CRCR CRCR - Certified Revenue Cycle Representative Program Point-of-Service Collections 2

Question 1

What is an upfront collection strategy in point-of-service collections?

Accepted Answer

Collecting patient-owed amounts such as copays and deductibles before or at the time the service is provided

Answer

Upfront collections capture patient financial responsibility at the point of service which is significantly more effective than post-service billing.

Question 2

A patient is unable to pay their $500 copay at the time of service. What is the most appropriate response?

Accepted Answer

Offer a payment plan and document the arrangement before the encounter

Answer

Offering a payment plan with documentation ensures the balance is addressed while still allowing the patient to receive care.

Question 3

Which technology enables real-time patient cost estimation at the point of registration?

Accepted Answer

Eligibility and benefit verification tools with cost estimation functionality

Answer

Cost estimation tools use eligibility data and benefit information to calculate the patient's likely out-of-pocket cost in real time at the point of registration.

Question 4

What is the risk of routinely waiving copayments for patients without documentation or financial need determination?

Accepted Answer

It constitutes insurance fraud and may violate anti-kickback provisions

Answer

Routine waiver of copays without a documented financial hardship determination is considered fraudulent inducement and violates payer contracts.

Question 5

What is the purpose of a pre-service deposit for elective procedures?

Accepted Answer

To collect a portion of the estimated patient responsibility before an elective procedure to reduce post-service bad debt

Answer

Pre-service deposits reduce bad debt by capturing a portion of the patient's financial responsibility before an elective service is rendered.

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 2