CRCR Certification Exam

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CRCR CERTIFICATION EXAM/ CRCR PRACTICE EX
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AM MOST RECENT UPDATE ALL QUESTIONS AND
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CORRECT ANSWERS/ ALREADY GRADED A+ASSU m m m m m



RED PASS m




Overall aggregate payments made to a hospice are subject to a computed "ca
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p amount" calculated by -
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mANSWER: The Medicare Administrative Contractor (MAC) at the end of th
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e hospice cap period
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Which of the following is required for participation in Medicaid - ANSWER:
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Meet Income and Assets Requirements
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In choosing a setting for patient financial discussions, organizations should firs
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t and foremost - ANSWER: Respect the patients privacy
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A nightly room charge will be incorrect if the patient's -
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ANSWER: Transfer fromICU (intensive care unit) to the Medical/Surgical
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floor is not reflected in the registration system
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The Affordable Care Act legislated the development of Health Insurance Exc
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hanges, where individuals and small businesses can -
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mANSWER: Purchase qualified health benefit plans regardless of insured's
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A portion of the accounts receivable inventory which has NOT qualified for billin
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g includes: - ANSWER: Charitable pledges
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What is required for the UB-04/837-
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I, used by Rural Health Clinics to generate payment from Medicare? -
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mANSWER: Revenue codes m m

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This directive was developed to promote and ensure healthcare quality and value
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and also to protect consumers and workers in the healthcare system. This directive
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is called - ANSWER: Patient bill of rights
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The activity which results in the accurate recording of patient bed and level of car
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e assessment, patient transfer and patient discharge status on a real-
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time basis is known as - ANSWER: Case management
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Which statement is an EMTALA (Emergency Medical Treatment and Active Lab
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or Act) violation? -
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mANSWER: Registration staff may routinely contact managed are plans for prior
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authorizations before the patient is seen by the on-duty physician
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HIPAA had adopted Employer Identification Numbers (EIN) to be used in
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standard transactions to identify the employer of an individual described in
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a transaction EIN's are
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assigned by - ANSWER: The Internal Revenue Service
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Checks received through mail, cash received through mail, and lock box are all exa
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mples of - ANSWER: Control points for cash posting
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What are some core elements if a board-approved financial assistance policy? -
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ANSWER: Eligibility, application process, and nonpayment collection activities
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A recurring/series registration is characterized by -
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ANSWER: The creation of one registration record for multiple days of service
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With the advent of the Affordable Care Act Health Insurance Marketplaces and th
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e expansion of Medicaid in some states, it is more important than ever for hospitals
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to - m


mANSWER: Assist patients in understanding their insurance coverage and their fin
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ancial obligation m




The purpose of a financial report is to: -
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ANSWER: Present financial information to decision makers
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Patient financial communications best practices produce communications that are
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- ANSWER: Consistent, clear and transparent
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Medicare has established guidelines called the Local Coverage Determinations (
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LCD) and National Coverage Determinations (NCD) that establish -
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ANSWER: What services or healthcare items are covered under Medicare
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Any provider that has filed a timely cost report may appeal an adverse final de
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cision received from the Medicare Administrative Contractor (MAC). This app
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eal may be filed with -
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mANSWER: The Provider Reimbursement Review Board
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Concurrent review and discharge planning - ANSWER: Occurs during service
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Duplicate payments occur: - ANSWER: When providers re-
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bill claims based on nonpayment from the initial bill submission
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An individual enrolled in Medicare who is dissatisfied with the government's clai
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mdetermination is entitled to reconsideration of the decision. This type of appeal i
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s known as - ANSWER: A beneficiary appeal
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Insurance verification results in which of the following -
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mANSWER: The accurate identification of the patient's eligibility and benefits
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