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


Whatuareucollectionuagencyufeesubaseduon?u-uCORRECTuANSWERSu-
Aupercentageuofudollarsucollected



Self-
fundedubenefituplansumayuchooseutoucoordinateubenefitsuusingutheugenderuruleuoruwhatuotherurul
e?u-uCORRECTuANSWERSu-Birthday



Inuwhatutypeuofupaymentumethodologyuisuaulumpusumuorubundledupaymentunegotiatedubetweenut
heupayeruandusomeuorualluproviders?u-uCORRECTuANSWERSu-Caseurates



Whatucustomeruserviceuimprovementsumightuimproveutheupatientuaccountsudepartment?u-
uCORRECTuANSWERSu-


Holdingustaffuaccountableuforucustomeruserviceuduringuperformanceureviews



WhatuisuanuABNu(AdvanceuBeneficiaryuNoticeuofuNon-coverage)urequiredutoudo?u-
uCORRECTuANSWERSu-


InformuauMedicareubeneficiaryuthatuMedicareumayunotupayuforutheuorderuoruservice



Whatutypeuofuaccountuadjustmenturesultsufromutheupatient'suunwillingnessutoupayuforuauself-
payubalance?u-uCORRECTuANSWERSu-Badudebtuadjustment



Whatuisutheuinitialuhospiceubenefit?u-uCORRECTuANSWERSu-Twou90-
dayuperiodsuanduanuunlimitedunumberuofusubsequentuperiods

,WhenudoesuauhospitaluadduambulanceuchargesutoutheuMedicareuinpatientuclaim?u-
uCORRECTuANSWERSu-


Ifutheupatienturequiresuambulanceutransportationutouauskilledunursingufacility



Howushoulduauprovideruresolveuaulate-chargeucredituposteduafteruanuaccountuisubilled?u-
uCORRECTuANSWERSu-Postuaulate-chargeuadjustmentutoutheuaccount




anuincreaseuinutheudollarsuagedugreateruthanu90udaysufromudateuofuserviceuindicateuwhatuaboutuacc
ountsu-uCORRECTuANSWERSu-Theyuareunotubeinguprocesseduinuautimelyumanner



Whatuisuanuadvantageuofuaupreregistrationuprogram?u-uCORRECTuANSWERSu-
Itureducesuprocessingutimesuatutheutimeuofuservice



Whatuareutheutwoustatutoryuexclusionsufromuhospiceucoverage?u-uCORRECTuANSWERSu-
Medicallyuunnecessaryuservicesuanducustodialucare



Whatucoreufinancialuactivitiesuareuresolveduwithinupatientuaccess?u-uCORRECTuANSWERSu-
Scheduling,uinsuranceuverification,udischargeuprocessing,uandupaymentuofupoint-of-
serviceureceipts



Whatustatementuappliesutoutheuscheduleduoutpatient?u-uCORRECTuANSWERSu-
Theuservicesudounotuinvolveuanuovernightustay



Howuisuaumis-posteducontractualuallowanceuresolved?u-uCORRECTuANSWERSu-
Comparingutheucontractureimbursementuratesuwithutheucontractuonutheuadmittanceuadviceutouide
ntifyutheucorrectuamount



Whatutypeuofupatientustatusuisuusedutouevaluateutheupatient'suneeduforuinpatientucare?u-
uCORRECTuANSWERSu-Observation

,CoverageurulesuforuMedicareubeneficiariesureceivinguskilledunursingucareurequireuthatutheubenefici
aryuhasureceiveduwhat?u-uCORRECTuANSWERSu-
Medicallyunecessaryuinpatientuhospitaluservicesuforuatuleastu3uconsecutiveudaysubeforeutheuskilledu
nursingucareuadmission



Whenuisutheuwordu"SAME"uentereduonutheuCMSu1500ubillinguformuinuFieldu0$?u-
uCORRECTuANSWERSu-Whenutheupatientuisutheuinsured




Whatuareunon-
emergencyupatientsuwhoucomeuforuserviceuwithoutupriorunotificationutoutheuproviderucalled?u-
uCORRECTuANSWERSu-Unscheduledupatients




Ifutheuinsuranceuverificationuresponseureportsuthatuausubscriberuhasuausingleupolicy,uwhatuisutheusta
tusuofutheusubscriber'suspouse?u-uCORRECTuANSWERSu-Neitheruenrolledunotuentitledutoubenefits



RegulationuZuofutheuConsumeruCredituProtectionuAct,ualsouknownuasutheuTruthuinuLendinguAct,uesta
blishesuwhat?u-uCORRECTuANSWERSu-
Disclosureurulesuforuconsumerucreditusalesuanduconsumeruloans



Whatuisuauprincipaludiagnosis?u-uCORRECTuANSWERSu-Primaryureasonuforutheupatient'suadmission



Collectingupatientuliabilityudollarsuafteruserviceuleadsutouwhat?u-uCORRECTuANSWERSu-
Loweruaccountsureceivableulevels



Whatuisutheudailyuout-of-pocketuamountuforueachulifetimeureserveudayuused?u-
uCORRECTuANSWERSu-50%uofutheucurrentudeductibleuamount




WhatuserviceuprovidedutouauMedicareubeneficiaryuinuaururaluhealthuclinicu(RHC)uisunotubillableuasua
nuRHCuservices?u-uCORRECTuANSWERSu-Inpatientucare

, Whatucodeuindicatesutheudispositionuofutheupatientuatutheuconclusionuofuservice?u-
uCORRECTuANSWERSu-Patientudischargeustatusucode




WhatuareuhospitalsurequiredutoudouforuMedicareucreditubalanceuaccounts?u-uCORRECTuANSWERSu-
Theyuresultuinulostureimbursementuanduadditionalucostutoucollect



Whenuanuundueudelayuofupaymenturesultsufromuaudisputeubetweenutheupatientuandutheuthirdupart
yupayer,uwhouisuresponsibleuforupayment?u-uCORRECTuANSWERSu-Patient



MedicareuguidelinesurequireuthatuwhenuautestuisuordereduforuauLCDuoruNCDuexists,utheuinformationu
provideduonutheuorderumustuinclude:u-uCORRECTuANSWERSu-AuvaliduCPTuoruHCPCSucode



Withuadvancesuinuinternetusecurityuanduencryption,urevenue-
cycleuprocessesuareuexpandingutouallowupatientsutoudouwhat?u-uCORRECTuANSWERSu-
Accessutheiruinformationuanduperformufunctionsuon-line



WhatudateuisurequireduonualluCMSu1500uclaimuforms?u-uCORRECTuANSWERSu-
onsetudateuofucurrentuillness



Whatudoesuschedulinguallowuproviderustaffutoudou-uCORRECTuANSWERSu-
Reviewuappropriatenessuofutheuserviceurequest



Whatucodeuisuusedutoureportutheuprovider'sumostucommonusemiprivateuroomurate?u-
uCORRECTuANSWERSu-Conditionucode




Regulationsuandurequirementsuforucodinguaccountableucareuorganizations,uwhichuallowsuproviders
utoubeginucreatingutheseuorganizations,uwereufinalizeduin:u-uCORRECTuANSWERSu-2012