Examen
CRCR Exam Prep 100% verified
- Cours
- Établissement
CRCR Exam Prep 100% verified
[Montrer plus]
Vendeur
S'abonner
Ashley96
Avis reçus
Aperçu du contenu
CRCR Exam PrepWhat are collection agency fees based on? - ANSA percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule? - ANSBirthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? - ANSCase rates
What customer service improvements might improve the patient accounts department? -
ANSHolding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - ANSInform a
Medicare beneficiary that Medicare may not pay for the order or service
What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance? - ANSBad debt adjustment
What is the initial hospice benefit? - ANSTwo 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? - ANSIf the
patient requires ambulance transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account is billed? - ANSPost
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 - ANSThey are not being processed in a timely manner
What is an advantage of a preregistration program? - ANSIt reduces processing times at the
time of service
What are the two statutory exclusions from hospice coverage? - ANSMedically unnecessary
services and custodial care
What core financial activities are resolved within patient access? - ANSScheduling, insurance
verification, discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? - ANSThe services do not involve an
overnight stay
, How is a mis-posted contractual allowance resolved? - ANSComparing 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? -
ANSObservation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what? - ANSMedically 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$? - ANSWhen the
patient is the insured
What are non-emergency patients who come for service without prior notification to the provider
called? - ANSUnscheduled patients
If the insurance verification response reports that a subscriber has a single policy, what is the
status of the subscriber's spouse? - ANSNeither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act,
establishes what? - ANSDisclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - ANSPrimary reason for the patient's admission
Collecting patient liability dollars after service leads to what? - ANSLower accounts receivable
levels
What is the daily out-of-pocket amount for each lifetime reserve day used? - ANS50% of the
current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic (RHC) is not billable as
an RHC services? - ANSInpatient care
What code indicates the disposition of the patient at the conclusion of service? - ANSPatient
discharge status code
What are hospitals required to do for Medicare credit balance accounts? - ANSThey result in
lost reimbursement and additional cost to collect
When an undue delay of payment results from a dispute between the patient and the third party
payer, who is responsible for payment? - ANSPatient
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur Ashley96. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour €9,21. Vous n'êtes lié à rien après votre achat.
Peut-on faire confiance à Stuvia ?
4.6 étoiles sur Google & Trustpilot (+1000 avis)
72964 résumés ont été vendus ces 30 derniers jours
Fondée en 2010, la référence pour acheter des résumés depuis déjà 14 ans