CHOICE, CRCR Exam Prep,
Certified Revenue Cycle
_____________Quiz____________?
What are collection agency fees based on? -
Answer✓✓
A percentage of dollars collected
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Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? -
Answer✓✓
Birthday
_____________Quiz____________?
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
_____________Quiz____________?
1
, What customer service improvements might improve the patient accounts department? -
Answer✓✓
Holding staff accountable for customer service during performance reviews
_____________Quiz____________?
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
_____________Quiz____________?
What type of account adjustment results from the patient's unwillingness to pay for a self-
pay balance? -
Answer✓✓
Bad debt adjustment
_____________Quiz____________?
What is the initial hospice benefit? -
Answer✓✓
Two 90-day periods and an unlimited number of subsequent periods
_____________Quiz____________?
When does a hospital add ambulance charges to the Medicare inpatient claim? -
Answer✓✓
If the patient requires ambulance transportation to a skilled nursing facility
_____________Quiz____________?
How should a provider resolve a late-charge credit posted after an account is billed? -
Answer✓✓
Post a late-charge adjustment to the account
2
, _____________Quiz____________?
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
_____________Quiz____________?
What is an advantage of a preregistration program? -
Answer✓✓
It reduces processing times at the time of service
_____________Quiz____________?
What are the two statutory exclusions from hospice coverage? -
Answer✓✓
Medically unnecessary services and custodial care
_____________Quiz____________?
What core financial activities are resolved within patient access? -
Answer✓✓
Scheduling, insurance verification, discharge processing, and payment of point-of-service
receipts
_____________Quiz____________?
What statement applies to the scheduled outpatient? -
Answer✓✓
The services do not involve an overnight stay
_____________Quiz____________?
3
, 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
_____________Quiz____________?
What type of patient status is used to evaluate the patient's need for inpatient care? -
Answer✓✓
Observation
_____________Quiz____________?
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
_____________Quiz____________?
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
Answer✓✓
When the patient is the insured
_____________Quiz____________?
What are non-emergency patients who come for service without prior notification to the
provider called? -
Answer✓✓
Unscheduled patients
_____________Quiz____________?
4