Exam (elaborations)
CRCR Exam Prep | 146 Complete Q&A 100% Correct; Latest 2023
- Course
- Institution
CRCR Exam Prep | 146 Complete Q&A 100% Correct; Latest 2023
[Show more]
Content preview
CRCR Exam Prep | 146 Complete Q&A 100% Correct ; Latest 2023 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 the payer and some or all providers? - Answe r Case rates What customer service improvements might improve the patient accounts department? - Answer Holding staff accountable for customer service during performance reviews What is an ABN (Advance Beneficiary Notice of Non -coverage) required t o do? - Answer Inform 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? - Answer Bad debt adjustment What is the initial hospice benefit? - Answer Two 90 -day periods and an unlimited number of subsequent periods When does a hospital add ambulance charges to the Medicare inpatient claim? - Answer If 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? - Answer 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 - Answer They are not being processed in a timely manner What is an advantage of a preregistration program? - Answer It reduces processing times at the time of service What are the two statutory exclusions from hospice coverage? - Answer Medicall y unnecessary services and custodial care What core financial activities are resolved within patient access? - Answer Scheduling, insurance verification, discharge processing, and payment of point -of-service receipts What statement applies to the scheduled outpatient? - Answer The services do not involve an overnight stay How is a mis -posted contractual allowance res olved? - Answer 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? - Answer Observation Coverag e rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what? - Answer 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$? - Answer When the patient is the insured What are non -emergency patients who come for service without prior notification to the provider called? - Answer Unscheduled patients
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudySet. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now