CRCR CRCR - Certified Revenue Cycle Representative Program Point-of-Service Collections 4

Question 1

Under the No Surprises Act, which type of estimate must providers give self-pay patients before scheduled services?

Accepted Answer

Good Faith Estimate (GFE)

Answer

The No Surprises Act requires providers to issue a Good Faith Estimate to uninsured or self-pay patients before scheduled services.

Question 2

When collecting a copay, a registration specialist notices the patient's insurance plan has a 'copay waiver' notation for preventive visits. What should the specialist do?

Accepted Answer

Waive the copay per the plan's benefit design for preventive services

Answer

Many insurance plans waive copays for preventive visits per ACA requirements, and collecting one would result in a refund and patient dissatisfaction.

Question 3

Which of the following is a key reason POS collections reduce accounts receivable (AR) days?

Accepted Answer

Collecting at time of service eliminates the need to bill and follow up for patient balances after the visit

Answer

Collecting patient responsibility upfront prevents those balances from entering the AR cycle, reducing overall AR days outstanding.

Question 4

A patient's insurance requires a $30 specialist copay, but the patient is seeing an out-of-network provider. What is the CORRECT POS action?

Accepted Answer

Collect the out-of-network cost-sharing amount, which may be higher, and inform the patient of potential balance billing

Answer

Out-of-network services typically carry higher patient cost-sharing, and patients should be clearly informed of their financial responsibility upfront.

Question 5

What is the primary purpose of a financial counselor in the POS collections workflow?

Accepted Answer

To assess patient financial need, explain liability estimates, and connect patients with payment options or assistance programs

Answer

Financial counselors help patients understand their financial obligations and navigate payment plans, charity care, or government assistance programs before or after service.

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 4