1|Page
Certified Revenue Cycle Representative (CRCR) Questions and
Answers with 100% Correct Solutions UPDATED!!!
Pricing transparency is defined as readily available information
on the price of healthcare services, that together with other
information, help define the value of those services and enable
consumers to - ANSWER Identify, compare, and choose
providers that offer the desired level of value.
Because case managers document the clinical reasons for
treatment, they are - ANSWER A good resource when
developing written appeals and denials.
All of the following information describe claim edits EXCEPT -
ANSWER The claim editing process slowed down the receipt of
payments, increases account receivable outstanding, and
decreases cash flow.
What types of services are classified as non-acute? - ANSWER
Hospice Care, Clinic Services & Skilled Nursing
, 2|Page
The unscheduled "direct" admission represents a patient who: -
ANSWER Is admitted from a physician's office on an urgent
basis.
The process of creating the pre-registration record ensures -
ANSWER That access staff will have complete and valid
information needed to finalize any remaining pre-access
activities.
An advantage of a pre-registration program is - ANSWER The
opportunity to reduce processing times at the time of service.
Claim edits are - ANSWER Rules developed to verify the
accuracy of claims based on each health plan's policies.
Examples of ethic violations that impact the revenue cycle
include all of the following EXCEPT - ANSWER Seeking payment
options for patient self-pay
EMTALA and HFMA best practices specify that, in an Emergency
Department setting - ANSWER No patient financial discussions
should occur before a patient is screened and stabilized.
Certified Revenue Cycle Representative (CRCR) Questions and
Answers with 100% Correct Solutions UPDATED!!!
Pricing transparency is defined as readily available information
on the price of healthcare services, that together with other
information, help define the value of those services and enable
consumers to - ANSWER Identify, compare, and choose
providers that offer the desired level of value.
Because case managers document the clinical reasons for
treatment, they are - ANSWER A good resource when
developing written appeals and denials.
All of the following information describe claim edits EXCEPT -
ANSWER The claim editing process slowed down the receipt of
payments, increases account receivable outstanding, and
decreases cash flow.
What types of services are classified as non-acute? - ANSWER
Hospice Care, Clinic Services & Skilled Nursing
, 2|Page
The unscheduled "direct" admission represents a patient who: -
ANSWER Is admitted from a physician's office on an urgent
basis.
The process of creating the pre-registration record ensures -
ANSWER That access staff will have complete and valid
information needed to finalize any remaining pre-access
activities.
An advantage of a pre-registration program is - ANSWER The
opportunity to reduce processing times at the time of service.
Claim edits are - ANSWER Rules developed to verify the
accuracy of claims based on each health plan's policies.
Examples of ethic violations that impact the revenue cycle
include all of the following EXCEPT - ANSWER Seeking payment
options for patient self-pay
EMTALA and HFMA best practices specify that, in an Emergency
Department setting - ANSWER No patient financial discussions
should occur before a patient is screened and stabilized.
