CRCR CRCR - Certified Revenue Cycle Representative Program Payment Posting and Reconciliation Questions and Answers 4

Question 1

A payment is received with an EOB indicating a 'contractual adjustment' of $200 on a $500 charge. What amount should be posted as the contractual adjustment?

Accepted Answer

$200

Answer

The contractual adjustment should equal the exact amount specified on the EOB, which is $200.

Question 2

Which of the following best describes a 'credit balance' on a patient account?

Accepted Answer

The provider owes the patient or payer a refund

Answer

A credit balance means the provider has been overpaid and owes a refund to the patient or payer.

Question 3

When performing a daily payment batch reconciliation, the total payments posted should match which document?

Accepted Answer

The remittance advice or bank deposit total

Answer

Daily batch totals must reconcile to the remittance advice or bank deposit to confirm accurate posting.

Question 4

A payer issues a recoupment for a claim paid 18 months ago. What is the provider's most appropriate first step?

Accepted Answer

Review the payer contract for timely recoupment provisions

Answer

Payer contracts often include time limits for recoupment, so reviewing contractual terms is the first step before taking action.

Question 5

An ERA is received but the payment does not appear in the bank account. What should the payment poster do?

Accepted Answer

Contact the payer to confirm EFT deposit status before posting

Answer

Payment should never be posted until funds are confirmed in the bank account to prevent posting fictitious payments.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR CRCR - Certified Revenue Cycle Representative Program Payment Posting and Reconciliation Questions and Answers 4