1|Page
HFMA CRCR EXAM LATEST EXAM 170+
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)
A valid CPT or HCPCS code - CORRECT ANSWER>>Medicare guidelines require
that when a test is ordered for a LCD or NCD exists, the information provided on
the order must include:
Access their information and perform functions on-line - CORRECT
ANSWER>>With advances in internet security and encryption, revenue-cycle
processes are expanding to allow patients to do what?
A percentage of dollars collected - CORRECT ANSWER>>What are collection
agency fees based on?
Birthday - CORRECT ANSWER>>Self-funded benefit plans may choose to
coordinate benefits using the gender rule or what other rule?
Case rates - CORRECT ANSWER>>In what type of payment methodology is a lump
sum or bundled payment negotiated between the payer and some or all
providers?
Holding staff accountable for customer service during performance reviews -
CORRECT ANSWER>>What customer service improvements might improve the
patient accounts department?
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Inform a Medicare beneficiary that Medicare may not pay for the order or service
- CORRECT ANSWER>>What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do?
Bad debt adjustment - CORRECT ANSWER>>What type of account adjustment
results from the patient's unwillingness to pay for a self-pay balance?
Two 90-day periods and an unlimited number of subsequent periods - CORRECT
ANSWER>>What is the initial hospice benefit?
If the patient requires ambulance transportation to a skilled nursing facility -
CORRECT ANSWER>>When does a hospital add ambulance charges to the
Medicare inpatient claim?
Post a late-charge adjustment to the account - CORRECT ANSWER>>How should a
provider resolve a late-charge credit posted after an account is billed?
They are not being processed in a timely manner - CORRECT ANSWER>>an
increase in the dollars aged greater than 90 days from date of service indicate
what about accounts
It reduces processing times at the time of service - CORRECT ANSWER>>What is
an advantage of a preregistration program?
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Medically unnecessary services and custodial care - CORRECT ANSWER>>What
are the two statutory exclusions from hospice coverage?
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts - CORRECT ANSWER>>What core financial activities are resolved
within patient access?
The services do not involve an overnight stay - CORRECT ANSWER>>What
statement applies to the scheduled outpatient?
Comparing the contract reimbursement rates with the contract on the admittance
advice to identify the correct amount - CORRECT ANSWER>>How is a mis-posted
contractual allowance resolved?
Observation - CORRECT ANSWER>>What type of patient status is used to evaluate
the patient's need for inpatient care?
Medically necessary inpatient hospital services for at least 3 consecutive days
before the skilled nursing care admission - CORRECT ANSWER>>Coverage rules
for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what?
When the patient is the insured - CORRECT ANSWER>>When is the word "SAME"
entered on the CMS 1500 billing form in Field 0$?
HFMA CRCR EXAM LATEST EXAM 170+
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)
A valid CPT or HCPCS code - CORRECT ANSWER>>Medicare guidelines require
that when a test is ordered for a LCD or NCD exists, the information provided on
the order must include:
Access their information and perform functions on-line - CORRECT
ANSWER>>With advances in internet security and encryption, revenue-cycle
processes are expanding to allow patients to do what?
A percentage of dollars collected - CORRECT ANSWER>>What are collection
agency fees based on?
Birthday - CORRECT ANSWER>>Self-funded benefit plans may choose to
coordinate benefits using the gender rule or what other rule?
Case rates - CORRECT ANSWER>>In what type of payment methodology is a lump
sum or bundled payment negotiated between the payer and some or all
providers?
Holding staff accountable for customer service during performance reviews -
CORRECT ANSWER>>What customer service improvements might improve the
patient accounts department?
,2|Page
Inform a Medicare beneficiary that Medicare may not pay for the order or service
- CORRECT ANSWER>>What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do?
Bad debt adjustment - CORRECT ANSWER>>What type of account adjustment
results from the patient's unwillingness to pay for a self-pay balance?
Two 90-day periods and an unlimited number of subsequent periods - CORRECT
ANSWER>>What is the initial hospice benefit?
If the patient requires ambulance transportation to a skilled nursing facility -
CORRECT ANSWER>>When does a hospital add ambulance charges to the
Medicare inpatient claim?
Post a late-charge adjustment to the account - CORRECT ANSWER>>How should a
provider resolve a late-charge credit posted after an account is billed?
They are not being processed in a timely manner - CORRECT ANSWER>>an
increase in the dollars aged greater than 90 days from date of service indicate
what about accounts
It reduces processing times at the time of service - CORRECT ANSWER>>What is
an advantage of a preregistration program?
, 3|Page
Medically unnecessary services and custodial care - CORRECT ANSWER>>What
are the two statutory exclusions from hospice coverage?
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts - CORRECT ANSWER>>What core financial activities are resolved
within patient access?
The services do not involve an overnight stay - CORRECT ANSWER>>What
statement applies to the scheduled outpatient?
Comparing the contract reimbursement rates with the contract on the admittance
advice to identify the correct amount - CORRECT ANSWER>>How is a mis-posted
contractual allowance resolved?
Observation - CORRECT ANSWER>>What type of patient status is used to evaluate
the patient's need for inpatient care?
Medically necessary inpatient hospital services for at least 3 consecutive days
before the skilled nursing care admission - CORRECT ANSWER>>Coverage rules
for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what?
When the patient is the insured - CORRECT ANSWER>>When is the word "SAME"
entered on the CMS 1500 billing form in Field 0$?
