CRCR Actual Exam Prep NEWEST COMPLETE
VERSION 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+.
Save
Terms in this set (144)
In what type of payment Case rates
methodology is a lump
sum or bundled payment
negotiated between the
payer and some or all
providers?
What customer service Holding staff accountable for customer service during
improvements might performance reviews
improve the patient
accounts department?
What is an ABN (Advance Inform a Medicare beneficiary that Medicare may not
Beneficiary Notice of pay for the order or service
Non-coverage) required
to do?
What type of account Bad debt adjustment
adjustment results from
the patient's unwillingness
to pay for a self-pay
balance?
What is the initial hospice Two 90-day periods and an unlimited number of
benefit? subsequent periods
,When does a hospital add If the patient requires ambulance transportation to a
ambulance charges to the skilled nursing facility
Medicare inpatient claim?
How should a provider Post a late-charge adjustment to the account
resolve a late-charge
credit posted after an
account is billed?
an increase in the dollars They are not being processed in a timely manner
aged greater than 90 days
from date of service
indicate what about
accounts
What is an advantage of a It reduces processing times at the time of service
preregistration program?
What are the two statutory Medically unnecessary services and custodial care
exclusions from hospice
coverage?
What core financial Scheduling, insurance verification, discharge
activities are resolved processing, and payment of point-of-service receipts
within patient access?
What statement applies to The services do not involve an overnight stay
the scheduled outpatient?
How is a mis-posted Comparing the contract reimbursement rates with the
contractual allowance contract on the admittance advice to identify the
resolved? correct amount
What type of patient Observation
status is used to evaluate
the patient's need for
inpatient care?
, Coverage rules for Medically necessary inpatient hospital services for at
Medicare beneficiaries least 3 consecutive days before the skilled nursing
receiving skilled nursing care admission
care require that the
beneficiary has received
what?
When is the word "SAME" When the patient is the insured
entered on the CMS 1500
billing form in Field 0$?
What are non-emergency Unscheduled patients
patients who come for
service without prior
notification to the
provider called?
If the insurance Neither enrolled not entitled to benefits
verification response
reports that a subscriber
has a single policy, what is
the status of the
subscriber's spouse?
Regulation Z of the Disclosure rules for consumer credit sales and
Consumer Credit consumer loans
Protection Act, also
known as the Truth in
Lending Act, establishes
what?
What is a principal Primary reason for the patient's admission
diagnosis?
Collecting patient liability Lower accounts receivable levels
dollars after service leads
to what?
What is the daily out-of- 50% of the current deductible amount
pocket amount for each
lifetime reserve day used?
VERSION 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+.
Save
Terms in this set (144)
In what type of payment Case rates
methodology is a lump
sum or bundled payment
negotiated between the
payer and some or all
providers?
What customer service Holding staff accountable for customer service during
improvements might performance reviews
improve the patient
accounts department?
What is an ABN (Advance Inform a Medicare beneficiary that Medicare may not
Beneficiary Notice of pay for the order or service
Non-coverage) required
to do?
What type of account Bad debt adjustment
adjustment results from
the patient's unwillingness
to pay for a self-pay
balance?
What is the initial hospice Two 90-day periods and an unlimited number of
benefit? subsequent periods
,When does a hospital add If the patient requires ambulance transportation to a
ambulance charges to the skilled nursing facility
Medicare inpatient claim?
How should a provider Post a late-charge adjustment to the account
resolve a late-charge
credit posted after an
account is billed?
an increase in the dollars They are not being processed in a timely manner
aged greater than 90 days
from date of service
indicate what about
accounts
What is an advantage of a It reduces processing times at the time of service
preregistration program?
What are the two statutory Medically unnecessary services and custodial care
exclusions from hospice
coverage?
What core financial Scheduling, insurance verification, discharge
activities are resolved processing, and payment of point-of-service receipts
within patient access?
What statement applies to The services do not involve an overnight stay
the scheduled outpatient?
How is a mis-posted Comparing the contract reimbursement rates with the
contractual allowance contract on the admittance advice to identify the
resolved? correct amount
What type of patient Observation
status is used to evaluate
the patient's need for
inpatient care?
, Coverage rules for Medically necessary inpatient hospital services for at
Medicare beneficiaries least 3 consecutive days before the skilled nursing
receiving skilled nursing care admission
care require that the
beneficiary has received
what?
When is the word "SAME" When the patient is the insured
entered on the CMS 1500
billing form in Field 0$?
What are non-emergency Unscheduled patients
patients who come for
service without prior
notification to the
provider called?
If the insurance Neither enrolled not entitled to benefits
verification response
reports that a subscriber
has a single policy, what is
the status of the
subscriber's spouse?
Regulation Z of the Disclosure rules for consumer credit sales and
Consumer Credit consumer loans
Protection Act, also
known as the Truth in
Lending Act, establishes
what?
What is a principal Primary reason for the patient's admission
diagnosis?
Collecting patient liability Lower accounts receivable levels
dollars after service leads
to what?
What is the daily out-of- 50% of the current deductible amount
pocket amount for each
lifetime reserve day used?
