Certified Revenue Cycle Representative Certification Exam
Questions and Verified Answers
100% Guarantee Pass
1. HFMA patient financial communications best practices call for
annual train-
ing for all staff EXCEPT: A. Patient access
B. Customer service representatives
Ans>>C. Nursing
D. Staff who engage in patient financial communications discussions
2. What is required for the UB-04/837-I, used by Rural Health
Clinics to gener- ate payment from Medicare?: Medical necessity
documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
Ans>>D. Revenue codes
1/
12
,3. The most common resolution methods for credit balances
include all of the following EXCEPT: A. Designate the overpayment
for charity care
B. Determine the correct primary payer and notify incorrect payer of
overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the
payer.
4. Net Accounts Receivable is: A. The total bad debt
B. Total debt owed by an entity
Ans>>C. The amount an entity is reasonably confident of collecting
from overall accounts receivable
E. The total claims amount billed to health plans
5. For routine scenarios, such as patients with insurance
coverage or a known ability to pay, financial discussions: A. May
take place between the patient and discharge planning
Ans>>B. Should take place between the patient or guarantor and
properly trained provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
2/
12
, 6. Scheduled procedures routinely include: A. Physician's office
contact informa- tion
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
Ans>>D. Patient preparation instructions
7. ICD-10-CM and ICD-10-PCS code sets are modifications of: A.
DRGs
B. CPT codes
C. ICD 9 codes
Ans>>D. The international ICD-10 codes as developed by the WHO
(World Health Organization)
8. The Medicare Bundled Payments for Care Initiative (BCPI) is
designed to: A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down
through a
lump-sum payment to providers
Ans>>C. Align incentives between hospitals, physicians, and non-
physician providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in
one payment
3/
12
Questions and Verified Answers
100% Guarantee Pass
1. HFMA patient financial communications best practices call for
annual train-
ing for all staff EXCEPT: A. Patient access
B. Customer service representatives
Ans>>C. Nursing
D. Staff who engage in patient financial communications discussions
2. What is required for the UB-04/837-I, used by Rural Health
Clinics to gener- ate payment from Medicare?: Medical necessity
documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
Ans>>D. Revenue codes
1/
12
,3. The most common resolution methods for credit balances
include all of the following EXCEPT: A. Designate the overpayment
for charity care
B. Determine the correct primary payer and notify incorrect payer of
overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the
payer.
4. Net Accounts Receivable is: A. The total bad debt
B. Total debt owed by an entity
Ans>>C. The amount an entity is reasonably confident of collecting
from overall accounts receivable
E. The total claims amount billed to health plans
5. For routine scenarios, such as patients with insurance
coverage or a known ability to pay, financial discussions: A. May
take place between the patient and discharge planning
Ans>>B. Should take place between the patient or guarantor and
properly trained provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
2/
12
, 6. Scheduled procedures routinely include: A. Physician's office
contact informa- tion
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
Ans>>D. Patient preparation instructions
7. ICD-10-CM and ICD-10-PCS code sets are modifications of: A.
DRGs
B. CPT codes
C. ICD 9 codes
Ans>>D. The international ICD-10 codes as developed by the WHO
(World Health Organization)
8. The Medicare Bundled Payments for Care Initiative (BCPI) is
designed to: A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down
through a
lump-sum payment to providers
Ans>>C. Align incentives between hospitals, physicians, and non-
physician providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in
one payment
3/
12
