Health Care > EXAM > CRCR Exam : Questions & Answers: Latest Updated A + Guide solution (All)
CRCR Exam : Questions & Answers: Latest Updated A + Guide solution
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What do Case Managers do? (Ans- Monitor high resource cases to ensure effective utilization What is HIM responsible for? (Ans- all pt medical records: transcribe, coding, release to biling, ans ... wer requests for documentation What is utilization management responsible for? (Ans- manage cases: services correct, on time What are the three types of utilization review? (Ans- Prospective, Concurrent, Retrospective Where can home health services be offered? (Ans- 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? (Ans- A transfer agreement approved by -Care. Can a home health agency employ another agency to provide services? (Ans- Yes, so long as at least one employee of the original agency provides care. What is the Net Collection Rate? (Ans- how much cash was collected as a % of available to collect? What is the Net Collection Rate benchmark? (Ans- 95% What is the benchmark for denials (Ans- <2% on first submission Formula for cost to collect (Ans- total PFS expenses/gross pt care collections What is the benchmark for cost to collect (Ans- 2.25% What % of the UB-04 source of data is from pt access? (Ans- 40% What % of the UB-04 source of data is from service depts? (Ans- 11% What % of the UB-04 source of data is from HIM? (Ans- 20% What % of the UB-04 source of data is from billing? (Ans- 20% What % of the UB-04 source of data is not used? (Ans- 9% What % of the CMS 1500 source of data is from pt access? (Ans- 53% What % of the CMS 1500 source of data is from service? (Ans- 14% What % of the CMS 1500 source of data is from HIM (Ans- 7% What % of the CMS 1500 source of data is from billing? (Ans- 26% From whom is the UB-04 directed? (Ans- institutional: hospitals, SNF, hospice From whom is the CMS 1500? (Ans- non-institutional: physicians, DME In the FDCA, what is Title I (Ans- Truth in Lending Act What is the Truth in Lending Act (Ans- 5 points must be triggered (such as interest will be charged), then must disclose APR, total payments, late payment charges, etc. What are the penalties for violating the FDCA? (Ans- creditors can be sued [Show More]
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CRCR Exam: CRCR Exam Prep: CRCR Exam Unit 1:CRCR Unit 2:(Pre-Service Financial Care):CRCR Part 3(Time-of-service):CRCR 4 - Post-Service Financial Care - Quiz Combo: (Pre-Tests, KCs, Quizzes): CRCR Study: Questions & Answers
CRCR Exam: CRCR Exam Prep: CRCR Exam Unit 1:CRCR Unit 2:(Pre-Service Financial Care):CRCR Part 3(Time-of-service):CRCR 4 - Post-Service Financial Care - Quiz Combo: (Pre-Tests, KCs, Quizzes): CRCR Stu...
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