CRCR Exam Prep - Questions and Answers – Graded A+ Latest Update 2023

CRCR Exam Prep - Questions and Answers – Graded A+ Latest Update 2023. What statement applies to the scheduled outpatient? - ANSWER-The services do not involve an overnight stay 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 What type of patient status is used to evaluate the patient's need for inpatient care? - ANSWER-Observation Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what? - ANSWER-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$? - ANSWER-When the patient is the insured What are non-emergency patients who come for service without prior notification to the provider called? - ANSWER-Unscheduled patients If the insurance verification response reports that a subscriber has a single policy, what is the status of the subscriber's spouse? - ANSWER-Neither enrolled not entitled to benefits Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act, establishes what? - ANSWER-Disclosure rules for consumer credit sales and consumer loans What is a principal diagnosis? - ANSWER-Primary reason for the patient's admission Collecting patient liability dollars after service leads to what? - ANSWER-Lower accounts receivable levels What is the daily out-of-pocket amount for each lifetime reserve day used? - ANSWER50% 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? - ANSWER-Inpatient care What code indicates the disposition of the patient at the conclusion of service? - ANSWER-Patient discharge status code What are hospitals required to do for Medicare credit balance accounts? - ANSWERThey result in lost reimbursement and additional cost to collect