Crcr qs as - Study guides, Class notes & Summaries

2024 CRCR Assessment Test A++ Test with All New Qs & As - Guaranteed Pass! 1. What is the traditional three segments in the Revenue Cycle? Answer: Pre-service, Time of Service, Post service 2. Define Pre-Service and activitiesincluded Answer: PT isscheduled and pre registered for service, encounter record is generated and the PT/GTR info is collected / updat- ed. The requested service isscreened for medical necessity then the health plan and or coverage is verified, pre-authorizations, ...

CRCR Certification Actual Exam/ 205+ Qs & Ans/ . Terms like: The activity which results in the accurate recording of patient bed and level of care assessment, patient transfer and patient discharge status on a real-time basis is known as - Answer: Case management Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation? - Answer: Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the on-duty ph...

CRCR Multiple Choice/ 140+ Qs & Ans/ . Terms like: Case Management requires that a case manager be assigned a) To patients of any physician requesting case management b) To a select patient group c) To every patient d) To specific cases designated by third party contractual agreement - Answer: B 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...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR; Q’s & A’s What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the pati...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep,Certified Revenue Cycle Representative - CRCR (Q’s & A’s) 100% Verified What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates

HFMA CRCR; Q’s & A’s Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the threeday DRG window rule? Non-diagnostic service provided on Tuesday through Friday

CRCR Exam; Q’s & A’s 835 Record A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. 837 Record A standard electronic message between a provider and health plan sending data on a claim to the health plan. AAR After-hours activity report ABN Advanced Beneficiary Notice ACC ambulatory care center

CRCR 4 - Post-Service Financial Care - (Q’s & A’s) 100% Verified Quiz Combo (Pre-Tests, KCs, Quizzes) (Pre-Test 4) Credit balances may be created by any of the following activities except: (Ans- Credits to pharmacy charges posted before the claim final bills. Which of the following statements represent common reasons for inpatient claim denials? (Ans- Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and services provided which wer...

CRCR Test Review; Q’s & A’s Important revenue cycle activities in the pre-service stage include; 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; The amount the patient may be expected to pay after insurance. Demographic and health plan edit failures are identified and resolved within the Patient Access