CRCR Exam Prep COMPLETE 2023GRADED A+ 140+ QUESTIONS AND ANSWERS

CRCR Exam Prep COMPLETE 2023GRADED A+ 140+ QUESTIONS AND ANSWERS CRCR Exam Prep 1. What are collection agency fees based on?: A percentage of dollars collected 2. Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?: Birthday 3. In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers?: Case rates 4. What customer service improvements might improve the patient accounts department?: Holding staff accountable for customer service during performance reviews 5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?: Inform a Medicare beneficiary that Medicare may not pay for the order or service 6. What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance?: Bad debt adjustment 7. What is the initial hospice benefit?: Two 90-day periods and an unlimited number of subsequent periods 8. When does a hospital add ambulance charges to the Medicare inpatient claim?: If the patient requires ambulance transportation to a skilled nursing facility 9. How should a provider resolve a late-charge credit posted after an account is billed?: Post a late-charge adjustment to the account 10. an increase in the dollars aged greater than 90 days from date of service indicate what about accounts: They are not being processed in a timely manner 11. What is an advantage of a preregistration program?: It reduces processing times at the time of service 12. What are the two statutory exclusions from hospice coverage?: Medically unnecessary services and custodial care 13. What core financial activities are resolved within patient access?: Scheduling, insurance verification, discharge processing, and payment of point-of-service receipts 14. What statement applies to the scheduled outpatient?: The services do not involve an overnight stay 15. 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 1 / 11 CRCR Exam Prep 16. What type of patient status is used to evaluate the patient's need for inpatient care?: Observation 17. Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what?: Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled nursing care admission 18. When is the word "SAME" entered on the CMS 1500 billing form in Field 0$?: When the patient is the insured 19. What are non-emergency patients who come for service without prior notification to the provider called?: Unscheduled patients 20. If the insurance verification response reports that a subscriber has a single policy, what is the status of the subscriber's spouse?: Neither enrolled not entitled to benefits 21. Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act, establishes what?: Disclosure rules for consumer credit sales and consumer loans 22. What is a principal diagnosis?: Primary reason for the patient's admission 23. Collecting patient liability dollars after service leads to what?: Lower accounts receivable levels 24. What is the daily out-of-pocket amount for each lifetime reserve day used?: 50% of the current deductible amount 25. What service provided to a Medicare beneficiary in a rural health clinic (RHC) is not billable as an RHC services?: Inpatient care 26. What code indicates the disposition of the patient at the conclusion of service?: Patient discharge status code 27. What are hospitals required to do for Medicare credit balance accounts?- : They result in lost reimbursement and additional cost to collect 28. When an undue delay of payment results from a dispute between the patient and the third party payer, who is responsible for payment?: Patient 29. Medicare guidelines