CERTIFIED REVENUE CYCLE REPRESENTATIVE
CERTIFICATION COMPLETE STUDY GUIDE AND
HEALTHCARE REVENUE CYCLE MANAGEMENT
REVIEW 2026
◉ 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
◉ 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
◉ 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 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
,◉ 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
, ◉ 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
CERTIFICATION COMPLETE STUDY GUIDE AND
HEALTHCARE REVENUE CYCLE MANAGEMENT
REVIEW 2026
◉ 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
◉ 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
◉ 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 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
,◉ 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
, ◉ 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
