CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2021)

CRCR EXAM MULTIPLE CHOICE, CRCR EXAM PREP, CERTIFIED
REVENUE CYCLE REPRESENTATIVE - CRCR (2026) QUESTIONS
WITH CORRECT ANSWERS

WhatHareHcollectionHagencyHfeesHbasedHon?H-HCORRECTHANSWERSH-
AHpercentageHofHdollarsHcollected



Self-
fundedHbenefitHplansHmayHchooseHtoHcoordinateHbenefitsHusingHtheHgenderHruleHorHwhatHotherHru
le?H-HCORRECTHANSWERSH-Birthday



InHwhatHtypeHofHpaymentHmethodologyHisHaHlumpHsumHorHbundledHpaymentHnegotiatedHbetween
HtheHpayerHandHsomeHorHallHproviders?H-HCORRECT HANSWERSH-CaseHrates




WhatHcustomerHserviceHimprovementsHmightHimproveHtheHpatientHaccountsHdepartment?H-
HCORRECTHANSWERSH-


HoldingHstaffHaccountableHforHcustomerHserviceHduringHperformanceHreviews



WhatHisHanHABNH(AdvanceHBeneficiaryHNoticeHofHNon-coverage)HrequiredHtoHdo?H-
HCORRECTHANSWERSH-


InformHaHMedicareHbeneficiaryHthatHMedicareHmayHnotHpayHforHtheHorderHorHservice



WhatHtypeHofHaccountHadjustmentHresultsHfromHtheHpatient'sHunwillingnessHtoHpayHforHaHself-
payHbalance?H-HCORRECTHANSWERSH-BadHdebtHadjustment



WhatHisHtheHinitialHhospiceHbenefit?H-HCORRECTHANSWERSH-TwoH90-
dayHperiodsHandHanHunlimitedHnumberHofHsubsequentHperiods

,WhenHdoesHaHhospitalHaddHambulanceHchargesHtoHtheHMedicareHinpatientHclaim?H-
HCORRECTHANSWERSH-


IfHtheHpatientHrequiresHambulanceHtransportationHtoHaHskilledHnursingHfacility



HowHshouldHaHproviderHresolveHaHlate-chargeHcreditHpostedHafterHanHaccountHisHbilled?H-
HCORRECTHANSWERSH-PostHaHlate-chargeHadjustmentHtoHtheHaccount




anHincreaseHinHtheHdollarsHagedHgreaterHthanH90HdaysHfromHdateHofHserviceHindicateHwhatHaboutHa
ccountsH-HCORRECTHANSWERSH-TheyHareHnotHbeingHprocessedHinHaHtimelyHmanner



WhatHisHanHadvantageHofHaHpreregistrationHprogram?H-HCORRECTHANSWERSH-
ItHreducesHprocessingHtimesHatHtheHtimeHofHservice



WhatHareHtheHtwoHstatutoryHexclusionsHfromHhospiceHcoverage?H-HCORRECTHANSWERSH-
MedicallyHunnecessaryHservicesHandHcustodialHcare



WhatHcoreHfinancialHactivitiesHareHresolvedHwithinHpatientHaccess?H-HCORRECTHANSWERSH-
Scheduling,HinsuranceHverification,HdischargeHprocessing,HandHpaymentHofHpoint-of-
serviceHreceipts



WhatHstatementHappliesHtoHtheHscheduledHoutpatient?H-HCORRECTHANSWERSH-
TheHservicesHdoHnotHinvolveHanHovernightHstay



HowHisHaHmis-postedHcontractualHallowanceHresolved?H-HCORRECTHANSWERSH-
ComparingHtheHcontractHreimbursementHratesHwithHtheHcontractHonHtheHadmittanceHadviceHtoHid
entifyHtheHcorrectHamount



WhatHtypeHofHpatientHstatusHisHusedHtoHevaluateHtheHpatient'sHneedHforHinpatientHcare?H-
HCORRECTHANSWERSH-Observation

