CRCR Exam bundle with Graded A+ Answers.

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between t...

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between t...

Net Days in AR - ANSWER-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging - ANSWER-Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding - ANSW...

Important revenue cycle activities in the pre-service stage include; - ANSWER-Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; - ANSWER-The amount th...

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 Requireme...

What do Case Managers do? - ANSWER-Monitor high resource cases to ensure effective utilization What is HIM responsible for? - ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - ANSWER-manage ...

Types of Unscheduled Patients - ANSWER-Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. Resource Coordination - ANSWER-The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that professional staff (physicians, nurses, and/or technicians) ...

Patient-Centric Revenue Cycle - ANSWER-The major processing steps required for a request for service through closing the account at zero balance. Pre-Service - ANSWER-Scheduled & pre-registered pt.,cost est., data colleted Time-Of-Service - ANSWER-Scheduled & Unscheduled-caser mgmt. & discharg...

The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible...