CRCR Exam Prep Graded A+ Updated 2023
1. What are collection agency fees based on? - Correct AnswerA percentage of dollars
collected
2.Self-funded benefit plans may choose to coordinate b
enefits using the gender rule or what other rule? - Correct Answer Birthday
3.In what type of payment methodology is a lump sum or bundled payment negotiated
between the payer and some or all providers? - Correct AnswerCase rates
4.What customer service improvements might improve the patient accounts department?
- Correct AnswerHolding staff accountable for customer service during performance reviews
5.What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
Correct AnswerInform a Medicare beneficiary that Medicare may not pay for the order or service
6.What type of account adjustment results from the patient's unwillingness to pay for a
self-pay balance? - Correct AnswerBad debt adjustment
What is the initial hospice benefit? - Correct AnswerTwo 90-day periods and an
unlimited number of subsequent periods
7.When does a hospital add ambulance charges to the Medicare inpatient claim? - Correct
AnswerIf the patient requires ambulance transportation to a skilled nursing facility
8.How should a provider resolve a late-charge credit posted after an account is billed? -
Correct AnswerPost a late-charge adjustment to the account
9.an increase in the dollars aged greater than 90 days from date of service indicate what
about accounts - Correct AnswerThey are not being processed in a timely manner
, 10.What is an advantage of a preregistration program? - Correct AnswerIt reduces
processing times at the time of service
11.What are the two statutory exclusions from hospice coverage? - Correct
AnswerMedically unnecessary services and custodial care
12.What core financial activities are resolved within patient access? - Correct
AnswerScheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
13.What statement applies to the scheduled outpatient? - Correct AnswerThe services do
not involve an overnight stay
14.How is a mis-posted contractual allowance resolved? - Correct AnswerComparing the
contract reimbursement rates with the contract on the admittance advice to identify the correct
amount
15.What type of patient status is used to evaluate the patient's need for inpatient care? -
Correct AnswerObservation
17.Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what? - Correct AnswerMedically necessary inpatient hospital
services for at least 3 consecutive days before the skilled nursing care admission
18.When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
Correct AnswerWhen the patient is the insured
19.What are non-emergency patients who come for service without prior notification to
the provider called? - Correct AnswerUnscheduled patients
1. What are collection agency fees based on? - Correct AnswerA percentage of dollars
collected
2.Self-funded benefit plans may choose to coordinate b
enefits using the gender rule or what other rule? - Correct Answer Birthday
3.In what type of payment methodology is a lump sum or bundled payment negotiated
between the payer and some or all providers? - Correct AnswerCase rates
4.What customer service improvements might improve the patient accounts department?
- Correct AnswerHolding staff accountable for customer service during performance reviews
5.What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
Correct AnswerInform a Medicare beneficiary that Medicare may not pay for the order or service
6.What type of account adjustment results from the patient's unwillingness to pay for a
self-pay balance? - Correct AnswerBad debt adjustment
What is the initial hospice benefit? - Correct AnswerTwo 90-day periods and an
unlimited number of subsequent periods
7.When does a hospital add ambulance charges to the Medicare inpatient claim? - Correct
AnswerIf the patient requires ambulance transportation to a skilled nursing facility
8.How should a provider resolve a late-charge credit posted after an account is billed? -
Correct AnswerPost a late-charge adjustment to the account
9.an increase in the dollars aged greater than 90 days from date of service indicate what
about accounts - Correct AnswerThey are not being processed in a timely manner
, 10.What is an advantage of a preregistration program? - Correct AnswerIt reduces
processing times at the time of service
11.What are the two statutory exclusions from hospice coverage? - Correct
AnswerMedically unnecessary services and custodial care
12.What core financial activities are resolved within patient access? - Correct
AnswerScheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
13.What statement applies to the scheduled outpatient? - Correct AnswerThe services do
not involve an overnight stay
14.How is a mis-posted contractual allowance resolved? - Correct AnswerComparing the
contract reimbursement rates with the contract on the admittance advice to identify the correct
amount
15.What type of patient status is used to evaluate the patient's need for inpatient care? -
Correct AnswerObservation
17.Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what? - Correct AnswerMedically necessary inpatient hospital
services for at least 3 consecutive days before the skilled nursing care admission
18.When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
Correct AnswerWhen the patient is the insured
19.What are non-emergency patients who come for service without prior notification to
the provider called? - Correct AnswerUnscheduled patients
