CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
Quiz Combo
(Pre-Tests, KCs, Quizzes)
(Pre-Test 4)
Credit balances may be created by any of the following activities except:
(Ans- Credits to pharmacy charges posted before the claim final bills.
Which of the following statements represent common reasons for inpatient
claim denials?
(Ans- Failure to obtain a required pre-authorization; failure to complete a
continued stay authorization and services provided which were not
medically necessary.
A 68-year-old patient, a Medicare beneficiary, was in a car accident. A
medical insurance claim was filed with the auto insurance carrier. Six
months later this claim remains unpaid.
How can the provider pursue payment from Medicare?
, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
(Ans- The provider must first bill the auto insurer; however, after a period of
120 days, if the claim remains unpaid, the provider may cancel the liability
claim and bill Medicare.
The difference between bad debt and financial assistance (charity) is:
(Ans- Bad debt represents a refusal to pay; charity represents an inability to
pay.
In order to qualify for financial assistance, a patient or guarantor should:
(Ans- Provide the following documents: prior year tax return, employment
check stubs from the prior three months and bank statements from the prior
three months.
To comply with the requirements of Section 501(r) for tax-exempt hospitals
chartered as 510(c)3 providers, the hospital must complete with of the
following activities:
(Ans- A community needs assessment.
, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:
(Ans- Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization,
and Chapter 13 - Debtor Rehabilitation
Which of the following medical debt collection practices are recommended
as part of HFMA's Best Practices for medical account resolution:
(Ans- Establish policies and ensure that they are followed.
Organizations may opt to contract with or outsource to specific vendors for
some or all components of revenue cycle processing. This practice has
both advantages and disadvantages.
Which of the following statements is not an advantage of utilizing an
outsourcing vendor?
(Ans- The need for legal review if the outside vendor's staff represents
themselves as employees of the healthcare facility.
Each hospital covered by the 501(r) regulations is required to develop a
A’s) 100% Verified
Quiz Combo
(Pre-Tests, KCs, Quizzes)
(Pre-Test 4)
Credit balances may be created by any of the following activities except:
(Ans- Credits to pharmacy charges posted before the claim final bills.
Which of the following statements represent common reasons for inpatient
claim denials?
(Ans- Failure to obtain a required pre-authorization; failure to complete a
continued stay authorization and services provided which were not
medically necessary.
A 68-year-old patient, a Medicare beneficiary, was in a car accident. A
medical insurance claim was filed with the auto insurance carrier. Six
months later this claim remains unpaid.
How can the provider pursue payment from Medicare?
, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
(Ans- The provider must first bill the auto insurer; however, after a period of
120 days, if the claim remains unpaid, the provider may cancel the liability
claim and bill Medicare.
The difference between bad debt and financial assistance (charity) is:
(Ans- Bad debt represents a refusal to pay; charity represents an inability to
pay.
In order to qualify for financial assistance, a patient or guarantor should:
(Ans- Provide the following documents: prior year tax return, employment
check stubs from the prior three months and bank statements from the prior
three months.
To comply with the requirements of Section 501(r) for tax-exempt hospitals
chartered as 510(c)3 providers, the hospital must complete with of the
following activities:
(Ans- A community needs assessment.
, CRCR 4 - Post-Service Financial Care - (Q’s &
A’s) 100% Verified
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:
(Ans- Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization,
and Chapter 13 - Debtor Rehabilitation
Which of the following medical debt collection practices are recommended
as part of HFMA's Best Practices for medical account resolution:
(Ans- Establish policies and ensure that they are followed.
Organizations may opt to contract with or outsource to specific vendors for
some or all components of revenue cycle processing. This practice has
both advantages and disadvantages.
Which of the following statements is not an advantage of utilizing an
outsourcing vendor?
(Ans- The need for legal review if the outside vendor's staff represents
themselves as employees of the healthcare facility.
Each hospital covered by the 501(r) regulations is required to develop a
