CRCR Certification v1 Newest 2025/2026
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Terms in this set (372)
The disadvantages of d) Reduced internal staffing costs and a reliance on
outsourcing include all of outsourced staff
the following EXCEPT:
a) The impact of customer
service or patient relations
b) The impact of loss of
direct control of accounts
receivable services
c) Increased costs due to
vendor ineffectiveness
d) Reduced internal
staffing costs and a
reliance on outsourced
staff
,The Medicare fee-for b) Judicial review by a federal district court
service appeal process for
both beneficiaries and
providers
includes all of the
following levels EXCEPT:
a) Medical necessity
review by an independent
physician's panel
b) Judicial review by a
federal district court
c) Redetermination by the
company that handles
claims for Medicare
d) Review by the
Medicare Appeals Council
(Appeals Council)
Business ethics, or a) The principles and standards by which
organizational ethics organizations operate
represent:
a) The principles and
standards by which
organizations operate
b) Regulations that must
be followed by law
c) Definitions of
appropriate customer
service
d) The code of acceptable
conduct
,A portion of the accounts a) Charitable pledges
receivable inventory which
has NOT qualified for
billing
includes:
a) Charitable pledges
b) Accounts created
during pre-registration but
not activated
c) Accounts coded but
held within the suspense
period
d) Accounts assigned to a
pre-collection agency
Local Coverage c) Which diagnoses, signs, or symptoms are
Determinations (LCD) and reimbursable
National Coverage
Determinations (NCD) are
Medicare established
guideline(s) used to
determine:
a) Medicare and Medicaid
provider eligibility
b) Medicare outpatient
reimbursement rates
c) Which diagnoses, signs,
or symptoms are
reimbursable
d) What Medicare
reimburses and what
should be referred to
Medicaid
, Days in A/R is calculated c) The time it takes to collect anticipated revenue
based on the value of:
a) The total accounts
receivable on a specific
date
b) Total anticipated
revenue minus expenses
c) The time it takes to
collect anticipated
revenue
d) Total cash received to
date
Complete Questions And Correct Answers
(Verified Answers)|Brand New Version!
Save
Terms in this set (372)
The disadvantages of d) Reduced internal staffing costs and a reliance on
outsourcing include all of outsourced staff
the following EXCEPT:
a) The impact of customer
service or patient relations
b) The impact of loss of
direct control of accounts
receivable services
c) Increased costs due to
vendor ineffectiveness
d) Reduced internal
staffing costs and a
reliance on outsourced
staff
,The Medicare fee-for b) Judicial review by a federal district court
service appeal process for
both beneficiaries and
providers
includes all of the
following levels EXCEPT:
a) Medical necessity
review by an independent
physician's panel
b) Judicial review by a
federal district court
c) Redetermination by the
company that handles
claims for Medicare
d) Review by the
Medicare Appeals Council
(Appeals Council)
Business ethics, or a) The principles and standards by which
organizational ethics organizations operate
represent:
a) The principles and
standards by which
organizations operate
b) Regulations that must
be followed by law
c) Definitions of
appropriate customer
service
d) The code of acceptable
conduct
,A portion of the accounts a) Charitable pledges
receivable inventory which
has NOT qualified for
billing
includes:
a) Charitable pledges
b) Accounts created
during pre-registration but
not activated
c) Accounts coded but
held within the suspense
period
d) Accounts assigned to a
pre-collection agency
Local Coverage c) Which diagnoses, signs, or symptoms are
Determinations (LCD) and reimbursable
National Coverage
Determinations (NCD) are
Medicare established
guideline(s) used to
determine:
a) Medicare and Medicaid
provider eligibility
b) Medicare outpatient
reimbursement rates
c) Which diagnoses, signs,
or symptoms are
reimbursable
d) What Medicare
reimburses and what
should be referred to
Medicaid
, Days in A/R is calculated c) The time it takes to collect anticipated revenue
based on the value of:
a) The total accounts
receivable on a specific
date
b) Total anticipated
revenue minus expenses
c) The time it takes to
collect anticipated
revenue
d) Total cash received to
date
