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Exam (elaborations)

CRCR Exam Prep 2024 with complete solution

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CRCR Exam Prep 2024 with complete solution What are collection agency fees based on? - answerA percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - answerBirthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - answerCase rates What customer service improvements might improve the patient accounts department? - answerHolding staff accountable for customer service during performance reviews What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - answerInform a Medicare beneficiary that Medicare may not pay for the order or service What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance? - answerBad debt adjustment What is the initial hospice benefit? - answerTwo 90-day periods and an unlimited number of subsequent periods When does a hospital add ambulance charges to the Medicare inpatient claim? - answerIf the patient requires ambulance transportation to a skilled nursing facility How should a provider resolve a late-charge credit posted after an account is billed? - answerPost a late-charge adjustment to the account an increase in the dollars aged greater than 90 days from date of service indicate what about accounts - answerThey are not being processed in a timely manner What is an advantage of a preregistration program? - answerIt reduces processing times at the time of service What are the two statutory exclusions from hospice coverage? - answerMedically unnecessary services and custodi

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