CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
What are collection agency fees based on? ✔✔A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender
rule or what other
rule? ✔✔Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the
payer and some or all providers? ✔✔Case rates
What customer service improvements might improve the patient accounts
department?
✔✔Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
✔✔Inform a
Medicare beneficiary that Medicare may not pay for the order or service
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay
balance? ✔✔Bad debt adjustment
What is the initial hospice benefit? ✔✔Two 90-day periods and an unlimited
number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim?
✔✔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? ✔✔Post a
late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate
what about
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
accounts ✔✔They are not being processed in a timely manner
What is an advantage of a preregistration program? ✔✔It reduces processing
times at the time of
service
What are the two statutory exclusions from hospice coverage? ✔✔Medically
unnecessary
services and custodial care
What core financial activities are resolved within patient access? ✔✔Scheduling,
insurance
verification, discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? ✔✔The services do not
involve an overnight
stay
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
How is a mis-posted contractual allowance resolved? ✔✔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?
✔✔Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the
beneficiary has received what? ✔✔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$?
✔✔When the
patient is the insured
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
What are collection agency fees based on? ✔✔A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender
rule or what other
rule? ✔✔Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the
payer and some or all providers? ✔✔Case rates
What customer service improvements might improve the patient accounts
department?
✔✔Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
✔✔Inform a
Medicare beneficiary that Medicare may not pay for the order or service
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay
balance? ✔✔Bad debt adjustment
What is the initial hospice benefit? ✔✔Two 90-day periods and an unlimited
number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim?
✔✔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? ✔✔Post a
late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate
what about
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
accounts ✔✔They are not being processed in a timely manner
What is an advantage of a preregistration program? ✔✔It reduces processing
times at the time of
service
What are the two statutory exclusions from hospice coverage? ✔✔Medically
unnecessary
services and custodial care
What core financial activities are resolved within patient access? ✔✔Scheduling,
insurance
verification, discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? ✔✔The services do not
involve an overnight
stay
, CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR; Q’s & A’s
How is a mis-posted contractual allowance resolved? ✔✔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?
✔✔Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the
beneficiary has received what? ✔✔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$?
✔✔When the
patient is the insured
