CRCR Exam Prep/ 145+ Qs & Ans/ Updated
2024-2025.
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
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - Answer: Bad debt adjustment
What is the initial hospice benefit? - Answer: Two 90-day periods and an
unlimited number of subsequent periods
Page 1 of 22
,When does a hospital add ambulance charges to the Medicare inpatient claim? -
Answer: If 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? - Answer: Post a late-charge adjustment to the account
What are collection agency fees based on? - Answer: A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday
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
What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews
What are collection agency fees based on? - Answer: A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday
Page 2 of 22
, 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
What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews
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
What is an advantage of a preregistration program? - Answer: It reduces
processing times at the time of service
What are the two statutory exclusions from hospice coverage? - Answer:
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - Answer:
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient? - Answer: The services do
not involve an overnight stay
Page 3 of 22
2024-2025.
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
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - Answer: Bad debt adjustment
What is the initial hospice benefit? - Answer: Two 90-day periods and an
unlimited number of subsequent periods
Page 1 of 22
,When does a hospital add ambulance charges to the Medicare inpatient claim? -
Answer: If 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? - Answer: Post a late-charge adjustment to the account
What are collection agency fees based on? - Answer: A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday
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
What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews
What are collection agency fees based on? - Answer: A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - Answer: Birthday
Page 2 of 22
, 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
What customer service improvements might improve the patient accounts
department? - Answer: Holding staff accountable for customer service during
performance reviews
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
What is an advantage of a preregistration program? - Answer: It reduces
processing times at the time of service
What are the two statutory exclusions from hospice coverage? - Answer:
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - Answer:
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient? - Answer: The services do
not involve an overnight stay
Page 3 of 22
