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CRCR EXAM MULTIPLE CHOICE, PREP, CERTIFIED REVENUE CYCLE REPRESENTATIVE EXAM WITH ALL ANSWERS
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CRCR EXAM MULTIPLE CHOICE, PREP, CERTIFIED REVENUE CYCLE REPRESENTATIVE EXAM WITH ALL ANSWERS
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CRCR EXAM MULTIPLE CHOICE, PREP, CERTIFIED REVENUE CYCLE REPRESENTATIVE EXAM WITH ALL ANSWERS What fare fcollection fagency ffees fbased fon? f-fcorrect fanswer -Afpercentage foffdollars fcollected Self-
funded fbenefit fplans fmay fchoose ftofcoordinate fbenefits fusing fthe fgender frule for fwhat foth
er frule? f-fcorrect fanswer -Birthday Infwhat ftype foffpayment fmethodology fisfaflump fsum for fbundled fpayment fnegotiated fbetw
een fthe fpayer fand fsome for fall fproviders? f-fcorrect fanswer -Case frates What fcustomer fservice fimprovements fmight fimprove fthe fpatient faccounts fdepartment? f-
fcorrect fanswer -
Holding fstaff faccountable ffor fcustomer fservice fduring fperformance freviews What fisfan fABN f(Advance fBeneficiary fNotice foffNon-coverage) frequired ftofdo? f-
fcorrect fanswer -
Inform fafMedicare fbeneficiary fthat fMedicare fmay fnot fpay ffor fthe forder for fservice What ftype foffaccount fadjustment fresults ffrom fthe fpatient's funwillingness ftofpay ffor fafself-
pay fbalance? f-fcorrect fanswer -Bad fdebt fadjustment What fisfthe finitial fhospice fbenefit? f-fcorrect fanswer -Two f90-
day fperiods fand fan funlimited fnumber foffsubsequent fperiods When fdoes fafhospital fadd fambulance fcharges ftofthe fMedicare finpatient fclaim? f-
fcorrect fanswer -
Iffthe fpatient frequires fambulance ftransportation ftofafskilled fnursing ffacility How fshould fafprovider fresolve faflate-charge fcredit fposted fafter fan faccount fisfbilled? f-
fcorrect fanswer -Post faflate-charge fadjustment ftofthe faccount an fincrease finfthe fdollars faged fgreater fthan f90 fdays ffrom fdate foffservice findicate fwhat fabo
utfaccounts f-fcorrect fanswer -They fare fnot fbeing fprocessed finfaftimely fmanner What fisfan fadvantage foffafpreregistration fprogram? f-fcorrect fanswer -
Itfreduces fprocessing ftimes fatfthe ftime foffservice What fare fthe ftwo fstatutory fexclusions ffrom fhospice fcoverage? f-fcorrect fanswer -
Medically funnecessary fservices fand fcustodial fcare What fcore ffinancial factivities fare fresolved fwithin fpatient faccess? f-fcorrect fanswer -
Scheduling, finsurance fverification, fdischarge fprocessing, fand fpayment foffpoint -of-
service freceipts What fstatement fapplies ftofthe fscheduled foutpatient? f-fcorrect fanswer -
The fservices fdo fnot finvolve fan fovernight fstay How fisfafmis-posted fcontractual fallowance fresolved? f-fcorrect fanswer -
Comparing fthe fcontract freimbursement frates fwith fthe fcontract fon fthe fadmittance fadvice ft
ofidentify fthe fcorrect famount What ftype foffpatient fstatus fisfused ftofevaluate fthe fpatient's fneed ffor finpatient fcare? f-
fcorrect fanswer -Observation Coverage frules ffor fMedicare fbeneficiaries freceiving fskilled fnursing fcare frequire fthat fthe fb
eneficiary fhas freceived fwhat? f-fcorrect fanswer -
Medically fnecessary finpatient fhospital fservices ffor fatfleast f3fconsecutive fdays fbefore fthe f
skilled fnursing fcare fadmission When fisfthe fword f"SAME" fentered fon fthe fCMS f1500 fbilling fform finfField f0$? f-
fcorrect fanswer -When fthe fpatient fisfthe finsured What fare fnon-
emergency fpatients fwho fcome ffor fservice fwithout fprior fnotification ftofthe fprovider fcalled? f
-fcorrect fanswer -Unscheduled fpatients Iffthe finsurance fverification fresponse freports fthat fafsubscriber fhas fafsingle fpolicy, fwhat fisft
he fstatus foffthe fsubscriber's fspouse? f-fcorrect fanswer -
Neither fenrolled fnot fentitled ftofbenefits Regulation fZfoffthe fConsumer fCredit fProtection fAct, falso fknown fas fthe fTruth finfLending fA
ct, festablishes fwhat? f-fcorrect fanswer -
Disclosure frules ffor fconsumer fcredit fsales fand fconsumer floans What fisfafprincipal fdiagnosis? f-fcorrect fanswer -
Primary freason ffor fthe fpatient's fadmission Collecting fpatient fliability fdollars fafter fservice fleads ftofwhat? f-fcorrect fanswer -
Lower faccounts freceivable flevels What fisfthe fdaily fout-of-pocket famount ffor feach flifetime freserve fday fused? f-
fcorrect fanswer -50% foffthe fcurrent fdeductible famount What fservice fprovided ftofafMedicare fbeneficiary finfafrural fhealth fclinic f(RHC) fisfnot fbillabl
