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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024/2025)already graded A+

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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024/2025)already graded A+

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  • 8 février 2024
  • 61
  • 2023/2024
  • Examen
  • Questions et réponses

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  • what are collection agency fees based on ansa p
  • what is an abn advance beneficiary notice of non
  • how should a provider resolve a late charge credit

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Par: tyedyeddaisy • 3 mois de cela

Don't waste your money. None of the study material in this document was on the actual CRCR exam.

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Par: Ashley96 • 3 mois de cela

Thank you for the Review

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Par: makah0911 • 3 mois de cela

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Par: Ashley96 • 3 mois de cela

Thank you for the Review, wishing you very success in your studies. You are always welcome to my page any time you need any academic material.

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CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR (2021)

What 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

Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include: - ANSA valid CPT or HCPCS code

With advances in internet security and encryption, revenue-cycle processes are expanding to
allow patients to do what? - ANSAccess their information and perform functions on-line

What date is required on all CMS 1500 claim forms? - ANSonset date of current illness

What does scheduling allow provider staff to do - ANSReview appropriateness of the service
request

What code is used to report the provider's most common semiprivate room rate? -
ANSCondition code

Regulations and requirements for coding accountable care organizations, which allows
providers to begin creating these organizations, were finalized in: - ANS2012

What is a primary responsibility of the Recover Audit Contractor? - ANSTo correctly identify
proper payments for Medicare Part A & B claims

How must providers handle credit balances? - ANSComply with state statutes concerning
reporting credit balance

Insurance verification results in what? - ANSThe accurate identification of the patient's eligibility
and benefits

What form is used to bill Medicare for rural health clinics? - ANSCMS 1500

What activities are completed when a scheduled pre-registered patient arrives for service? -
ANSRegistering the patient and directing the patient to the service area

In addition to being supported by information found in the patient's chart, a CMS 1500 claim
must be coded using what? - ANSHCPCS (Healthcare Common Procedure Coding system)

What results from a denied claim? - ANSThe provider incurs rework and appeal costs

Why does the financial counselor need pricing for services? - ANSTo calculate the patient's
financial responsibility

, What type of provider bills third-party payers using CMS 1500 form - ANSHospital-based
mammography centers

How are disputes with nongovernmental payers resolved? - ANSAppeal conditions specified in
the individual payer's contract

The important message from Medicare provides beneficiaries with information concerning what?
- ANSRight to appeal a discharge decision if the patient disagrees with the services

Why do managed care plans have agreements with hospitals, physicians, and other healthcare
providers to offer a range of services to plan members? - ANSTo improve access to quality
healthcare

If a patient remains an inpatient of an SNF (skilled nursing facility for more than 30 days, what is
the SNF permitted to do? - ANSSubmit interim bills to the Medicare program.

90. MSP (Medicare Secondary Payer) rules allow providers to bill Medicare for liability claims
after what happens? - ANS120 days passes, but the claim then be withdrawn from the liability
carrier

What data are required to establish a new MPI entry? - ANSThe patient's full legal name, date
of birth, and sex

What should the provider do if both of the patient's insurance plans pay as primary? -
ANSDetermine the correct payer and notify the incorrect payer of the processing error

What do EMTALA regulations require on-call physicians to do? - ANSPersonally appear in the
emergency department and attend to the patient within a reasonable time

At the end of each shift, what must happen to cash, checks, and credit card transaction
documents? - ANSThey must be balanced

What will cause a CMS 1500 claim to be rejected? - ANSThe provider is billing with a future
date of service

Under Medicare regulations, which of the following is not included on a valid physician's order
for services? - ANSThe cost of the test

how are HCPCS codes and the appropriate modifiers used? - ANSTo report the level 1, 2, or 3
code that correctly describes the service provided

If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window
rule? - ANSDiagnostic and clinically-related non-diagnostic charges provided on the Tuesday,
Wednesday, Thursday, and Friday before admission

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