CRCR Actual Exam Prep |2025
version 100% verified
If the insurance verification response reports that a subscriber has a single policy, what is the status of
the subscriber's spouse? correct answers
Neither enrolled not entitled to benefits
How should a provider resolve a late-charge credit posted after an account is billed? correct answers
Post a late-charge adjustment to the account
.
An increase in the dollars aged greater than 90 days from date of service indicate what about accounts
They are not being processed in a timely manner
What is an advantage of a preregistration program? correct answers
It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? correct answers
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? correct answers
Scheduling, insurance verification, discharge processing, and payment of point-of-service receipts
,What statement applies to the scheduled outpatient? correct answers
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? correct answers
Comparing the contract reimbursement rates with the contract on the admittance advice to identify
the correct amount
What type of patient status is used to evaluate the patient's need for inpatient care? correct answers
Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary
has received what? correct answers
Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled
nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? correct answers
When the patient is the insured
What are non-emergency patients who come for service without prior notification to the provider
called? correct answers
Unscheduled patients
, Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act,
establishes what? correct answers
Disclosure rules for consumer credit sales and consumer loans
The collection agency fees based on? correct answers
A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
correct answers
Birthday
.
In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers? correct answers
Case rates
.
What customer service improvements might improve the patient accounts department? correct
answers
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? correct answers
Inform a Medicare beneficiary that Medicare may not pay for the order or service
version 100% verified
If the insurance verification response reports that a subscriber has a single policy, what is the status of
the subscriber's spouse? correct answers
Neither enrolled not entitled to benefits
How should a provider resolve a late-charge credit posted after an account is billed? correct answers
Post a late-charge adjustment to the account
.
An increase in the dollars aged greater than 90 days from date of service indicate what about accounts
They are not being processed in a timely manner
What is an advantage of a preregistration program? correct answers
It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? correct answers
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? correct answers
Scheduling, insurance verification, discharge processing, and payment of point-of-service receipts
,What statement applies to the scheduled outpatient? correct answers
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? correct answers
Comparing the contract reimbursement rates with the contract on the admittance advice to identify
the correct amount
What type of patient status is used to evaluate the patient's need for inpatient care? correct answers
Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary
has received what? correct answers
Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled
nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? correct answers
When the patient is the insured
What are non-emergency patients who come for service without prior notification to the provider
called? correct answers
Unscheduled patients
, Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act,
establishes what? correct answers
Disclosure rules for consumer credit sales and consumer loans
The collection agency fees based on? correct answers
A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
correct answers
Birthday
.
In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers? correct answers
Case rates
.
What customer service improvements might improve the patient accounts department? correct
answers
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? correct answers
Inform a Medicare beneficiary that Medicare may not pay for the order or service
