CRCR Exam Prep Questions & Answers
1. What are collection agency fees based on?
Answer A percentage of dollars collected
2. Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule?
Answer Birthday
3. 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
4. What customer service improvements might improve the patient accounts
department?
Answer Holding staff accountable for customer service during performance reviews
5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required to
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do?
Answer Inform a Medicare beneficiary that Medicare may not pay for the order or
service
6. What type of account adjustment results from the patient's unwillingness to
pay for a self-pay balance?
Answer Bad debt adjustment
7. What is the initial hospice benefit?
Answer Two 90-day periods and an unlimited number of subsequent periods
8. When does a hospital add ambulance charges to the Medicare inpatient
claim?
Answer If the patient requires ambulance transportation to a skilled nursing facility
9. How should a provider resolve a late-charge credit posted after an account is
billed?
Answer Post a late-charge adjustment to the account
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10. 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
11. What is an advantage of a preregistration program?
Answer It reduces processing times at the time of service
12. What are the two statutory exclusions from hospice coverage?
Answer Medically unnecessary services and custodial care
13. What core financial activities are resolved within patient access?
Answer Sched- uling, insurance verification, discharge processing, and payment of
point-of-service receipts
14. What statement applies to the scheduled outpatient?
Answer The services do not involve an overnight stay
15. How is a mis-posted contractual allowance resolved?
Answer Comparing the con- tract reimbursement rates with the contract on the
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