CRCR EXAM PREP UPDATED ACTUAL QUESTIONS
WITH CORRECT ANSWERS
Question 1.
What are collection agency fees based on?
ANSWER
A percentage of dollars collected
Question 2.
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
ANSWER
Birthday
Question 3.
In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers?
ANSWER
Case rates
Question 4.
What customer service improvements might improve the patient accounts department?
ANSWER
Holding staff accountable for customer service during performance reviews
Question 5.
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
ANSWER
Inform a Medicare beneficiary that Medicare may not pay for the order or service
,Question 6.
What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance?
ANSWER
Bad debt adjustment
Question 7.
What is the initial hospice benefit?
ANSWER
Two 90-day periods and an unlimited number of subsequent periods
Question 8.
When does a hospital add ambulance charges to the Medicare inpatient claim?
ANSWER
If the patient requires ambulance transportation to a skilled nursing facility
Question 9.
How should a provider resolve a late-charge credit posted after an account is billed?
ANSWER
Post a late-charge adjustment to the account
Question 10.
an increase in the dollars aged greater than 90 days from date of service indicate what about accounts
ANSWER
They are not being processed in a timely manner
Question 11.
What is an advantage of a preregistration program?
ANSWER
It reduces processing times at the time of service
, Question 12.
What are the two statutory exclusions from hospice coverage?
ANSWER
Medically unnecessary services and custodial care
Question 13.
What core financial activities are resolved within patient access?
ANSWER
Scheduling, insurance verification, discharge processing, and payment of point-of-service
receipts
Question 14.
What statement applies to the scheduled outpatient?
ANSWER
The services do not involve an overnight stay
Question 15.
How is a mis-posted contractual allowance resolved?
ANSWER
Comparing the contract reimbursement rates with the contract on the admittance advice to
identify the correct amount
Question 16.
What type of patient status is used to evaluate the patient's need for inpatient care?
ANSWER
Observation
WITH CORRECT ANSWERS
Question 1.
What are collection agency fees based on?
ANSWER
A percentage of dollars collected
Question 2.
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
ANSWER
Birthday
Question 3.
In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers?
ANSWER
Case rates
Question 4.
What customer service improvements might improve the patient accounts department?
ANSWER
Holding staff accountable for customer service during performance reviews
Question 5.
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
ANSWER
Inform a Medicare beneficiary that Medicare may not pay for the order or service
,Question 6.
What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance?
ANSWER
Bad debt adjustment
Question 7.
What is the initial hospice benefit?
ANSWER
Two 90-day periods and an unlimited number of subsequent periods
Question 8.
When does a hospital add ambulance charges to the Medicare inpatient claim?
ANSWER
If the patient requires ambulance transportation to a skilled nursing facility
Question 9.
How should a provider resolve a late-charge credit posted after an account is billed?
ANSWER
Post a late-charge adjustment to the account
Question 10.
an increase in the dollars aged greater than 90 days from date of service indicate what about accounts
ANSWER
They are not being processed in a timely manner
Question 11.
What is an advantage of a preregistration program?
ANSWER
It reduces processing times at the time of service
, Question 12.
What are the two statutory exclusions from hospice coverage?
ANSWER
Medically unnecessary services and custodial care
Question 13.
What core financial activities are resolved within patient access?
ANSWER
Scheduling, insurance verification, discharge processing, and payment of point-of-service
receipts
Question 14.
What statement applies to the scheduled outpatient?
ANSWER
The services do not involve an overnight stay
Question 15.
How is a mis-posted contractual allowance resolved?
ANSWER
Comparing the contract reimbursement rates with the contract on the admittance advice to
identify the correct amount
Question 16.
What type of patient status is used to evaluate the patient's need for inpatient care?
ANSWER
Observation
