CRCR CRCR - Certified Revenue Cycle Representative Program Point-of-Service Collections 3

Question 1

When a patient's insurance card shows a $200 deductible with $150 already met, how much should be collected at point of service for a $300 visit?

Accepted Answer

$50 remaining deductible only

Answer

Only the remaining deductible balance of $50 ($200 - $150 already met) should be collected at the time of service.

Question 2

Which scripting approach is MOST effective when a patient refuses to pay their estimated balance at the time of service?

Accepted Answer

Acknowledge their concern, explain the billing cycle, and offer a payment plan

Answer

Effective POS collection scripts acknowledge patient concerns, explain financial obligations, and offer flexible payment options to secure commitment.

Question 3

A patient presents with a Medicaid card and a secondary commercial insurance. What is the correct POS collection approach?

Accepted Answer

Collect no copay since Medicaid is primary and prohibits balance billing

Answer

Medicaid as primary payer generally prohibits providers from collecting cost-sharing from Medicaid beneficiaries at the point of service.

Question 4

What does 'real-time eligibility verification' enable a registration staff member to do during patient check-in?

Accepted Answer

Instantly confirm active coverage, benefits, and cost-sharing requirements

Answer

Real-time eligibility verification allows staff to confirm active coverage, deductible status, copays, and coinsurance at the moment of check-in.

Question 5

A patient with a high-deductible health plan (HDHP) asks why they owe so much before insurance pays. The BEST response is to:

Accepted Answer

Explain that HDHPs require patients to pay a set annual amount out-of-pocket before insurance covers costs

Answer

HDHPs feature higher deductibles that must be met before the plan pays, so patients bear more upfront cost — a key concept to explain clearly.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR CRCR - Certified Revenue Cycle Representative Program Point-of-Service Collections 3