,CoverageHrulesHforHMedicareHbeneficiariesHreceivingHskilledHnursingHcareHrequireHthatHtheHbenefic
iaryHhasHreceivedHwhat?H-HCORRECTHANSWERSH-
MedicallyHnecessaryHinpatientHhospitalHservicesHforHatHleastH3HconsecutiveHdaysHbeforeHtheHskille
dHnursingHcareHadmission



WhenHisHtheHwordH"SAME"HenteredHonHtheHCMSH1500HbillingHformHinHFieldH0$?H-
HCORRECTHANSWERSH-WhenHtheHpatientHisHtheHinsured




WhatHareHnon-
emergencyHpatientsHwhoHcomeHforHserviceHwithoutHpriorHnotificationHtoHtheHproviderHcalled?H-
HCORRECTHANSWERSH-UnscheduledHpatients




IfHtheHinsuranceHverificationHresponseHreportsHthatHaHsubscriberHhasHaHsingleHpolicy,HwhatHisHtheHs
tatusHofHtheHsubscriber'sHspouse?H-HCORRECTHANSWERSH-
NeitherHenrolledHnotHentitledHtoHbenefits



RegulationHZHofHtheHConsumerHCreditHProtectionHAct,HalsoHknownHasHtheHTruthHinHLendingHAct,Hes
tablishesHwhat?H-HCORRECTHANSWERSH-
DisclosureHrulesHforHconsumerHcreditHsalesHandHconsumerHloans



WhatHisHaHprincipalHdiagnosis?H-HCORRECTHANSWERSH-PrimaryHreasonHforHtheHpatient'sHadmission



CollectingHpatientHliabilityHdollarsHafterHserviceHleadsHtoHwhat?H-HCORRECTHANSWERSH-
LowerHaccountsHreceivableHlevels



WhatHisHtheHdailyHout-of-pocketHamountHforHeachHlifetimeHreserveHdayHused?H-
HCORRECTHANSWERSH-50%HofHtheHcurrentHdeductibleHamount




WhatHserviceHprovidedHtoHaHMedicareHbeneficiaryHinHaHruralHhealthHclinicH(RHC)HisHnotHbillableHasH
anHRHCHservices?H-HCORRECTHANSWERSH-InpatientHcare

, WhatHcodeHindicatesHtheHdispositionHofHtheHpatientHatHtheHconclusionHofHservice?H-
HCORRECTHANSWERSH-PatientHdischargeHstatusHcode




WhatHareHhospitalsHrequiredHtoHdoHforHMedicareHcreditHbalanceHaccounts?H-
HCORRECTHANSWERSH-TheyHresultHinHlostHreimbursementHandHadditionalHcostHtoHcollect




WhenHanHundueHdelayHofHpaymentHresultsHfromHaHdisputeHbetweenHtheHpatientHandHtheHthirdHpar
tyHpayer,HwhoHisHresponsibleHforHpayment?H-HCORRECTHANSWERSH-Patient



MedicareHguidelinesHrequireHthatHwhenHaHtestHisHorderedHforHaHLCDHorHNCDHexists,HtheHinformatio
nHprovidedHonHtheHorderHmustHinclude:H-HCORRECTHANSWERSH-AHvalidHCPTHorHHCPCSHcode



WithHadvancesHinHinternetHsecurityHandHencryption,Hrevenue-
cycleHprocessesHareHexpandingHtoHallowHpatientsHtoHdoHwhat?H-HCORRECTHANSWERSH-
AccessHtheirHinformationHandHperformHfunctionsHon-line



WhatHdateHisHrequiredHonHallHCMSH1500HclaimHforms?H-HCORRECTHANSWERSH-
onsetHdateHofHcurrentHillness



WhatHdoesHschedulingHallowHproviderHstaffHtoHdoH-HCORRECTHANSWERSH-
ReviewHappropriatenessHofHtheHserviceHrequest



WhatHcodeHisHusedHtoHreportHtheHprovider'sHmostHcommonHsemiprivateHroomHrate?H-
HCORRECTHANSWERSH-ConditionHcode




RegulationsHandHrequirementsHforHcodingHaccountableHcareHorganizations,HwhichHallowsHprovider
sHtoHbeginHcreatingHtheseHorganizations,HwereHfinalizedHin:H-HCORRECTHANSWERSH-2012