CRCR EXAM 2 FINAL PAPER VERIFIED QUESTIONS ACCURATE SOLUTIONS
Question:
When an undue delay of payment results from a dispute between the patient and the third party
payer, who is responsible for payment?
Answer:
Patient
Question:
Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include:
Answer:
A valid CPT or HCPCS code
Question:
With advances in internet security and encryption, revenue-cycle processes are expanding to allow
patients to do what?
Answer:
Access their information and perform functions on-line
Question:
What date is required on all CMS 1500 claim forms?
Answer:
onset date of current illness
Question:
,What does scheduling allow provider staff to do
Answer:
Review appropriateness of the service request
Question:
What code is used to report the provider's most common semiprivate room rate?
Answer:
Condition code
Question:
Regulations and requirements for coding accountable care organizations, which allows providers to
begin creating these organizations, were finalized in:
Answer:
2012
Question:
What is a primary responsibility of the Recover Audit Contractor?
Answer:
To correctly identify proper payments for Medicare Part A & B claims
Question:
How must providers handle credit balances?
Answer:
Comply with state statutes concerning reporting credit balance
Question:
Insurance verification results in what?
, Answer:
The accurate identification of the patient's eligibility and benefits
Question:
What form is used to bill Medicare for rural health clinics?
Answer:
CMS 1500
Question:
What activities are completed when a scheduled pre-registered patient arrives for service?
Answer:
Registering the patient and directing the patient to the service area
Question:
In addition to being supported by information found in the patient's chart, a CMS 1500 claim must
be coded using what?
Answer:
HCPCS (Healthcare Common Procedure Coding system)
Question:
What results from a denied claim?
Answer:
The provider incurs rework and appeal costs
Question:
Why does the financial counselor need pricing for services?
Answer:
Question:
When an undue delay of payment results from a dispute between the patient and the third party
payer, who is responsible for payment?
Answer:
Patient
Question:
Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include:
Answer:
A valid CPT or HCPCS code
Question:
With advances in internet security and encryption, revenue-cycle processes are expanding to allow
patients to do what?
Answer:
Access their information and perform functions on-line
Question:
What date is required on all CMS 1500 claim forms?
Answer:
onset date of current illness
Question:
,What does scheduling allow provider staff to do
Answer:
Review appropriateness of the service request
Question:
What code is used to report the provider's most common semiprivate room rate?
Answer:
Condition code
Question:
Regulations and requirements for coding accountable care organizations, which allows providers to
begin creating these organizations, were finalized in:
Answer:
2012
Question:
What is a primary responsibility of the Recover Audit Contractor?
Answer:
To correctly identify proper payments for Medicare Part A & B claims
Question:
How must providers handle credit balances?
Answer:
Comply with state statutes concerning reporting credit balance
Question:
Insurance verification results in what?
, Answer:
The accurate identification of the patient's eligibility and benefits
Question:
What form is used to bill Medicare for rural health clinics?
Answer:
CMS 1500
Question:
What activities are completed when a scheduled pre-registered patient arrives for service?
Answer:
Registering the patient and directing the patient to the service area
Question:
In addition to being supported by information found in the patient's chart, a CMS 1500 claim must
be coded using what?
Answer:
HCPCS (Healthcare Common Procedure Coding system)
Question:
What results from a denied claim?
Answer:
The provider incurs rework and appeal costs
Question:
Why does the financial counselor need pricing for services?
Answer:
