MULTIPLE CHOICE Exam Prep, CRCR EXAM | CRCR Approved Version - (2021)

MULTIPLE CHOICE Exam Prep, CRCR EXAM | CRCR Approved Version - (2021) MULTIPLE CHOICE Exam Prep, CRCR EXAM | CRCR Approved Version - (2021) MULTIPLE CHOICE Exam Prep, CRCR EXAM | CRCR Approved Version - (2021) It is important to calculate reserves to ensure a) Stable financial operations and accurate financial reporting b) Collateral for credit c) Expense coverage in the event of a revenue short fall d) Coverage of B/D write offs and charity care costs - Answer - A Successful account resolution begins with a) Educating pts on their estimated financial responsibility b) Collecting all deductibles and copayments during the pre-service stage c) Accurate documentation of services d) Pt compliance with the course of treatment - Answer - B An individual enrolled in Medicare who is dissatisfied with the government's claim determination is entitled to reconsideration of the decision. This type of appeal is known as a) A medicare determination appeal b) A payment review c) A medicare supplemental review d) A beneficiary appeal - Answer - D A portion of the accounts receivable inventory which has NOT qualified for billing includes a) Charitable pledges b) Accounts assigned to a pre-collection agency c) Accounts coded but held within the suspense period d) Accounts created during pre-registration but not activated - Answer - A Checks received through mail, cash received through mail, and lock box are all examples of a) Highly fraud prone processes b) Payment methods in which the majority of fraud occurs c) Payment methods being phased out for more secure payment method options d) Control points for cash posting - Answer - D Recognizing that health coverage is complicated and not all pts are able to navigate this terrain, HFMA best practices specify that a) A representative of the health plan be included in the pt financial responsibilities discussion b) The patient accounts staff have someone assigned to research coverage on behalf of pts c) Pts should be given the opportunity to request a pt advocate, family member or other designee to help them In these discussions d) Pt coverage education may need to be provided by the health plan - Answer - C Once the price is estimated in the pre-service stage, a provider's financial best practice is to a) Allow the pt time to compare prices with other providers b) Have another employee double check the price estimate c) Lock-in the prices d) Explain to the pt their financial responsibility and to determine the plan for payment - Answer - D Charges as the most appropriate measurement of utilization enables a) Accuracy of expense and cost capture b) Managing of expense budgets c) Effective HIM planning d) Generation of timely and accurate billing - Answer - A Any healthcare insurance plan that provides or ensures comprehensive health maintenance and treatment services for an enrolled group of persons based on; a monthly fee is known as a a) HMO b) PPO c) MSO d) GPO - Answer - A