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CRCR Exam Prep questions and answers
x x x x x
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latest top score. x x
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What xare xcollection xagency xfees xbased xon? x- x xcorrect xanswer. x x xA xpercentage xof
xdollars x
x
collected
x
Self-funded xbenefit xplans xmay xchoose xto xcoordinate xbenefits xusing xthe xgender xrule
xor x
x
what xother xrule? x- x xcorrect xanswer. x x
xBirthday
x
In xwhat xtype xof xpayment xmethodology xis xa xlump xsum xor xbundled xpayment
xnegotiated x
x
between xthe xpayer xand xsome xor xall xproviders? x- x xcorrect xanswer. x x xCase
xrates
x
What xcustomer xservice ximprovements xmight ximprove xthe xpatient xaccounts xdepartment?
x- x xcorrect xanswer. x x xHolding xstaff xaccountable xfor xcustomer xservice xduring xperformance
xreviews x
x
What xis xan xABN x(Advance xBeneficiary xNotice xof xNon-coverage) xrequired xto xdo? x- x
xcorrect xanswer. x x xInform xa xMedicare xbeneficiary xthat xMedicare xmay xnot xpay xfor xthe
xorder xor xservice x
x
What xtype xof xaccount xadjustment xresults xfrom xthe xpatient's xunwillingness xto xpay xfor
xa x
x
self-pay xbalance? x- x xcorrect xanswer. x x xBad xdebt
xadjustment
x
What xis xthe xinitial xhospice xbenefit? x- x xcorrect xanswer. x x xTwo x90-day xperiods xand
xan x
x
unlimited xnumber xof xsubsequent
xperiods
x
When xdoes xa xhospital xadd xambulance xcharges xto xthe xMedicare xinpatient xclaim? x- x
xcorrect xanswer. x x xIf xthe xpatient xrequires xambulance xtransportation xto xa xskilled xnursing
xfacility x
x
,How xshould xa xprovider xresolve xa xlate-charge xcredit xposted xafter xan xaccount xis xbilled?
x-
x
correct xanswer. x x xPost xa xlate-charge xadjustment xto xthe
xaccount
x
an xincrease xin xthe xdollars xaged xgreater xthan x90 xdays xfrom xdate xof xservice xindicate
xwhat x
x
about xaccounts x- x xcorrect xanswer. x x xThey xare xnot xbeing xprocessed xin xa xtimely
xmanner
x
What xis xan xadvantage xof xa xpreregistration xprogram? x- x x correct xanswer. x x x It
xreduces x
x
processing xtimes xat xthe xtime xof
xservice
x
What xare xthe xtwo xstatutory xexclusions xfrom xhospice xcoverage? x- x xcorrect
xanswer. x x x
x
Medically xunnecessary xservices xand xcustodial
xcare
x
What xcore xfinancial xactivities xare xresolved xwithin xpatient xaccess? x- x xcorrect
xanswer. x x x
Scheduling, xinsurance xverification, xdischarge xprocessing, xand xpayment xof xpoint-
of-
x
service
xreceipts
x
What xstatement xapplies xto xthe xscheduled xoutpatient? x- x x correct xanswer. x x x The
xservices x
x
do xnot xinvolve xan xovernight
xstay
x
How xis xa xmis-posted xcontractual xallowance xresolved? x- x xcorrect xanswer. x x xComparing
xthe xcontract xreimbursement xrates xwith xthe xcontract xon xthe xadmittance xadvice xto xidentify
xthe xcorrect xamount x
x
What xtype xof xpatient xstatus xis xused xto xevaluate xthe xpatient's xneed xfor xinpatient xcare?
x-
x
correct xanswer. x x
xObservation
x
Coverage xrules xfor xMedicare xbeneficiaries xreceiving xskilled xnursing xcare xrequire xthat
xthe x
x
beneficiary xhas xreceived xwhat? x- x xcorrect xanswer. x x xMedically xnecessary
xinpatient
x
hospital xservices xfor xat xleast x3 xconsecutive xdays xbefore xthe xskilled xnursing
xcare
, x
admission
x
When xis xthe xword x"SAME" xentered xon xthe xCMS x1500 xbilling xform xin xField x0$? x- x
xcorrect x
x
answer. x x xWhen xthe xpatient xis xthe
xinsured
x
What xare xnon-emergency xpatients xwho xcome xfor xservice xwithout xprior xnotification xto
xthe x
x
provider xcalled? x- x xcorrect xanswer. x x xUnscheduled
xpatients
x
If xthe xinsurance xverification xresponse xreports xthat xa xsubscriber xhas xa xsingle xpolicy, xwhat
xis xthe xstatus xof xthe xsubscriber's xspouse? x- x xcorrect xanswer. x x xNeither xenrolled xnot
xentitled xto xbenefits x
x
Regulation xZ xof xthe xConsumer xCredit xProtection xAct, xalso xknown xas xthe xTruth xin
xLending x
x
Act, xestablishes xwhat? x- x xcorrect xanswer. x x xDisclosure xrules xfor xconsumer xcredit
xsales
x
and xconsumer
xloans
x
What xis xa xprincipal xdiagnosis? x- x x correct xanswer. x x x Primary xreason xfor xthe
xpatient's x
x
admission
x
Collecting xpatient xliability xdollars xafter xservice xleads xto xwhat? x- x xcorrect xanswer. x x
xLower x
x
accounts xreceivable
xlevels
x
What xis xthe xdaily xout-of-pocket xamount xfor xeach xlifetime xreserve xday xused? x- x
xcorrect x
x
answer. x x x50% xof xthe xcurrent xdeductible
xamount
x
What xservice xprovided xto xa xMedicare xbeneficiary xin xa xrural xhealth xclinic x(RHC) xis
xnot x
x
billable xas xan xRHC xservices? x- x xcorrect xanswer. x x xInpatient
xcare
x
What xcode xindicates xthe xdisposition xof xthe xpatient xat xthe xconclusion xof xservice? x- x
xcorrect x
x
answer. x x xPatient xdischarge xstatus
xcode
x