Page 1 of 15
CRCR Complete BUNDLE Solution; All Correct &
Verified
Pricing transparency is defined as readily available information
on the price of healthcare services, that together with other
information, help define the value of those services and enable
consumers to .....ANSWER.....Identify, compare, and choose
providers that offer the desired level of value.
Because case managers document the clinical reasons for
treatment, they are .....ANSWER.....A good resource when
developing written appeals and denials.
All of the following information describe claim edits EXCEPT
.....ANSWER.....The claim editing process slowed down the receipt
of payments, increases account receivable outstanding, and
decreases cash flow.
, Page 2 of 15
What types of services are classified as non-acute?
.....ANSWER.....Hospice Care, Clinic Services & Skilled Nursing
The unscheduled "direct" admission represents a patient who:
.....ANSWER.....Is admitted from a physician's office on an urgent
basis.
The process of creating the pre-registration record ensures
.....ANSWER.....That access staff will have complete and valid
information needed to finalize any remaining pre-access
activities.
An advantage of a pre-registration program is
.....ANSWER.....The opportunity to reduce processing times at the
time of service.
Claim edits are .....ANSWER.....Rules developed to verify the
accuracy of claims based on each health plan's policies.
CRCR Complete BUNDLE Solution; All Correct &
Verified
Pricing transparency is defined as readily available information
on the price of healthcare services, that together with other
information, help define the value of those services and enable
consumers to .....ANSWER.....Identify, compare, and choose
providers that offer the desired level of value.
Because case managers document the clinical reasons for
treatment, they are .....ANSWER.....A good resource when
developing written appeals and denials.
All of the following information describe claim edits EXCEPT
.....ANSWER.....The claim editing process slowed down the receipt
of payments, increases account receivable outstanding, and
decreases cash flow.
, Page 2 of 15
What types of services are classified as non-acute?
.....ANSWER.....Hospice Care, Clinic Services & Skilled Nursing
The unscheduled "direct" admission represents a patient who:
.....ANSWER.....Is admitted from a physician's office on an urgent
basis.
The process of creating the pre-registration record ensures
.....ANSWER.....That access staff will have complete and valid
information needed to finalize any remaining pre-access
activities.
An advantage of a pre-registration program is
.....ANSWER.....The opportunity to reduce processing times at the
time of service.
Claim edits are .....ANSWER.....Rules developed to verify the
accuracy of claims based on each health plan's policies.
