CRCR 2 Post-Service Financial Care Quiz
Combo Questions and Answers 2024
While the highest level of differentiation among patients is scheduled patient vs unscheduled patient,
a variety of patient types are routinely identified in both the acute and non-acute settings. Which
patient types are typically considered acute care patients?
(Pre-Test2)
Observation, newborn, emergency (ED)
.
Accurate identification of the patient is the first step in the scheduling process. Identifiers used in
various combination to achieve accurate patient identification include?
(Pre-Test2)
Full legal name, date of birth, sex and social security number
.
Pre-registration is defined as:
(Pre-Test2)
The collection of demographic information, insurance data, financial information, providing
reminders, prep information, and identifying the potential need for financial assistance for scheduled
patients.
.
Medicare has unique features not found in other health plan programs. It is government sponsored
and financed through taxes and general revenue funds.
Which of the following statements accurately describe the various Medicare benefit programs:
(Pre-Test2)
Medicare Part A provides benefits for inpatient hospital services, skilled nursing care and home health
care; Medicare Part B covers outpatient and professional services; Medicare Part C or Medicare
Advantage plans are managed care plans combining Part A and Part B coverages; and Medicare part D
is the prescription drug coverage benefit.
.
Which of the following statements about Medicaid eligibility is NOT true?
(Pre-Test2)
Medicaid categories are restricted to children, pregnant women and elderly in nursing homes.
.
Examples of managed care plans include:
(Pre-Test2)
All of the above
.
Patient Financial Communications best practices include all of the following activities except:
, (Pre-Test2)
Collecting payment or initiating the process to immediately remove the patient from the service
schedule.
.
Which statement includes the required components of an accurate pricing determination?
(Pre-Test2)
Insurance coverage and benefits, service or test involved, diagnosis and procedure codes, total
estimated charges, adjudication calculations based on the patient's benefit package.
.
The value of a robust scheduling and pre-registration process includes all of the following except:
(Pre-Test2)
Identification of patients who are likely to be "no shows".
.
Which patients are considered scheduled?
(KC2.1)
Recurring/Series Patients
.
Name the guideline that Medicare established to determine which diagnoses, signs, or symptoms are
payable.
(KC2.2)
Local Coverage Determinations (LCD)
.
What is the purpose of insurance verification?
(KC2.3)
To ensure accuracy of the health plan information.
.
The attempt to reduce costs through contractual agreements with providers is best described as:
(KC2.4)
Managed Care Plans
.
The nation's oldest and largest family of private health benefits companies:
(KC2.4)
Blue Cross/Blue Shield
.
Combo Questions and Answers 2024
While the highest level of differentiation among patients is scheduled patient vs unscheduled patient,
a variety of patient types are routinely identified in both the acute and non-acute settings. Which
patient types are typically considered acute care patients?
(Pre-Test2)
Observation, newborn, emergency (ED)
.
Accurate identification of the patient is the first step in the scheduling process. Identifiers used in
various combination to achieve accurate patient identification include?
(Pre-Test2)
Full legal name, date of birth, sex and social security number
.
Pre-registration is defined as:
(Pre-Test2)
The collection of demographic information, insurance data, financial information, providing
reminders, prep information, and identifying the potential need for financial assistance for scheduled
patients.
.
Medicare has unique features not found in other health plan programs. It is government sponsored
and financed through taxes and general revenue funds.
Which of the following statements accurately describe the various Medicare benefit programs:
(Pre-Test2)
Medicare Part A provides benefits for inpatient hospital services, skilled nursing care and home health
care; Medicare Part B covers outpatient and professional services; Medicare Part C or Medicare
Advantage plans are managed care plans combining Part A and Part B coverages; and Medicare part D
is the prescription drug coverage benefit.
.
Which of the following statements about Medicaid eligibility is NOT true?
(Pre-Test2)
Medicaid categories are restricted to children, pregnant women and elderly in nursing homes.
.
Examples of managed care plans include:
(Pre-Test2)
All of the above
.
Patient Financial Communications best practices include all of the following activities except:
, (Pre-Test2)
Collecting payment or initiating the process to immediately remove the patient from the service
schedule.
.
Which statement includes the required components of an accurate pricing determination?
(Pre-Test2)
Insurance coverage and benefits, service or test involved, diagnosis and procedure codes, total
estimated charges, adjudication calculations based on the patient's benefit package.
.
The value of a robust scheduling and pre-registration process includes all of the following except:
(Pre-Test2)
Identification of patients who are likely to be "no shows".
.
Which patients are considered scheduled?
(KC2.1)
Recurring/Series Patients
.
Name the guideline that Medicare established to determine which diagnoses, signs, or symptoms are
payable.
(KC2.2)
Local Coverage Determinations (LCD)
.
What is the purpose of insurance verification?
(KC2.3)
To ensure accuracy of the health plan information.
.
The attempt to reduce costs through contractual agreements with providers is best described as:
(KC2.4)
Managed Care Plans
.
The nation's oldest and largest family of private health benefits companies:
(KC2.4)
Blue Cross/Blue Shield
.
