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CRCR EXAM PREP/ 2024 -2025 CRCR FINAL
COMPLETE 150 EXAM QUESTIONS WITH 100%
CORRECT VERIFIED ANSWERS/ GRADED A+
When is it not appropriate to use observation status? - Correct Answer - As a substitute for an inpatient admission
What is a serious consequence of misidentifying a patient in the MPI? - Correct Answer - The services will be documented in the wrong record
When a patient reports directly to a clinical department for service, what will the clinical department staff do? - Correct Answer - Redirect the patient to the patient access department for registration
What process can be used to shorten claim turnaround time? - Correct Answer - Send high-dollar hard-copy claims with required attachments by overnight mail or registered mail
How are patient reminder calls used? - Correct Answer - To make sure the patient follows the prep instructions and arrives at the scheduled time for service
If a patient declares a straight bankruptcy, what must the provider do? - Correct Answer - Write off the account to the contractual adjustment account
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pg. 2 According to the Department of Health and Human Services guidelines, what is NOT considered income? - Correct Answer - Sale of property, house, or car
How may a collection agency demonstrate its performance? - Correct Answer - Calculate the rate of recovery
What is true of the information the provider supplies to indicate that an authorization for service has been received from the patient's primary payer? - Correct Answer - It is posted on the remittance advice by the payer
What standard claim forms are currently used by the healthcare industry to submit claims to third-party payers? - Correct Answer - The UB-04 and the
CMS 1500
Unless the patient encounter is an emergency, what is the efficient and effective procedure for obtaining information? - Correct Answer - Obtain the required demographic and insurance information before services are rendered
what protocol was developed through the Patient Friendly Billing Project? - Correct Answer - Provide information using language that is easily understood by the average reader
What technique is acceptable way to complete the MSP screening for a facility situation? - Correct Answer - Ask if the patient's current services was accident related
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pg. 3 What is a valid reason for a payer to delay a claim? - Correct Answer - Failure to complete authorization requirements
With advances in internet security and encryption, revenue-cycle processes are expanding to allow patients to do what? - Correct Answer - Access their information and perform functions on-line
What date is required on all CMS 1500 claim forms? - Correct Answer - onset date of current illness
What does scheduling allow provider staff to do - Correct Answer - Review appropriateness of the service request
What code is used to report the provider's most common semiprivate room rate? - Correct Answer - Condition code
Regulations and requirements for coding accountable care organizations, which allows providers to begin creating these organizations, were finalized
in: - Correct Answer - 2012
What is a primary responsibility of the Recover Audit Contractor? - Correct Answer - To correctly identify proper payments for Medicare Part A & B claims
How must providers handle credit balances? - Correct Answer - Comply with state statutes concerning reporting credit balance
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