CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
"Hard-coded" is the term used to refer to – ans Codes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is – ans A statement of assets, liabilities, and capital for an organization at a specified
point in time
A claim for reimbursement submitted to a third-party payer that has all the information and
documentation required for the payer to make a decision on it is known as – ans A clean claim
A claim is denied for the following reasons, EXCEPT: - ans The submitted claim does not have the
physicians signature
A comprehensive "Compliance Program" is defined as – ans Systematic procedures to ensure that the
provisions of regulations imposed by a government agency are being met
A decision on whether a patient should be admitted as an inpatient or become about patient
observation patient requires medical judgments based on all of the following EXCEPT – ans The patient's
home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as – ans Revenue codes
A large number of credit balances are not the result of overpayments but of – ans Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ans With admission as an inpatient
A nightly room charge will be incorrect if the patient's – ans Transfer from ICU (intensive care unit) to the
Medical/Surgical
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes – ans
Charitable pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: - ans
Charitable pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for
multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? – ans
Complete registration and insurance approval before service
A typical routine patient financial discussion would include – ans Explaining the benefits identified
through verifying the patients insurance
Account Receivable (A/R) Aging reports – ans Divide accounts receivable into 30, 60, 90 ,120 days past
due categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter – ans
Support that choice, providing that the discussion does not interfere with patient care or disrupt patient
flow
Across all care settings, if a patient consents to a financial discussion during a medical encounter to
expedite discharge, the HFMA best practice is to: - ans Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to – ans All
emergency and medically necessary care
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT – ans Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT – ans Contracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT – ans
Address
All of the following are potential causes of credit balances EXCEPT – ans A patient's choice to build up a
credit against future medical bills
All of the following are reference resources used to help guide in the application of business ethics
EXCEPT – ans Consumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT – ans Issuing receipts
All of the following are steps in verifying insurance EXCEPT – ans The patient signing the statement of
financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ans The
results of any and all test
Ambulance services are billed directly to the health plan for – ans Services provided before a patient is
admitted and for ambulance rides arranged to pick up the patient from the hospital after discharge to
take him/her home or to another facility
Ambulance services are billed directly to the health plan for – ans The portion of the bill outside of the
patient's self-pay
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
"Hard-coded" is the term used to refer to – ans Codes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is – ans A statement of assets, liabilities, and capital for an organization at a specified
point in time
A claim for reimbursement submitted to a third-party payer that has all the information and
documentation required for the payer to make a decision on it is known as – ans A clean claim
A claim is denied for the following reasons, EXCEPT: - ans The submitted claim does not have the
physicians signature
A comprehensive "Compliance Program" is defined as – ans Systematic procedures to ensure that the
provisions of regulations imposed by a government agency are being met
A decision on whether a patient should be admitted as an inpatient or become about patient
observation patient requires medical judgments based on all of the following EXCEPT – ans The patient's
home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as – ans Revenue codes
A large number of credit balances are not the result of overpayments but of – ans Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ans With admission as an inpatient
A nightly room charge will be incorrect if the patient's – ans Transfer from ICU (intensive care unit) to the
Medical/Surgical
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes – ans
Charitable pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: - ans
Charitable pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for
multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? – ans
Complete registration and insurance approval before service
A typical routine patient financial discussion would include – ans Explaining the benefits identified
through verifying the patients insurance
Account Receivable (A/R) Aging reports – ans Divide accounts receivable into 30, 60, 90 ,120 days past
due categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter – ans
Support that choice, providing that the discussion does not interfere with patient care or disrupt patient
flow
Across all care settings, if a patient consents to a financial discussion during a medical encounter to
expedite discharge, the HFMA best practice is to: - ans Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to – ans All
emergency and medically necessary care
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED
RATIONALE GRADED A+
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT – ans Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT – ans Contracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT – ans
Address
All of the following are potential causes of credit balances EXCEPT – ans A patient's choice to build up a
credit against future medical bills
All of the following are reference resources used to help guide in the application of business ethics
EXCEPT – ans Consumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT – ans Issuing receipts
All of the following are steps in verifying insurance EXCEPT – ans The patient signing the statement of
financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ans The
results of any and all test
Ambulance services are billed directly to the health plan for – ans Services provided before a patient is
admitted and for ambulance rides arranged to pick up the patient from the hospital after discharge to
take him/her home or to another facility
Ambulance services are billed directly to the health plan for – ans The portion of the bill outside of the
patient's self-pay
