1|Page
CRCR Certification Actual Questions and Answers with
100% Correct Solutions UPDATED!!!
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
Which of the following is required for participation in Medicaid
- ANSWER Meet Income and Assets Requirements
In choosing a setting for patient financial discussions,
organizations should first and foremost - ANSWER Respect the
patients privacy
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
The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
,2|Page
can - ANSWER Purchase qualified health benefit plans
regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT
qualified for billing includes: - ANSWER Charitable pledges
What is required for the UB-04/837-I, used by Rural Health
Clinics to generate payment from Medicare? - ANSWER
Revenue codes
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
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
,3|Page
Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation? - ANSWER Registration staff
may routinely contact managed are plans for prior
authorizations before the patient is seen by the on-duty
physician
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
Checks received through mail, cash received through mail, and
lock box are all examples of - ANSWER Control points for cash
posting
What are some core elements if a board-approved financial
assistance policy? - ANSWER Eligibility, application process, and
nonpayment collection activities
A recurring/series registration is characterized by - ANSWER The
creation of one registration record for multiple days of service
, 4|Page
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
The purpose of a financial report is to: - ANSWER Present
financial information to decision makers
Patient financial communications best practices produce
communications that are - ANSWER Consistent, clear and
transparent
Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations
(NCD) that establish - ANSWER What services or healthcare
items are covered under Medicare
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
CRCR Certification Actual Questions and Answers with
100% Correct Solutions UPDATED!!!
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
Which of the following is required for participation in Medicaid
- ANSWER Meet Income and Assets Requirements
In choosing a setting for patient financial discussions,
organizations should first and foremost - ANSWER Respect the
patients privacy
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
The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses
,2|Page
can - ANSWER Purchase qualified health benefit plans
regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT
qualified for billing includes: - ANSWER Charitable pledges
What is required for the UB-04/837-I, used by Rural Health
Clinics to generate payment from Medicare? - ANSWER
Revenue codes
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
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
,3|Page
Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation? - ANSWER Registration staff
may routinely contact managed are plans for prior
authorizations before the patient is seen by the on-duty
physician
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
Checks received through mail, cash received through mail, and
lock box are all examples of - ANSWER Control points for cash
posting
What are some core elements if a board-approved financial
assistance policy? - ANSWER Eligibility, application process, and
nonpayment collection activities
A recurring/series registration is characterized by - ANSWER The
creation of one registration record for multiple days of service
, 4|Page
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
The purpose of a financial report is to: - ANSWER Present
financial information to decision makers
Patient financial communications best practices produce
communications that are - ANSWER Consistent, clear and
transparent
Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations
(NCD) that establish - ANSWER What services or healthcare
items are covered under Medicare
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
