1
CRCR EXAM PREP QUESTIONS WITH
VERIFIED SOLUTIONS
What are collection 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
negotiated between the payer and some or all providers? - correct-answer -Case
rates
What customer service improvements might improve the patient accounts
department? - correct-answer -Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
correct-answer -Inform a Medicare beneficiary that Medicare may not pay for the
order or service
, 2
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - correct-answer -Bad debt adjustment
What is the initial 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 inpatient claim? -
correct-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? - 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 timely
manner
What is an advantage of a preregistration program? - correct-answer -It reduces
processing times at the time of service
, 3
What are the two statutory exclusions from hospice coverage? - correct-answer -
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - correct-answer
-Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient? - correct-answer -The
services do not involve an overnight stay
What will comprehensive patient access processing accomplish? - correct-answer -
Minimize the need for follow-up on insurance accounts
Through what document does a hospital establish compliance standards? -
correct-answer -Code of conduct
How does utilization review staff use correct insurance information? - correct-
answer -To obtain approval for inpatient days and coordinate services
CRCR EXAM PREP QUESTIONS WITH
VERIFIED SOLUTIONS
What are collection 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
negotiated between the payer and some or all providers? - correct-answer -Case
rates
What customer service improvements might improve the patient accounts
department? - correct-answer -Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? -
correct-answer -Inform a Medicare beneficiary that Medicare may not pay for the
order or service
, 2
What type of account adjustment results from the patient's unwillingness to pay
for a self-pay balance? - correct-answer -Bad debt adjustment
What is the initial 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 inpatient claim? -
correct-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? - 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 timely
manner
What is an advantage of a preregistration program? - correct-answer -It reduces
processing times at the time of service
, 3
What are the two statutory exclusions from hospice coverage? - correct-answer -
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - correct-answer
-Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient? - correct-answer -The
services do not involve an overnight stay
What will comprehensive patient access processing accomplish? - correct-answer -
Minimize the need for follow-up on insurance accounts
Through what document does a hospital establish compliance standards? -
correct-answer -Code of conduct
How does utilization review staff use correct insurance information? - correct-
answer -To obtain approval for inpatient days and coordinate services
