CRCR Study guides, Class notes & Summaries

CRCR Certification Exam Review Questions and answers, rated A+ Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - Respect the patients privacy A nightly ro...

CRCR Certification Questions and answers, graded A+, Verified/ Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - Respect the patients privacy A nightly ro...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024/25) Exam preview Questions. QUESTIONS BANK What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Case rates What customer servic...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024/25)/ Exam Review/ What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Case rates What customer service improvements might impr...

CRCR Exam Prep question and answers, rated A+ HFMA - Healthcare Financial Management Association Revenue Cycle Overview: What are the 3 segments? - Pre-Service, Time of Service, Post-Service Scheduling is part of which segment of the Revenue Cycle? - Pre-service Patient-Centric Revenue Cycle - 1) Engaged Consumer 2) Engaged Patient 3) Satisfied Customer Healthcare Dollars & Sense - 1) Price Transparency 2) Patient Financial Communications 3) Medical Account Resolution Need for Pric...

CRCR Exam Prep Questions and answers, rated A+ 3 Steps of constructing a price estimate: - 1) Verify insurance coverage 2) Identify the contract terms between organization and health plan 3) Obtain the total charges of hospital portion of case 5 levels in the Medicare fee-for-service appeal process: - 1) Redetermination by the company that handles claims for Medicare 2) Reconsideration by a Qualified Independent Contractor (QIC) 3) Hearing before an Administrative Law Judge (ALJ) 4) R...

CRCR Exam Prep Questions and answers, graded A+. VERIFIED/ What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Case rates What customer service improvements might improve the patient accounts department? - Holding staff acc...

CRCR Exam Review Questions and answers, rated A+ What do Case Managers do? - Monitor high resource cases to ensure effective utilization What is HIM responsible for? - all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - manage cases: services correct, on time What are the three types of utilization review? - Prospective, Concurrent, Retrospective Where can home health services be offered? - Ho...

CRCR Exam Review Questions and answers, rated A+ 270 Health Care Eligibility Benefit Inquiry - The 270 transaction is the outbound inquiry from the provider to the health plan. This transaction includes the identification number and date of birth of the insured party. The health plan uses this information to identify the subscriber in its enrollee database. A/R Aging Analysis - Aging reports divide the accounts receivable into categories of 0-30, 31-60, 61- 90, 91-120 and >120 days b...

CRCR Exam Review Questions and answers, rated A+ Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Recognition that revenue cycle processes must be patient-centric and efficie...