CRCR LATEST ACTUAL EXAM WITH VERIFIED
QUESTIONS & CORRECT ANSWERS
Question 1.
Portion of the accounts receivable inventory which had not qualified for billing includes
ANSWER
Charity pledges
Question 2.
Across all care settings, if a patient consents to a financial discussion during a medical encounter to
expedite discharge the HFMA best practices is to
ANSWER
Support that choice providing that the discussion does not interfere with patient care or
disrupt patient flow
Question 3.
Any healthcare insurance plan that provides or ensures comprehensive health maintenance and
treatment services for an enrolled group of persons based on a monthly fee is known as
ANSWER
HMO
Question 4.
Any provider that has build a timely cost report may appeal and adverse final decision received from
the Medicare administrative contractor this appeal may be filled with
ANSWER
The provider reimbursement review board
,Question 5.
Ambulance services are billed directly to the health plan for
ANSWER
The portion of the bill outside of the patient self-pay...... services provided before a patient is
admitted and for ambulance rides arrange to pick up the patient from the hospital after
discharge to take him/her home or to another facility
Question 6.
An individual enrolled in Medicare Who is dissatisfied with the governments claim determination is
entitled to reconsideration of the decision this type of appeal is known as
ANSWER
A beneficiary appeal
Question 7.
All of the following are conditions that disqualify a procedure or service from being paid for by
Medicare except
ANSWER
Services and procedures that are custodial in nature
Question 8.
All of the following are forms of hospital payment contracting except
ANSWER
Contracted rebating
Question 9.
An advantage of a pre-registration program is
ANSWER
The opportunity to reduce the corporate compliance failures within registration process
,Question 10.
All of the following are potential causes of credit balances except
ANSWER
A patient's choice to build up a credit against future medical bills
Question 11.
A recurring series registration is characterized by
ANSWER
The creation of one registration record for multiple days of service
Question 12.
Appropriate training for patient's financial counseling staff must cover all the following except
ANSWER
Documenting the conversation in the medical records
Question 13.
All of the following information should be reviewed as part of scheduled finalization except
ANSWER
The results of any and all test
Question 14.
All of the following are steps in safeguarding collections except
ANSWER
Issuing receipts
Question 15.
An originating site is
ANSWER
The location of the patient at the time the service is provided
, Question 16.
A large number of credit balances are not the result of over payments but of
ANSWER
Posting errors in the patient's accounting system
Question 17.
At the end of each shift what must happen to cash checks and credit card transaction documents
ANSWER
They must be balanced
Question 18.
According to the department of health and human services guidelines what is not considered income
ANSWER
Sale of property house or car
Question 19.
An insurance company that provides for the delivery or payment of healthcare services
ANSWER
Indemnity insurance
Question 20.
A restriction on payments for charges directly resulting from a pre-existing health conditions
ANSWER
Self insured
Question 21.
An employer a union or an association that contracts with an insurance company for the healthcare
plan it offers to eligible employees
ANSWER
Sub specialist
QUESTIONS & CORRECT ANSWERS
Question 1.
Portion of the accounts receivable inventory which had not qualified for billing includes
ANSWER
Charity pledges
Question 2.
Across all care settings, if a patient consents to a financial discussion during a medical encounter to
expedite discharge the HFMA best practices is to
ANSWER
Support that choice providing that the discussion does not interfere with patient care or
disrupt patient flow
Question 3.
Any healthcare insurance plan that provides or ensures comprehensive health maintenance and
treatment services for an enrolled group of persons based on a monthly fee is known as
ANSWER
HMO
Question 4.
Any provider that has build a timely cost report may appeal and adverse final decision received from
the Medicare administrative contractor this appeal may be filled with
ANSWER
The provider reimbursement review board
,Question 5.
Ambulance services are billed directly to the health plan for
ANSWER
The portion of the bill outside of the patient self-pay...... services provided before a patient is
admitted and for ambulance rides arrange to pick up the patient from the hospital after
discharge to take him/her home or to another facility
Question 6.
An individual enrolled in Medicare Who is dissatisfied with the governments claim determination is
entitled to reconsideration of the decision this type of appeal is known as
ANSWER
A beneficiary appeal
Question 7.
All of the following are conditions that disqualify a procedure or service from being paid for by
Medicare except
ANSWER
Services and procedures that are custodial in nature
Question 8.
All of the following are forms of hospital payment contracting except
ANSWER
Contracted rebating
Question 9.
An advantage of a pre-registration program is
ANSWER
The opportunity to reduce the corporate compliance failures within registration process
,Question 10.
All of the following are potential causes of credit balances except
ANSWER
A patient's choice to build up a credit against future medical bills
Question 11.
A recurring series registration is characterized by
ANSWER
The creation of one registration record for multiple days of service
Question 12.
Appropriate training for patient's financial counseling staff must cover all the following except
ANSWER
Documenting the conversation in the medical records
Question 13.
All of the following information should be reviewed as part of scheduled finalization except
ANSWER
The results of any and all test
Question 14.
All of the following are steps in safeguarding collections except
ANSWER
Issuing receipts
Question 15.
An originating site is
ANSWER
The location of the patient at the time the service is provided
, Question 16.
A large number of credit balances are not the result of over payments but of
ANSWER
Posting errors in the patient's accounting system
Question 17.
At the end of each shift what must happen to cash checks and credit card transaction documents
ANSWER
They must be balanced
Question 18.
According to the department of health and human services guidelines what is not considered income
ANSWER
Sale of property house or car
Question 19.
An insurance company that provides for the delivery or payment of healthcare services
ANSWER
Indemnity insurance
Question 20.
A restriction on payments for charges directly resulting from a pre-existing health conditions
ANSWER
Self insured
Question 21.
An employer a union or an association that contracts with an insurance company for the healthcare
plan it offers to eligible employees
ANSWER
Sub specialist
