CRCR Review Questions
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - ANSD) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - ANS40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on hospital care.
C) To provide clear communication and good customer service, which will give the provider a
competitive edge.
D) To make certain that during registration key information is verified by means of a picture ID
and insurance card. - ANSB) To provide a standardization method for evaluating patients'
perspective on hospital care.
Which option is NOT a department that supports and collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services - ANSD) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - ANSA written transfer
agreement with one of more participating hospitals providing for the transfer of patients between
the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must meet 2
conditions. - ANS1) An MD must certify that a patient is confined to his/her residence (Not
necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health
coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice - ANSC) Health Plan Contracting
, Which of the following are essential elements of an effective compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal healthcare
program. - ANSA, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
What is the OIG? - ANSThe Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that will be
focused on throughout the following year. Identify which option is NOT a work plan task
mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments - ANSA) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity owned by the
hospital) on the date of the beneficiary's inpatient admission or during the ____ calendar days
immediately preceding the date of the admission are required to be included on the inpatient bill.
- ANS3
IN order to promote the use of correct coding methods on a national basis and prevent payment
errors due to improper coding, the Centers for Medicare and Medicaid Services (CMS)
developed what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers - ANSA) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate. - ANSD) Principals and standards
by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO delivery system?
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - ANSD) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - ANS40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on hospital care.
C) To provide clear communication and good customer service, which will give the provider a
competitive edge.
D) To make certain that during registration key information is verified by means of a picture ID
and insurance card. - ANSB) To provide a standardization method for evaluating patients'
perspective on hospital care.
Which option is NOT a department that supports and collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services - ANSD) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - ANSA written transfer
agreement with one of more participating hospitals providing for the transfer of patients between
the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must meet 2
conditions. - ANS1) An MD must certify that a patient is confined to his/her residence (Not
necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health
coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice - ANSC) Health Plan Contracting
, Which of the following are essential elements of an effective compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal healthcare
program. - ANSA, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
What is the OIG? - ANSThe Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that will be
focused on throughout the following year. Identify which option is NOT a work plan task
mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments - ANSA) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity owned by the
hospital) on the date of the beneficiary's inpatient admission or during the ____ calendar days
immediately preceding the date of the admission are required to be included on the inpatient bill.
- ANS3
IN order to promote the use of correct coding methods on a national basis and prevent payment
errors due to improper coding, the Centers for Medicare and Medicaid Services (CMS)
developed what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers - ANSA) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate. - ANSD) Principals and standards
by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO delivery system?
