CRCR EXAM TEST BANK LATEST 2026-2027
WITH QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) 100%
COMPLETE
When does a hospital add ambulance charges to the Medicare inpatient
claim? - CORRECT ANSWER - If the patient requires ambulance
transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account
is billed? - CORRECT ANSWER - Post a late-charge adjustment to the
account
an increase in the dollars aged greater than 90 days from date of service
indicate what about accounts - CORRECT ANSWER - They are not
being processed in a timely manner
What is an advantage of a preregistration program? - CORRECT
ANSWER - It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
CORRECT ANSWER - Medically unnecessary services and custodial
care
What core financial activities are resolved within patient access? -
CORRECT ANSWER - Scheduling, insurance verification, discharge
,processing, and payment of point-of- service receipts
What statement applies to the scheduled outpatient? - CORRECT
ANSWER - The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - CORRECT
ANSWER - Comparing the contract reimbursement rates with the contract
on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's need for
inpatient care?
- CORRECT ANSWER - Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what? - CORRECT ANSWER -
Medically necessary inpatient hospital services for at least 3 consecutive
days before the skilled nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field
0$? - CORRECT ANSWER - When the patient is the insured
What are non-emergency patients who come for service without prior
notification to the provider called? - CORRECT ANSWER - Unscheduled
patients
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - CORRECT
ANSWER - Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - CORRECT ANSWER -
,Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - CORRECT ANSWER - Primary reason
for the patient's admission
Collecting patient liability dollars after service leads to what? -
CORRECT ANSWER - Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day used?
- CORRECT ANSWER - 50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic
(RHC) is not billable as an RHC services? - CORRECT ANSWER -
Inpatient care
What code indicates the disposition of the patient at the conclusion of
service? - CORRECT ANSWER - Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? -
CORRECT ANSWER - They result in lost reimbursement and additional
cost to collect
When an undue delay of payment results from a dispute between the
patient and the third party payer, who is responsible for payment? -
CORRECT ANSWER - Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD
exists, the information provided on the order must include: - CORRECT
ANSWER - A valid CPT or HCPCS code
, With advances in internet security and encryption, revenue-cycle processes
are expanding to allow patients to do what? - CORRECT ANSWER -
Access their information and perform functions on-line
What date is required on all CMS 1500 claim forms? - CORRECT
ANSWER - onset date of current illness
What does scheduling allow provider staff to do - CORRECT ANSWER -
Review appropriateness of the service request
What code is used to report the provider's most common semiprivate room
rate? - CORRECT ANSWER - Condition code
Regulations and requirements for coding accountable care organizations,
which allows providers to begin creating these organizations, were
finalized in: - CORRECT ANSWER - 2012
What is a primary responsibility of the Recover Audit Contractor? -
CORRECT ANSWER - To correctly identify proper payments for
Medicare Part A & B claims
How must providers handle credit balances? - CORRECT ANSWER -
Comply with state statutes concerning reporting credit balance
Insurance verification results in what? - CORRECT ANSWER - The
accurate identification of the patient's eligibility and benefits
What form is used to bill Medicare for rural health clinics? - CORRECT
ANSWER - CMS 1500
What activities are completed when a scheduled pre-registered patient
arrives for service? - CORRECT ANSWER - Registering the patient and
directing the patient to the service area
WITH QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) 100%
COMPLETE
When does a hospital add ambulance charges to the Medicare inpatient
claim? - CORRECT ANSWER - If the patient requires ambulance
transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account
is billed? - CORRECT ANSWER - Post a late-charge adjustment to the
account
an increase in the dollars aged greater than 90 days from date of service
indicate what about accounts - CORRECT ANSWER - They are not
being processed in a timely manner
What is an advantage of a preregistration program? - CORRECT
ANSWER - It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
CORRECT ANSWER - Medically unnecessary services and custodial
care
What core financial activities are resolved within patient access? -
CORRECT ANSWER - Scheduling, insurance verification, discharge
,processing, and payment of point-of- service receipts
What statement applies to the scheduled outpatient? - CORRECT
ANSWER - The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - CORRECT
ANSWER - Comparing the contract reimbursement rates with the contract
on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's need for
inpatient care?
- CORRECT ANSWER - Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what? - CORRECT ANSWER -
Medically necessary inpatient hospital services for at least 3 consecutive
days before the skilled nursing care admission
When is the word "SAME" entered on the CMS 1500 billing form in Field
0$? - CORRECT ANSWER - When the patient is the insured
What are non-emergency patients who come for service without prior
notification to the provider called? - CORRECT ANSWER - Unscheduled
patients
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - CORRECT
ANSWER - Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - CORRECT ANSWER -
,Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - CORRECT ANSWER - Primary reason
for the patient's admission
Collecting patient liability dollars after service leads to what? -
CORRECT ANSWER - Lower accounts receivable levels
What is the daily out-of-pocket amount for each lifetime reserve day used?
- CORRECT ANSWER - 50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic
(RHC) is not billable as an RHC services? - CORRECT ANSWER -
Inpatient care
What code indicates the disposition of the patient at the conclusion of
service? - CORRECT ANSWER - Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? -
CORRECT ANSWER - They result in lost reimbursement and additional
cost to collect
When an undue delay of payment results from a dispute between the
patient and the third party payer, who is responsible for payment? -
CORRECT ANSWER - Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD
exists, the information provided on the order must include: - CORRECT
ANSWER - A valid CPT or HCPCS code
, With advances in internet security and encryption, revenue-cycle processes
are expanding to allow patients to do what? - CORRECT ANSWER -
Access their information and perform functions on-line
What date is required on all CMS 1500 claim forms? - CORRECT
ANSWER - onset date of current illness
What does scheduling allow provider staff to do - CORRECT ANSWER -
Review appropriateness of the service request
What code is used to report the provider's most common semiprivate room
rate? - CORRECT ANSWER - Condition code
Regulations and requirements for coding accountable care organizations,
which allows providers to begin creating these organizations, were
finalized in: - CORRECT ANSWER - 2012
What is a primary responsibility of the Recover Audit Contractor? -
CORRECT ANSWER - To correctly identify proper payments for
Medicare Part A & B claims
How must providers handle credit balances? - CORRECT ANSWER -
Comply with state statutes concerning reporting credit balance
Insurance verification results in what? - CORRECT ANSWER - The
accurate identification of the patient's eligibility and benefits
What form is used to bill Medicare for rural health clinics? - CORRECT
ANSWER - CMS 1500
What activities are completed when a scheduled pre-registered patient
arrives for service? - CORRECT ANSWER - Registering the patient and
directing the patient to the service area
