CRCR FINAL EXAM Latest Update -

CRCR FINAL EXAM Latest Update - Actual Exam 150 Questions and 100% Verified Correct Answers Guaranteed A+

• MSP (Medicare Secondary Payer) rules allow providers to bill Medicare for liability claims after what

happens? - CORRECT ANSWER: 120 days passes, but the claim then be withdrawn from the liability carrier

Access - CORRECT ANSWER: An individual's ability to obtain medical services on a timely and financially acceptable level

According to the Department of Health and Human Services guidelines, what is NOT considered income?

- CORRECT ANSWER: Sale of property, house, or car

Administrative Services Only (ASO) - CORRECT ANSWER: Usually contracted administrative services to a self-insured health plan

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

At the end of each shift, what must happen to cash, checks, and credit card transaction documents? -

CORRECT ANSWER: They must be balanced

Care purchaser - CORRECT ANSWER: Individual or entity that contributes to the purchase of healthcare services

Case management - CORRECT ANSWER: The process whereby all health-related components of a case are managed by a designated health professional. Intended to ensure continuity of healthcare accessibility and services

Charge - CORRECT ANSWER: The dollar amount a provider sets for services rendered before negotiating any discounts. The charge can be different from the amount paid 1 / 2

Claim - CORRECT ANSWER: A demand by an insured person for the benefits provided by the group contract

Collecting patient liability dollars after service leads to what? - CORRECT ANSWER: Lower accounts receivable levels

Coordination of benefits (COB) - CORRECT ANSWER: a typical insurance provision that determines the responsibility for primary payment when the patient is covered by more than one employer-sponsored health benefit program

Cost - CORRECT ANSWER: The definition of cost varies by party incurring the expense

Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what? - CORRECT ANSWER: Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled nursing care admission

Discounted fee-for-service - CORRECT ANSWER: A reimbursement methodology whereby a provider agrees to provide service on a fee for service basis, but the fees are discounted by certain packages

Eligibility - CORRECT ANSWER: Patient status regarding coverage for healthcare insurance benefits

ESRD - CORRECT ANSWER: End-stage renal disease. The patient has permanent kidney failure, is covered by a GHP, and has not yet completed the 30-month coordination period

Every patient who is new to the healthcare provider must be offered what? - CORRECT ANSWER: A printed copy of the provider's privacy notice

FERA - CORRECT ANSWER: Fraud Enforcement and Recovery act

First dollar coverage - CORRECT ANSWER: A healthcare insurance policy that has no deductible and covers the first dollar of an insured's expenses

• / 2