CRCR Exam Prep questions with verified
answers 2023
What are collec on agency fees based on? - correct answer A percentage of
dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - correct answer Birthday
In what type of payment methodology is a lump sum or bundled payment
nego ated between the payer and some or all providers? - correct answer Case
rates
What customer service improvements might improve the pa ent accounts
department? - correct answer Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary No ce of Non-coverage) required to do? -
correct answer Inform a Medicare beneficiary that Medicare may not pay for the
order or service
What type of account adjustment results from the pa ent's unwillingness to pay
for a self-pay balance? - correct answer Bad debt adjustment
,CRCR Exam Prep questions with verified
answers 2023
What is the ini al hospice benefit? - correct answer Two 90-day periods and an
unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpa ent claim? -
correct answer If the pa ent requires ambulance transporta on to a skilled
nursing facility
How should a provider resolve a late-charge credit posted a er an account is
billed? - correct 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 - correct answer They are not being processed in a mely
manner
What is an advantage of a preregistra on program? - correct answer It reduces
processing mes at the me of service
What are the two statutory exclusions from hospice coverage? - correct answer
Medically unnecessary services and custodial care
, CRCR Exam Prep questions with verified
answers 2023
What core financial ac vi es are resolved within pa ent access? - correct answer
Scheduling, insurance verifica on, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpa ent? - correct answer The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - correct answer Comparing
the contract reimbursement rates with the contract on the admi ance advice to
iden fy the correct amount
What type of pa ent status is used to evaluate the pa ent's need for inpa ent
care? - correct answer Observa on
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - correct answer Medically necessary
inpa ent hospital services for at least 3 consecu ve days before the skilled nursing
care admission
answers 2023
What are collec on agency fees based on? - correct answer A percentage of
dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule? - correct answer Birthday
In what type of payment methodology is a lump sum or bundled payment
nego ated between the payer and some or all providers? - correct answer Case
rates
What customer service improvements might improve the pa ent accounts
department? - correct answer Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary No ce of Non-coverage) required to do? -
correct answer Inform a Medicare beneficiary that Medicare may not pay for the
order or service
What type of account adjustment results from the pa ent's unwillingness to pay
for a self-pay balance? - correct answer Bad debt adjustment
,CRCR Exam Prep questions with verified
answers 2023
What is the ini al hospice benefit? - correct answer Two 90-day periods and an
unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpa ent claim? -
correct answer If the pa ent requires ambulance transporta on to a skilled
nursing facility
How should a provider resolve a late-charge credit posted a er an account is
billed? - correct 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 - correct answer They are not being processed in a mely
manner
What is an advantage of a preregistra on program? - correct answer It reduces
processing mes at the me of service
What are the two statutory exclusions from hospice coverage? - correct answer
Medically unnecessary services and custodial care
, CRCR Exam Prep questions with verified
answers 2023
What core financial ac vi es are resolved within pa ent access? - correct answer
Scheduling, insurance verifica on, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpa ent? - correct answer The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - correct answer Comparing
the contract reimbursement rates with the contract on the admi ance advice to
iden fy the correct amount
What type of pa ent status is used to evaluate the pa ent's need for inpa ent
care? - correct answer Observa on
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - correct answer Medically necessary
inpa ent hospital services for at least 3 consecu ve days before the skilled nursing
care admission
