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CRCR Exam; Q’s & A’s

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CRCR Exam; Q’s & A’s 835 Record A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. 837 Record A standard electronic message between a provider and health plan sending data on a claim to the health plan. AAR After-hours activity report ABN Advanced Beneficiary Notice ACC ambulatory care center

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CRCR Exam; Q’s & A’s
835 Record ✔✔A standard electronic message between a health plan and

provider sending


remittance data on a claim to the provider.


837 Record ✔✔A standard electronic message between a provider and health

plan sending data


on a claim to the health plan.


AAR ✔✔After-hours activity report


ABN ✔✔Advanced Beneficiary Notice


ACC ✔✔ambulatory care center


Access ✔✔The ability to receive hospital, physician or other medical services

without regard to


an individuals ability to pay.


Accountable Care Organization (ACO) ✔✔A coordinated group of healthcare

providers


(including physicians, hospitals, and other types of providers) organized to

improve quality and

, CRCR Exam; Q’s & A’s
lower the cost of care to a defined group of patients.


Accounting Identity ✔✔Also known as the accounting equation; assets =

liabilities + equity.


Accounts Payable ✔✔A current liability where funds are owed to suppliers.


Accounts Payable Distribution ✔✔An account computer system report that

details the amounts


paid to vendors by date, purchase order, and expense classification.


Accounts receivable (A/R) ✔✔Money owed to an organization for goods or

services furnished.


A/R Collection Period ✔✔Number of days in the accounting period divided by

accounts


receivable turnover. This ratio tells you the average time it takes to collect

amounts due.


A/R Turnover ✔✔Services rendered on credit during the period divided by the

A/R balance.


This ratio tells you how many times you collect your AR in a given cycle.

, CRCR Exam; Q’s & A’s
Accounts Receivable Aging ✔✔A report that summarizes accounts receivable

from different


sources (such as Medicare or commercial insurance) by thirty day increments.


Accreditation ✔✔Formal process by which an agency or organization evaluates

and recognizes a


program as meeting certain predetermined criteria or standards. A formal

process for certifying


that providers and health plans meet predetermined standards.


Accredited Standards Committee X12 (ASC X12) ✔✔A committee of the

American National


Standards Institute (ANSI) responsible for the development and maintenance of

electronic data


interchange (EDI) standards for many industries. The ASC 'X12N' is the

subcommittee of ASC


X12 responsible for the EDI health insurance administrative transactions such as

837

, CRCR Exam; Q’s & A’s
Institutional Health Care Claim and 835 Professional Health Care Claim forms


Accrual ✔✔An expense or a revenue that occurs before the business pays or

receives cash. An


accrual is the opposite of a deferral.


Accrual Basis Accounting ✔✔The method of accounting that recognizes revenue

when it is


earned and matches expenses to the revenues they helped produce


Accrued Payroll and Benefits ✔✔An estimate of salaries and associated benefit

costs (such as


payroll tax matching) earned by employees but not yet paid by the employer.


Accumilated Depreciation ✔✔A balance sheet account where the total amount

of depreciation


recognized as expense over time is compiled.


ACS ✔✔Ambulatory Care Services


Activity Based Costing ✔✔A technique to assign product costs based on links

between activities

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