CRCR
A declare for reimbursement submitted to a third-party payer that has all of the records and
documentation required for the payer to choose on it's far called - ANS-**A. An legal request
for reimbursement
B. A accurate claim
C. A smooth declare
D. Payer general billing
A four digit wide variety code mounted by way of the National Uniform Billing Committee
(NUBC) that categorizes/classifies a line item inside the rate grasp is called - ANS-A. CPT
codes
B. ICD-10 Procedural codes
C. HCPCs codes
**D. Revenue codes
A habitual/collection registration is characterised through - ANS-A. The creation of 1
registration record per analysis in keeping with visit
B. The advent of multiple registrations for a couple of services
**C. The creation of 1 registration record for more than one days of provider
D. The advent of more than one affected person kinds for one date of service
A habitual affected person economic dialogue could consist of - ANS-A. Gathering the
affected person's banking statistics
B. Determining and notifying the patient in their ineligibility for economic assistance due to
existing insurance insurance
**C. Explaining the blessings identified thru verifying the patient's insurance
D. Refunding an overpayment
All of the following are steps in safeguarding collections EXCEPT - ANS-A. Placing
collections in a lock-box for posting review the next business day
B. Posting the payment to the affected person's account
**C. Issuing receipts
D. Completing balancing activities
All of the subsequent are steps in verifying coverage EXCEPT - ANS-A. Identifying and
documenting the patient's fitness plan benefits
B. Confirming the patient's eligibility for blessings
C. The affected person signing the statement of financial duty
**D. Sequencing plans concerned in a coordination of blessings (COB) scenario
Any issuer that has filed a timely fee file might also appeal an unfavorable final choice
obtained from the Medicare Administrative Contractor (MAC). This enchantment may be filed
with - ANS-**A. The Provider Reimbursement Review Board
, B. The Department of Health and Human Services Provider Relations Division
C. A court docket appointed federal mediator
D. The Office of the Inspector General
Applying the shrunk price quantity to the quantity of overall prices yields - ANS-A. A pricing
agreement
**B. An estimated fee for the sufferers responsibility
C. A provider cost guarantee
D. A rate justified revenue accrual
Appropriate schooling for affected person monetary counseling personnel ought to cowl all of
the following EXCEPT - ANS-A. Available affected person financing options
**B. Documenting the conversation inside the clinical document
C. Financial assistance policies
D. Patient economic communications quality practices precise to group of workers role
Checks acquired through mail, coins acquired thru mail, and lock container are all examples
of - ANS-A. Payment strategies being phased out for greater secure price approach choice
**B. Control points for cash posting
C. Payment techniques in which the bulk of fraud takes place
D. Highly fraud inclined techniques
Claims with dates of service received later than one calendar 12 months past the date of
carrier, can be - ANS-A. The complete duty of the patient
**B. Denied by Medicare
C. The issuer's responsibility however can be deemed charity care
D. Fully paid with hobby
Duplicate payments arise - ANS-**A. When companies re-bill claims based on nonpayment
from the preliminary bill submission
B. When carrier departments do now not process fees with the corporation's suspense days
C. When there are different healthcare claims in method and the anticipated deductibles and
co-insurance quantities nonetheless show open but can be met by using the in-method
claims
D. When the payer's coordination of benefits isn't always captured correctly on the time of
affected person registration
During pre-registration, a search for the patient's MPI wide variety is initiated the usage of
which of the following records sets? - ANS-**A. Patient's full legal name and date of delivery
or the affected person's Social Security wide variety
B. Patient's full legal name and address
C. Patient's Social Security number and domestic deal with
D. Patient's full legal call and health plan institution numbers
Each patient is assigned a completely unique number, commonly referred to as the - ANS-A.
Medical case number
**B. Master Patient Index (MPI) wide variety
C. Patient Identifier
A declare for reimbursement submitted to a third-party payer that has all of the records and
documentation required for the payer to choose on it's far called - ANS-**A. An legal request
for reimbursement
B. A accurate claim
C. A smooth declare
D. Payer general billing
A four digit wide variety code mounted by way of the National Uniform Billing Committee
(NUBC) that categorizes/classifies a line item inside the rate grasp is called - ANS-A. CPT
codes
B. ICD-10 Procedural codes
C. HCPCs codes
**D. Revenue codes
A habitual/collection registration is characterised through - ANS-A. The creation of 1
registration record per analysis in keeping with visit
B. The advent of multiple registrations for a couple of services
**C. The creation of 1 registration record for more than one days of provider
D. The advent of more than one affected person kinds for one date of service
A habitual affected person economic dialogue could consist of - ANS-A. Gathering the
affected person's banking statistics
B. Determining and notifying the patient in their ineligibility for economic assistance due to
existing insurance insurance
**C. Explaining the blessings identified thru verifying the patient's insurance
D. Refunding an overpayment
All of the following are steps in safeguarding collections EXCEPT - ANS-A. Placing
collections in a lock-box for posting review the next business day
B. Posting the payment to the affected person's account
**C. Issuing receipts
D. Completing balancing activities
All of the subsequent are steps in verifying coverage EXCEPT - ANS-A. Identifying and
documenting the patient's fitness plan benefits
B. Confirming the patient's eligibility for blessings
C. The affected person signing the statement of financial duty
**D. Sequencing plans concerned in a coordination of blessings (COB) scenario
Any issuer that has filed a timely fee file might also appeal an unfavorable final choice
obtained from the Medicare Administrative Contractor (MAC). This enchantment may be filed
with - ANS-**A. The Provider Reimbursement Review Board
, B. The Department of Health and Human Services Provider Relations Division
C. A court docket appointed federal mediator
D. The Office of the Inspector General
Applying the shrunk price quantity to the quantity of overall prices yields - ANS-A. A pricing
agreement
**B. An estimated fee for the sufferers responsibility
C. A provider cost guarantee
D. A rate justified revenue accrual
Appropriate schooling for affected person monetary counseling personnel ought to cowl all of
the following EXCEPT - ANS-A. Available affected person financing options
**B. Documenting the conversation inside the clinical document
C. Financial assistance policies
D. Patient economic communications quality practices precise to group of workers role
Checks acquired through mail, coins acquired thru mail, and lock container are all examples
of - ANS-A. Payment strategies being phased out for greater secure price approach choice
**B. Control points for cash posting
C. Payment techniques in which the bulk of fraud takes place
D. Highly fraud inclined techniques
Claims with dates of service received later than one calendar 12 months past the date of
carrier, can be - ANS-A. The complete duty of the patient
**B. Denied by Medicare
C. The issuer's responsibility however can be deemed charity care
D. Fully paid with hobby
Duplicate payments arise - ANS-**A. When companies re-bill claims based on nonpayment
from the preliminary bill submission
B. When carrier departments do now not process fees with the corporation's suspense days
C. When there are different healthcare claims in method and the anticipated deductibles and
co-insurance quantities nonetheless show open but can be met by using the in-method
claims
D. When the payer's coordination of benefits isn't always captured correctly on the time of
affected person registration
During pre-registration, a search for the patient's MPI wide variety is initiated the usage of
which of the following records sets? - ANS-**A. Patient's full legal name and date of delivery
or the affected person's Social Security wide variety
B. Patient's full legal name and address
C. Patient's Social Security number and domestic deal with
D. Patient's full legal call and health plan institution numbers
Each patient is assigned a completely unique number, commonly referred to as the - ANS-A.
Medical case number
**B. Master Patient Index (MPI) wide variety
C. Patient Identifier
