CRCR Certification HFMA Exam
Complete Questions and Guide Answers
100% Verified Graded A+
1. Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by
Answer The Medicare Administrative Contractor (MAC) at the end of the hospice cap period
2. Which of the following is required for participation in Medicaid
Answer Meet Income and Assets Requirements
3. In choosing a setting for patient financial discussions, organizations should first and
foremost
Answer Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's
Answer Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5. The Affordable Care Act legislated the development of Health Insurance Exchanges,
,where individuals and small businesses can
Answer Purchase qualified health benefit plans regardless of insured's
health status
6. A portion of the accounts receivable inventory which has NOT qualified for billing
includes
Answer Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare?
Answer Revenuecodes
8. This directive was developed to promote and ensure healthcare quality and value
and also to protect consumers and workers in the healthcare system. This directive is
called
Answer Patient bill of rights
9. The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is known as
Answer Case management
10. Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation?
,Answer Registration statt may routinely contact managed are plans for prior authorizations before the patient is seen by
the on-duty physician
11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction
EIN's are
assigned by
Answer The Internal Revenue Service
12. Checks received through mail, cash received through mail, and lock box are all
examples of
Answer Control points for cash posting
13. What are some core elements if a board-approved financial assistance poli- cy?
Answer Eligibility, application process, and nonpayment collection activities
14. A recurring/series registration is characterized by
Answer The creation of one registration record for multiple days of service
15. With the advent of the Affordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals to
Answer Assist patients in understanding their insurance coverage and their financial obligation
16. The purpose of a financial report is to
, Answer Present financial information to decision makers
17. Patient financial communications best practices produce communications that are
Answer Consistent, clear and transparent
18. Medicare has established guidelines called the Local Coverage Determina- tions
(LCD) and National Coverage Determinations (NCD) that establish
Answer What services or healthcare items are covered under Medicare
19. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be filed
with
Answer The Provider Reimbursement Review Board
20. Concurrent review and discharge planning
Answer Occurs during service
21. Duplicate payments occur
Answer When providers re-bill claims based on nonpayment from the initial bill submission
22. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known
as
Answer A beneficiary appeal
Complete Questions and Guide Answers
100% Verified Graded A+
1. Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by
Answer The Medicare Administrative Contractor (MAC) at the end of the hospice cap period
2. Which of the following is required for participation in Medicaid
Answer Meet Income and Assets Requirements
3. In choosing a setting for patient financial discussions, organizations should first and
foremost
Answer Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's
Answer Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5. The Affordable Care Act legislated the development of Health Insurance Exchanges,
,where individuals and small businesses can
Answer Purchase qualified health benefit plans regardless of insured's
health status
6. A portion of the accounts receivable inventory which has NOT qualified for billing
includes
Answer Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare?
Answer Revenuecodes
8. This directive was developed to promote and ensure healthcare quality and value
and also to protect consumers and workers in the healthcare system. This directive is
called
Answer Patient bill of rights
9. The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is known as
Answer Case management
10. Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation?
,Answer Registration statt may routinely contact managed are plans for prior authorizations before the patient is seen by
the on-duty physician
11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction
EIN's are
assigned by
Answer The Internal Revenue Service
12. Checks received through mail, cash received through mail, and lock box are all
examples of
Answer Control points for cash posting
13. What are some core elements if a board-approved financial assistance poli- cy?
Answer Eligibility, application process, and nonpayment collection activities
14. A recurring/series registration is characterized by
Answer The creation of one registration record for multiple days of service
15. With the advent of the Affordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals to
Answer Assist patients in understanding their insurance coverage and their financial obligation
16. The purpose of a financial report is to
, Answer Present financial information to decision makers
17. Patient financial communications best practices produce communications that are
Answer Consistent, clear and transparent
18. Medicare has established guidelines called the Local Coverage Determina- tions
(LCD) and National Coverage Determinations (NCD) that establish
Answer What services or healthcare items are covered under Medicare
19. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be filed
with
Answer The Provider Reimbursement Review Board
20. Concurrent review and discharge planning
Answer Occurs during service
21. Duplicate payments occur
Answer When providers re-bill claims based on nonpayment from the initial bill submission
22. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known
as
Answer A beneficiary appeal
