CRCR FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What are collection agency fees based on? - ANSWER---A percentage
of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - ANSWER---Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
ANSWER---Case rates
What customer service improvements might improve the patient
accounts department? - ANSWER---Holding staff accountable for
customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? - ANSWER---Inform 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? - ANSWER---Bad debt
adjustment
,CRCR FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What is the initial hospice benefit? - ANSWER---Two 90-day periods
and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? - ANSWER---If 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? - ANSWER---Post 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 - ANSWER---They are not being
processed in a timely manner
What is an advantage of a preregistration program? - ANSWER---It
reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
ANSWER---Medically unnecessary services and custodial care
, CRCR FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What core financial activities are resolved within patient access? -
ANSWER---Scheduling, insurance verification, discharge processing,
and payment of point-of-service receipts
What statement applies to the scheduled outpatient? - ANSWER---The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANSWER---
Comparing 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? - ANSWER---Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what? - ANSWER---
Medically 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$? - ANSWER---When the patient is the insured
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What are collection agency fees based on? - ANSWER---A percentage
of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - ANSWER---Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
ANSWER---Case rates
What customer service improvements might improve the patient
accounts department? - ANSWER---Holding staff accountable for
customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? - ANSWER---Inform 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? - ANSWER---Bad debt
adjustment
,CRCR FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What is the initial hospice benefit? - ANSWER---Two 90-day periods
and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? - ANSWER---If 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? - ANSWER---Post 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 - ANSWER---They are not being
processed in a timely manner
What is an advantage of a preregistration program? - ANSWER---It
reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
ANSWER---Medically unnecessary services and custodial care
, CRCR FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE
146 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
What core financial activities are resolved within patient access? -
ANSWER---Scheduling, insurance verification, discharge processing,
and payment of point-of-service receipts
What statement applies to the scheduled outpatient? - ANSWER---The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANSWER---
Comparing 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? - ANSWER---Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what? - ANSWER---
Medically 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$? - ANSWER---When the patient is the insured
