Cms reimbursement rules Study guides, Class notes & Summaries
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CRCR Exam Prep questions and answers 2023/2024
- Exam (elaborations) • 14 pages • 2023
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CRCR Exam Prep 
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 Ho...
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CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 2023-2024
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CRCR EXAM WITH CORRECT CHOICES, 
CERTIFIED AND VERRIFIED 
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 patie...
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Certified Revenue Cycle Representative - CRCR (2022/23) Exam Guide Pack.
- Exam (elaborations) • 61 pages • 2023
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Certified Revenue Cycle Representative - CRCR (2022/23) Exam Guide Pack. 
 
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? Ho...
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CSPR – Questions and Answers based on full course
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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NHA - Certified Billing and Coding Specialist (CBCS) Questions And Answers 2023
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The symbol "O" in the Current Procedural Terminology reference is used to indicate 
what? - Correct answer-Reinstated or recycled code 
In the anesthesia section of the CPT manual, what are considered qualifying 
circumstances? - Correct answer-Add-on codes 
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on 
the CMS-1500 claim form before a further claim is required? - Correct answer-12 
What is considered proper supportive documentation for reporting CPT and ...
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Certified Revenue Cycle Representative (CRCR) Exam Bank Complete Questions and Answers 100% Verified| Latest 2024/CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024)
- Exam (elaborations) • 135 pages • 2024
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Certified Revenue Cycle Representative (CRCR) Exam Bank Complete Questions and Answers 100% Verified| Latest 2024 
CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024) 
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 p...
-
HFMA CRCR EXAM QUESTIONS WITH 100% CORRECT ANSWERS 2024
- Exam (elaborations) • 61 pages • 2024
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HFMA CRCR EXAM QUESTIONS WITH 100% 
CORRECT ANSWERS 2024 
What are collection agency fees based on? - ANSWERS A percentage of dollars 
collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or 
what other rule? - ANSWERS Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated 
between the payer and some or all providers? - ANSWERS Case rates 
What customer service improvements might improve the patient accounts departmen...
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WGU D220 LATEST UPDATE (2022/2023)
- Exam (elaborations) • 16 pages • 2022
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WGU D220 LATEST UPDATE (2022/2023)American Recover and Reinvestment Act (ARRA) 
Authorized INCENTIVE PAYMENTS to specific types of hospitals and healthcare professionals for adopting and using interoperable Health Information Technology and EHR's. ARRA provides economic stimuli and incentives for the adoption of EHRs. 
 
 
 
Admission-Transfer-Discharge (ADT) System 
Classified under the hospitals' administrative info system. It's one of the foundational systems that allows operational activi...
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CRCR EXAM 2024 WITH 100% CORRECT ANSWERS
- Exam (elaborations) • 86 pages • 2024
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CRCR EXAM 2024 WITH 100% CORRECT ANSWERS 
 
 
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 acco...
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CRCR EXAM TEST BANK LATEST 2023-2024 WITH 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) 100% COMPLETE
- Exam (elaborations) • 73 pages • 2023
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CRCR EXAM TEST BANK LATEST 
WITH 400+ QUESTIONS AND CORRECT 
ANSWERS (VERIFIED ANSWERS) 100% 
COMPLETE 
When does a hospital add ambulance charges to the Medicare inpatient claim? - 
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? - ANSWER- Post a late-charge adjustment to the account 
an increase in the dollars aged greater than 90 days from date of service indicate 
...
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