CRCR Exam Complete Bundle : Study Guide & Practice Tests

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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.

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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.