efas fan fRHC fservices? f-fcorrect fanswer -Inpatient fcare What fcode findicates fthe fdisposition foffthe fpatient fatfthe fconclusion foffservice? f-
fcorrect fanswer -Patient fdischarge fstatus fcode What fare fhospitals frequired ftofdo ffor fMedicare fcredit fbalance faccounts? f-fcorrect fanswer -
They fresult finflost freimbursement fand fadditional fcost ftofcollect When fan fundue fdelay foffpayment fresults ffrom fafdispute fbetween fthe fpatient fand fthe fthird f
party fpayer, fwho fisfresponsible ffor fpayment? f-fcorrect fanswer -Patient Medicare fguidelines frequire fthat fwhen faftest fisfordered ffor fafLCD for fNCD fexists, fthe finfor
mation fprovided fon fthe forder fmust finclude: f-fcorrect fanswer -Afvalid fCPT for fHCPCS fcode With fadvances finfinternet fsecurity fand fencryption, frevenue -
cycle fprocesses fare fexpanding ftofallow fpatients ftofdo fwhat? f-fcorrect fanswer -
Access ftheir finformation fand fperform ffunctions fon-line What fdate fisfrequired fon fall fCMS f1500 fclaim fforms? f-fcorrect fanswer -
onset fdate foffcurrent fillness What fdoes fscheduling fallow fprovider fstaff ftofdo f-fcorrect fanswer -
Review fappropriateness foffthe fservice frequest What fcode fisfused ftofreport fthe fprovider's fmost fcommon fsemiprivate froom frate? f-
fcorrect fanswer -Condition fcode Regulations fand frequirements ffor fcoding faccountable fcare forganizations, fwhich fallows fp
roviders ftofbegin fcreating fthese forganizations, fwere ffinalized fin: f-fcorrect fanswer -2012 What fisfafprimary fresponsibility foffthe fRecover fAudit fContractor? f-fcorrect fanswer -
To fcorrectly fidentify fproper fpayments ffor fMedicare fPart fAf&fBfclaims How fmust fproviders fhandle fcredit fbalances? f-fcorrect fanswer -
Comply fwith fstate fstatutes fconcerning freporting fcredit fbalance Insurance fverification fresults finfwhat? f-fcorrect fanswer -
The faccurate fidentification foffthe fpatient's feligibility fand fbenefits What fform fisfused ftofbill fMedicare ffor frural fhealth fclinics? f-fcorrect fanswer -CMS f1500 What factivities fare fcompleted fwhen fafscheduled fpre-
registered fpatient farrives ffor fservice? f-fcorrect fanswer -
Registering fthe fpatient fand fdirecting fthe fpatient ftofthe fservice farea Infaddition ftofbeing fsupported fby finformation ffound finfthe fpatient's fchart, fafCMS f1500 fclai
mfmust fbe fcoded fusing fwhat? f-fcorrect fanswer -
HCPCS f(Healthcare fCommon fProcedure fCoding fsystem) What fresults ffrom fafdenied fclaim? f-fcorrect fanswer -
The fprovider fincurs frework fand fappeal fcosts Why fdoes fthe ffinancial fcounselor fneed fpricing ffor fservices? f-fcorrect fanswer -
To fcalculate fthe fpatient's ffinancial fresponsibility What ftype foffprovider fbills fthird-party fpayers fusing fCMS f1500 fform f-fcorrect fanswer -
Hospital -based fmammography fcenters How fare fdisputes fwith fnongovernmental fpayers fresolved? f-fcorrect fanswer -
Appeal fconditions fspecified finfthe findividual fpayer's fcontract The fimportant fmessage ffrom fMedicare fprovides fbeneficiaries fwith finformation fconcernin
gfwhat? f-fcorrect fanswer -
Right ftofappeal fafdischarge fdecision fiffthe fpatient fdisagrees fwith fthe fservices Why fdo fmanaged fcare fplans fhave fagreements fwith fhospitals, fphysicians, fand fother fhealt
hcare fproviders ftofoffer fafrange foffservices ftofplan fmembers? f-fcorrect fanswer -
To fimprove faccess ftofquality fhealthcare Iffafpatient fremains fan finpatient foffan fSNF f(skilled fnursing ffacility ffor fmore fthan f30 fdays, fw
hat fisfthe fSNF fpermitted ftofdo? f-fcorrect fanswer -
Submit finterim fbills ftofthe fMedicare fprogram. 90. fMSP f(Medicare fSecondary fPayer) frules fallow fproviders ftofbill fMedicare ffor fliability fcla
ims fafter fwhat fhappens? f-fcorrect fanswer -
120 fdays fpasses, fbut fthe fclaim fthen fbe fwithdrawn ffrom fthe fliability fcarrier What fdata fare frequired ftofestablish fafnew fMPI fentry? f-fcorrect fanswer -
The fpatient's ffull flegal fname, fdate foffbirth, fand fsex What fshould fthe fprovider fdo fiffboth foffthe fpatient's finsurance fplans fpay fas fprimary? f-
fcorrect fanswer -
Determine fthe fcorrect fpayer fand fnotify fthe fincorrect fpayer foffthe fprocessing ferror What fdo fEMTALA fregulations frequire fon-call fphysicians ftofdo? f-fcorrect fanswer -
Personally fappear finfthe femergency fdepartment fand fattend ftofthe fpatient fwithin fafreason
able ftime At fthe fend foffeach fshift, fwhat fmust fhappen ftofcash, fchecks, fand fcredit fcard ftransaction fdo
cuments? f-fcorrect fanswer -They fmust fbe fbalanced
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