CORRECT ANSWERS-Two 90-day periods
and an unlimited number of subsequent periods
,When does a hospital add ambulance charges to the Medicare inpatient claim? -
CORRECT ANSWERS-If the patient requires ambulance transportation to a
skilled nursing facility
How should a provider resolve a late-charge credit posted after an account is
billed? - CORRECT ANSWERS-Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate
what about accounts - CORRECT ANSWERS-They are not being processed in a
timely manner
What is an advantage of a preregistration program? - CORRECT ANSWERS-It
reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? - CORRECT
ANSWERS-Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - CORRECT
ANSWERS-Scheduling, insurance verification, discharge processing, and
payment of point-of-service receipts
What statement applies to the scheduled outpatient? - CORRECT ANSWERS-
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - CORRECT ANSWERS-
Comparing the contract reimbursement rates with the contract on the
admittance advice to identify the correct amount
,What type of patient status is used to evaluate the patient's need for inpatient
care? - CORRECT ANSWERS-Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - CORRECT ANSWERS-Medically
necessary inpatient hospital services for at least 3 consecutive days before the
skilled nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
CORRECT ANSWERS-When the patient is the insured
What are non-emergency patients who come for service without prior
notification to the provider called? - CORRECT ANSWERS-Unscheduled
patients
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - CORRECT ANSWERS-
Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in
Lending Act, establishes what? - CORRECT ANSWERS-Disclosure rules for
consumer credit sales and consumer loans
What is a principal diagnosis? - CORRECT ANSWERS-Primary reason for the
patient's admission
, Collecting patient liability dollars after service leads to what? - CORRECT
ANSWERS-Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day used? -
CORRECT ANSWERS-50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic (RHC) is
not billable as an RHC services? - CORRECT ANSWERS-Inpatient care
What code indicates the disposition of the patient at the conclusion of service? -
CORRECT ANSWERS-Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? -
CORRECT ANSWERS-They result in lost reimbursement and additional cost to
collect
When an undue delay of payment results from a dispute between the patient
and the third party payer, who is responsible for payment? - CORRECT
ANSWERS-Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - CORRECT ANSWERS-A
valid CPT or HCPCS code
With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - CORRECT ANSWERS-Access their
information and perform functions on-line
CYCLE REPRESENTATIVE - CRCR (2021) NEWEST EXAM WITH MULTIPLE
CHOICE OF QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
AND 100% GUARANTEE PASS (BRAND NEW!!!!!!!!!)
What are collection agency fees based on? - CORRECT ANSWERS-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender
rule or what other rule? - CORRECT ANSWERS-Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - CORRECT
ANSWERS-Case rates
What customer service improvements might improve the patient accounts
department? - CORRECT ANSWERS-Holding staff accountable for customer
service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
CORRECT ANSWERS-Inform a Medicare beneficiary that Medicare may not
pay for the order or service
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - CORRECT ANSWERS-Bad debt adjustment
What is the initial hospice benefit? - CORRECT ANSWERS-Two 90-day periods
and an unlimited number of subsequent periods
,When does a hospital add ambulance charges to the Medicare inpatient claim? -
CORRECT ANSWERS-If the patient requires ambulance transportation to a
skilled nursing facility
How should a provider resolve a late-charge credit posted after an account is
billed? - CORRECT ANSWERS-Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate
what about accounts - CORRECT ANSWERS-They are not being processed in a
timely manner
What is an advantage of a preregistration program? - CORRECT ANSWERS-It
reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? - CORRECT
ANSWERS-Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - CORRECT
ANSWERS-Scheduling, insurance verification, discharge processing, and
payment of point-of-service receipts
What statement applies to the scheduled outpatient? - CORRECT ANSWERS-
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - CORRECT ANSWERS-
Comparing the contract reimbursement rates with the contract on the
admittance advice to identify the correct amount
,What type of patient status is used to evaluate the patient's need for inpatient
care? - CORRECT ANSWERS-Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - CORRECT ANSWERS-Medically
necessary inpatient hospital services for at least 3 consecutive days before the
skilled nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
CORRECT ANSWERS-When the patient is the insured
What are non-emergency patients who come for service without prior
notification to the provider called? - CORRECT ANSWERS-Unscheduled
patients
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - CORRECT ANSWERS-
Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in
Lending Act, establishes what? - CORRECT ANSWERS-Disclosure rules for
consumer credit sales and consumer loans
What is a principal diagnosis? - CORRECT ANSWERS-Primary reason for the
patient's admission
, Collecting patient liability dollars after service leads to what? - CORRECT
ANSWERS-Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day used? -
CORRECT ANSWERS-50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic (RHC) is
not billable as an RHC services? - CORRECT ANSWERS-Inpatient care
What code indicates the disposition of the patient at the conclusion of service? -
CORRECT ANSWERS-Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? -
CORRECT ANSWERS-They result in lost reimbursement and additional cost to
collect
When an undue delay of payment results from a dispute between the patient
and the third party payer, who is responsible for payment? - CORRECT
ANSWERS-Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - CORRECT ANSWERS-A
valid CPT or HCPCS code
With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - CORRECT ANSWERS-Access their
information and perform functions on-line
