CRCR CERTIFICATION CERTIFIED REVENUE CYCLE
REPRESENTATIVE. EXAM LATEST VERSION UPDATED
Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by - ANSWER ->The
Medicare Administrative Contractor (MAC) at the end of the
hospice cap period
Which of the following is required for participation in Medicaid
- ANSWER ->Meet Income and Assets Requirements.
In choosing a setting for patient financial discussions,
organizations should first and foremost - ANSWER ->Respect
the patients privacy
A nightly room charge will be incorrect if the patient's -
ANSWER ->Transfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
can - ANSWER ->Purchase qualified health benefit plans
regardless of insured's health status
,A portion of the accounts receivable inventory which has NOT
qualified for billing includes: - ANSWER ->Charitable pledges
What is required for the UB-04/837-I, used by Rural Health
Clinics to generate payment from Medicare? - ANSWER
>Revenue codes
This directive was developed to promote and ensure healthcare
quality and value and also to protect consumers and workers in
the healthcare system. This directive is called - ANSWER
>Patient bill of rights
The activity which results in the accurate recording of patient
bed and level of care assessment, patient transfer and patient
discharge status on a real-time basis is known as - ANSWER
>Case management
Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation? - ANSWER ->Registration staff
may routinely contact managed are plans for prior
authorizations before the patient is seen by the on-duty
physician
HIPAA had adopted Employer Identification Numbers (EIN) to
be used in standard transactions to identify the employer of an
individual described in a transaction EIN's are
,assigned by - ANSWER ->The Internal Revenue Service
Checks received through mail, cash received through mail, and
lock box are all examples of - ANSWER ->Control points for cash
posting
What are some core elements if a board-approved financial
assistance policy? - ANSWER ->Eligibility, application process,
and nonpayment collection activities
A recurring/series registration is characterized by - ANSWER
>The creation of one registration record for multiple days of
service
With the advent of the Affordable Care Act Health Insurance
Marketplaces and the expansion of Medicaid in some states, it
is more important than ever for hospitals to - ANSWER ->Assist
patients in understanding their insurance coverage and their
financial obligation
The purpose of a financial report is to: - ANSWER ->Present
financial information to decision makers
Patient financial communications best practices produce
communications that are - ANSWER ->Consistent, clear and
transparent
, Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations
(NCD) that establish - ANSWER ->What services or healthcare
items are covered under Medicare
Any provider that has filed a timely cost report may appeal an
adverse final decision received from the Medicare
Administrative Contractor (MAC). This appeal may be filed with
- ANSWER ->The Provider Reimbursement Review Board
Concurrent review and discharge planning - ANSWER ->Occurs
during service
Duplicate payments occur: - ANSWER ->When providers re-bill
claims based on nonpayment from the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the
government's claim determination is entitled to
reconsideration of the decision. This type of appeal is known as
- ANSWER ->A beneficiary appeal
Insurance verification results in which of the following -
ANSWER ->The accurate identification of the patient's eligibility
and benefits
The Medicare fee-for service appeal process for both
beneficiaries and providers includes all of the following levels
EXCEPT: - ANSWER ->Judicial review by a federal district court
REPRESENTATIVE. EXAM LATEST VERSION UPDATED
Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by - ANSWER ->The
Medicare Administrative Contractor (MAC) at the end of the
hospice cap period
Which of the following is required for participation in Medicaid
- ANSWER ->Meet Income and Assets Requirements.
In choosing a setting for patient financial discussions,
organizations should first and foremost - ANSWER ->Respect
the patients privacy
A nightly room charge will be incorrect if the patient's -
ANSWER ->Transfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
can - ANSWER ->Purchase qualified health benefit plans
regardless of insured's health status
,A portion of the accounts receivable inventory which has NOT
qualified for billing includes: - ANSWER ->Charitable pledges
What is required for the UB-04/837-I, used by Rural Health
Clinics to generate payment from Medicare? - ANSWER
>Revenue codes
This directive was developed to promote and ensure healthcare
quality and value and also to protect consumers and workers in
the healthcare system. This directive is called - ANSWER
>Patient bill of rights
The activity which results in the accurate recording of patient
bed and level of care assessment, patient transfer and patient
discharge status on a real-time basis is known as - ANSWER
>Case management
Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation? - ANSWER ->Registration staff
may routinely contact managed are plans for prior
authorizations before the patient is seen by the on-duty
physician
HIPAA had adopted Employer Identification Numbers (EIN) to
be used in standard transactions to identify the employer of an
individual described in a transaction EIN's are
,assigned by - ANSWER ->The Internal Revenue Service
Checks received through mail, cash received through mail, and
lock box are all examples of - ANSWER ->Control points for cash
posting
What are some core elements if a board-approved financial
assistance policy? - ANSWER ->Eligibility, application process,
and nonpayment collection activities
A recurring/series registration is characterized by - ANSWER
>The creation of one registration record for multiple days of
service
With the advent of the Affordable Care Act Health Insurance
Marketplaces and the expansion of Medicaid in some states, it
is more important than ever for hospitals to - ANSWER ->Assist
patients in understanding their insurance coverage and their
financial obligation
The purpose of a financial report is to: - ANSWER ->Present
financial information to decision makers
Patient financial communications best practices produce
communications that are - ANSWER ->Consistent, clear and
transparent
, Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations
(NCD) that establish - ANSWER ->What services or healthcare
items are covered under Medicare
Any provider that has filed a timely cost report may appeal an
adverse final decision received from the Medicare
Administrative Contractor (MAC). This appeal may be filed with
- ANSWER ->The Provider Reimbursement Review Board
Concurrent review and discharge planning - ANSWER ->Occurs
during service
Duplicate payments occur: - ANSWER ->When providers re-bill
claims based on nonpayment from the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the
government's claim determination is entitled to
reconsideration of the decision. This type of appeal is known as
- ANSWER ->A beneficiary appeal
Insurance verification results in which of the following -
ANSWER ->The accurate identification of the patient's eligibility
and benefits
The Medicare fee-for service appeal process for both
beneficiaries and providers includes all of the following levels
EXCEPT: - ANSWER ->Judicial review by a federal district court
