7/22/26, 10:02 AM CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Flashcards | Quizlet
Social Sciences Business Insurance
CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep,
Certified Revenue Cycle Representative - CRCR (2021)
27 studiers today 4.5 (36 reviews)
Students also studied
Flashcard sets Study guides
CRCR Exam Prep, Multiple Choice, ... CRCR Certification CRCR Exam Prep HFMA C
328 terms 206 terms 146 terms Teacher
jadedkat Preview ColeJaramillo1996 Preview KjPope35 Preview col
Terms in this set (535)
What are collection agency fees based on? A percentage of dollars collected
Self-funded benefit plans may choose to coordinate Birthday
benefits using the gender rule or what other rule?
In what type of payment methodology is a lump sum or Case rates
bundled payment negotiated between the payer and
some or all providers?
What customer service improvements might improve the Holding staff accountable for customer service during performance reviews
patient accounts department?
What is an ABN (Advance Beneficiary Notice of Non- Inform a Medicare beneficiary that Medicare may not pay for the order or service
coverage) required to do?
What type of account adjustment results from the Bad debt adjustment
patient's unwillingness to pay for a self-pay balance?
What is the initial hospice benefit? Two 90-day periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the If the patient requires ambulance transportation to a skilled nursing facility
Medicare inpatient claim?
How should a provider resolve a late-charge credit Post a late-charge adjustment to the account
posted after an account is billed?
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, 7/22/26, 10:02 AM CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Flashcards | Quizlet
an increase in the dollars aged greater than 90 days from They are not being processed in a timely manner
date of service indicate what about accounts
What is an advantage of a preregistration program? It reduces processing times at the time of service
What are the two statutory exclusions from hospice Medically unnecessary services and custodial care
coverage?
What core financial activities are resolved within patient Scheduling, insurance verification, discharge processing, and payment of point-
access? of-service receipts
What statement applies to the scheduled outpatient? The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? 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 Observation
patient's need for inpatient care?
Coverage rules for Medicare beneficiaries receiving Medically necessary inpatient hospital services for at least 3 consecutive days
skilled nursing care require that the beneficiary has before the skilled nursing care admission
received what?
When is the word "SAME" entered on the CMS 1500 When the patient is the insured
billing form in Field 0$?
What are non-emergency patients who come for service Unscheduled patients
without prior notification to the provider called?
If the insurance verification response reports that a Neither enrolled not entitled to benefits
subscriber has a single policy, what is the status of the
subscriber's spouse?
Regulation Z of the Consumer Credit Protection Act, also Disclosure rules for consumer credit sales and consumer loans
known as the Truth in Lending Act, establishes what?
What is a principal diagnosis? Primary reason for the patient's admission
Collecting patient liability dollars after service leads to Lower accounts receivable levels
what?
What is the daily out-of-pocket amount for each lifetime 50% of the current deductible amount
reserve day used?
What service provided to a Medicare beneficiary in a Inpatient care
rural health clinic (RHC) is not billable as an RHC
services?
What code indicates the disposition of the patient at the Patient discharge status code
conclusion of service?
https://quizlet.com/614194057/crcr-exam-multiple-choice-crcr-exam-prep-certified-revenue-cycle-representative-crcr-2021-flash-cards/ 2/7
Social Sciences Business Insurance
CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep,
Certified Revenue Cycle Representative - CRCR (2021)
27 studiers today 4.5 (36 reviews)
Students also studied
Flashcard sets Study guides
CRCR Exam Prep, Multiple Choice, ... CRCR Certification CRCR Exam Prep HFMA C
328 terms 206 terms 146 terms Teacher
jadedkat Preview ColeJaramillo1996 Preview KjPope35 Preview col
Terms in this set (535)
What are collection agency fees based on? A percentage of dollars collected
Self-funded benefit plans may choose to coordinate Birthday
benefits using the gender rule or what other rule?
In what type of payment methodology is a lump sum or Case rates
bundled payment negotiated between the payer and
some or all providers?
What customer service improvements might improve the Holding staff accountable for customer service during performance reviews
patient accounts department?
What is an ABN (Advance Beneficiary Notice of Non- Inform a Medicare beneficiary that Medicare may not pay for the order or service
coverage) required to do?
What type of account adjustment results from the Bad debt adjustment
patient's unwillingness to pay for a self-pay balance?
What is the initial hospice benefit? Two 90-day periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the If the patient requires ambulance transportation to a skilled nursing facility
Medicare inpatient claim?
How should a provider resolve a late-charge credit Post a late-charge adjustment to the account
posted after an account is billed?
https://quizlet.com/614194057/crcr-exam-multiple-choice-crcr-exam-prep-certified-revenue-cycle-representative-crcr-2021-flash-cards/ 1/7
, 7/22/26, 10:02 AM CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021) Flashcards | Quizlet
an increase in the dollars aged greater than 90 days from They are not being processed in a timely manner
date of service indicate what about accounts
What is an advantage of a preregistration program? It reduces processing times at the time of service
What are the two statutory exclusions from hospice Medically unnecessary services and custodial care
coverage?
What core financial activities are resolved within patient Scheduling, insurance verification, discharge processing, and payment of point-
access? of-service receipts
What statement applies to the scheduled outpatient? The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? 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 Observation
patient's need for inpatient care?
Coverage rules for Medicare beneficiaries receiving Medically necessary inpatient hospital services for at least 3 consecutive days
skilled nursing care require that the beneficiary has before the skilled nursing care admission
received what?
When is the word "SAME" entered on the CMS 1500 When the patient is the insured
billing form in Field 0$?
What are non-emergency patients who come for service Unscheduled patients
without prior notification to the provider called?
If the insurance verification response reports that a Neither enrolled not entitled to benefits
subscriber has a single policy, what is the status of the
subscriber's spouse?
Regulation Z of the Consumer Credit Protection Act, also Disclosure rules for consumer credit sales and consumer loans
known as the Truth in Lending Act, establishes what?
What is a principal diagnosis? Primary reason for the patient's admission
Collecting patient liability dollars after service leads to Lower accounts receivable levels
what?
What is the daily out-of-pocket amount for each lifetime 50% of the current deductible amount
reserve day used?
What service provided to a Medicare beneficiary in a Inpatient care
rural health clinic (RHC) is not billable as an RHC
services?
What code indicates the disposition of the patient at the Patient discharge status code
conclusion of service?
https://quizlet.com/614194057/crcr-exam-multiple-choice-crcr-exam-prep-certified-revenue-cycle-representative-crcr-2021-flash-cards/ 2/7
