CRCR CRCR - Certified Revenue Cycle Representative Program Account Follow-Up and Collections 2

Question 1

A patient balance of $450 has been unpaid for 90 days. What is the most appropriate next step in the collections process?

Accepted Answer

Send a second collection notice and offer a payment plan

Answer

Standard collections protocol calls for escalating communication and offering payment arrangements before more aggressive action.

Question 2

Which account follow-up strategy is most effective for reducing days in accounts receivable?

Accepted Answer

Working accounts by payer bucket and aging category

Answer

Organizing follow-up by payer and aging ensures the highest-priority accounts receive timely attention.

Question 3

What does the term self-pay after insurance mean in collections?

Accepted Answer

The remaining balance owed by the patient after insurance has paid its portion

Answer

After insurance adjudicates a claim, the remaining patient responsibility is the self-pay after insurance balance.

Question 4

Which metric best measures the effectiveness of a collections department?

Accepted Answer

Collections rate as a percentage of net patient revenue

Answer

The collections rate reflects how much of what is owed is actually collected, which is the core measure of collections effectiveness.

Question 5

When a patient account is referred to an outside collection agency, what must the healthcare organization typically do first?

Accepted Answer

Provide the patient with advance notice per applicable regulations

Answer

Federal and state regulations generally require advance notice before referring accounts to outside agencies.

CRCR - Certified Revenue Cycle Representative Program Practice Test