CRCR COMPREHENSIVE QUESTIONS AND
SOLUTIONS GRADED A+
◉ The healthcare industry is vulnerable to compliance issues, in
large part due to the complexity of the statutes and regulations
pertaining to
Answer: Medicare and Medicaid payments
◉ The Correct Coding Initiative Program consists of
Answer: Edits that are implemented within providers' claim
processing systems
◉ To provide a patient with information that is meaningful to
them, all of the following factors must be included EXCEPT
Answer: The actual physician reimbursement
◉ Which department supports/collaborates with the revenue
cycle?
Answer: Information Technology
◉ Medicare Part B has an annual deductible and the beneficiary is
responsible for
Answer: a co-insurance payment for all Part B covered services
,◉ The two types of claims denial appeals are
Answer: Beneficiary and Provider
◉ Which of the following is a violation of the EMTALA
(Emergency Medical Treatment and Labor Act?)
Answer: Registration staff members routinely contact managed
care plans for prior authorizations before the patient is seen by
the on duty physician
◉ Rural Health Clinics (RHC) personnel can provide services in all
of the following locations, EXCEPT
Answer: Providing inpatient services in the RHC
◉ The patient discharge process begins when
Answer: The physician writes the discharge order
◉ Departments that need to be included in charge master
maintenance include all of the following EXCEPT
Answer: Quality Assurance
◉ The first thing a health plan does when processing a claim is
Answer: Check if the patient is a health plan beneficiary and what
is the coverage
◉ Vital to accurate calculations of a patient's self-pay amount is
, Answer:
◉ The most accurate way to validate patient information is to
Answer: require clinical staff to verify information at each
treatment encounter
◉ In order for Regulation Z to apply, a hospital must
Answer:
◉ All of the following are minimum requirements for new
patients with no MPI number EXCEPT
Answer: Address
◉ A typical routine patient financial discussion would include
Answer: Explaining the benefits identified through verifying the
patients insurance
◉ Components of financial education include informing the
patient of the hospital's financial policies, assessing the patient's
ability to pay and
Answer: Reviewing payment alternatives with the patient so
appropriate resolution of the health care financial obligation is
achieved
SOLUTIONS GRADED A+
◉ The healthcare industry is vulnerable to compliance issues, in
large part due to the complexity of the statutes and regulations
pertaining to
Answer: Medicare and Medicaid payments
◉ The Correct Coding Initiative Program consists of
Answer: Edits that are implemented within providers' claim
processing systems
◉ To provide a patient with information that is meaningful to
them, all of the following factors must be included EXCEPT
Answer: The actual physician reimbursement
◉ Which department supports/collaborates with the revenue
cycle?
Answer: Information Technology
◉ Medicare Part B has an annual deductible and the beneficiary is
responsible for
Answer: a co-insurance payment for all Part B covered services
,◉ The two types of claims denial appeals are
Answer: Beneficiary and Provider
◉ Which of the following is a violation of the EMTALA
(Emergency Medical Treatment and Labor Act?)
Answer: Registration staff members routinely contact managed
care plans for prior authorizations before the patient is seen by
the on duty physician
◉ Rural Health Clinics (RHC) personnel can provide services in all
of the following locations, EXCEPT
Answer: Providing inpatient services in the RHC
◉ The patient discharge process begins when
Answer: The physician writes the discharge order
◉ Departments that need to be included in charge master
maintenance include all of the following EXCEPT
Answer: Quality Assurance
◉ The first thing a health plan does when processing a claim is
Answer: Check if the patient is a health plan beneficiary and what
is the coverage
◉ Vital to accurate calculations of a patient's self-pay amount is
, Answer:
◉ The most accurate way to validate patient information is to
Answer: require clinical staff to verify information at each
treatment encounter
◉ In order for Regulation Z to apply, a hospital must
Answer:
◉ All of the following are minimum requirements for new
patients with no MPI number EXCEPT
Answer: Address
◉ A typical routine patient financial discussion would include
Answer: Explaining the benefits identified through verifying the
patients insurance
◉ Components of financial education include informing the
patient of the hospital's financial policies, assessing the patient's
ability to pay and
Answer: Reviewing payment alternatives with the patient so
appropriate resolution of the health care financial obligation is
achieved
