Management > QUESTIONS & ANSWERS > CRCR Exam Questions and Correct Answers (Verified by Expert) (All)
CRCR Exam Questions and Correct Answers (Verified by Expert)
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CRCR Exam Questions and Correct Answers (Verified by Expert) 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? ✔✔ Home, Assist Living, neighbors: just not SNF nor Hospital To receive -Care payments, what must a SNF have when receiving a pt from a hosp? ✔✔ A transfer agreement approved by -Care. Can a home health agency employ another agency to provide services? ✔✔ Yes, so long as at least one employee of the original agency provides care. What is the Net Collection Rate? ✔✔ how much cash was collected as a % of available to collect? What is the Net Collection Rate benchmark? ✔✔ 95% What is the benchmark for denials ✔✔ <2% on first submission Formual for cost to collect ✔✔ total PFS expenses/gross pt care collections What is the benchmark for cost to collect ✔✔ 2.25% What % of the UB-04 source of data is from pt access? ✔✔ 40% What % of the UB-04 source of data is from service depts? ✔✔ 11% What % of the UB-04 source of data is from HIM? ✔✔ 20% What % of the UB-04 source of data is from billing? ✔✔ 20% [Show More]
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