Cms reimbursement rules Study guides, Class notes & Summaries

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...

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...

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...

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...

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 ...

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...

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...

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...

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 ...

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 acco...