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CRCR LATEST 2023 QUESTIONS WITH 100% VERIFIED ANSWERS

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2023/2024 Written for academic year
Institution Liberty University
Course CRCR
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What do Case Managers do? -CORRECT ANSWER- Monitor high resource cases to ensure effective utilization What is HIM responsible for? -CORRECT ANSWER- all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? -CORRECT ANSWERmanage cases: services correct, on time What are the three types of utilization review? -CORRECT ANSWERProspective, Concurrent, Retrospective Where can home health services be offered? -CORRECT ANSWER- Home, Assist Living, neighbors: just not SNF nor Hospital To receive -Care payments, what must a SNF have when receiving a pt from a hosp? -CORRECT ANSWER- A transfer agreement approved by -Care. Can a home health agency employ another agency to provide services? - CORRECT ANSWER- Yes, so long as at least one employee of the original agency provides care. What is the Net Collection Rate? -CORRECT ANSWER- how much cash was collected as a % of available to collect What is the Net Collection Rate benchmark? -CORRECT ANSWER- 95% What is the benchmark for denials -CORRECT ANSWER- 2% on first submission Formual for cost to collect -CORRECT ANSWER- total PFS expenses/gross pt care collections What is the benchmark for cost to collect -CORRECT ANSWER- 2.25%

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