CRCR Certification (Latest 2025/2026 Updated) Questions with Verified Answers| 100% Correct| Graded A.

CRCR Certification (Latest 2025/2026 i,- i,- i,- i,-




Updated) Questions with Verified i,- i,- i,- i,-




Answers| 100% Correct| Graded A. i,- i,- i,- i,-




The Affordable Care Act legislated the development of Health
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Insurance Exchanges, where individuals and small businesses can:
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A. Obtain price estimates for medical services
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B. Negotiate the price of medical services with providers
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C. Purchase qualified health benefit plans regardless of insured's
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health status i,-




D. Meet federal mandates for insurance coverage and obtain the
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corresponding tax deduction C. Purchase qualified health i,- i,- i,-i,- i,- i,- i,- i,- i,-



benefit plans regardless of insured's health status.
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All of the following are conditions that disqualify a procedure or
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service from being paid for by Medicare EXCEPT:
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A. Offered in an outpatient setting
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B. Medically unnecessary
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C. Not delivered in a Medicare licensed care setting.
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D. Services and procedures that are custodial in nature
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delivered in a Medicare licensed care setting
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,All of the following are reference resources used to help guide in
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the application for business ethics EXCEPT:
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A. Consumer satisfaction reports
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B. Mission & Value Statements
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C. Code of Ethics / Code of Conduct
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D. Compliance Office & Policies
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reports


All of the following are steps in safeguarding collections EXCEPT:
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A. Placing collections in a lock-box for posting review the next
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business day. i,-




B. Posting the payment to the patient's account
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C. Completing balancing activities
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D. Issuing receipts
i,- A. Placing collections in a lock-box for
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posting review the next business day
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All of the following are steps in verifying insurance EXCEPT:
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A. Sequencing plans involved in a coordination of benefits (COB)
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situation.
B. The patient signing the statement of financial responsibility.
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C. Identifying and documenting the patient's health plan benefits
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,D. Confirming the patient's eligibility for benefits
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patient signing the statement of financial responsibility
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All of the following information is used to identify a patient
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EXCEPT:
A. Date of Birth
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B. Gender
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C. Social Security Number
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D. Address
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All of the following information should be reviewed as part of
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schedule finalization EXCEPT: i,- i,-




A. The estimated patient financial obligations
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B. The service to be provided
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C. The arrival time and procedure time
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D. The patient's preparation instructions
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patient financial obligations i,- i,-




The 501(r) regulations require not-for-profit providers 501(c) (3)
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to do which of the following activities?
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A. Complete a community needs assessment and develop a
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discount program for patient balances after insurance payment.
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, B. Pursue extraordinary collection activities with all patients
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eligible for financial assistance.
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C. Implement a financial assistance program for uninsured and
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underinsured patients. i,-




D. Discount all charges to self-pay patients to an amount
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generally billed to all other patients. A. Complete a
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community needs assessment and develop a discount program
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for patient balances after insurance payment
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The accurate capture of charges remains critically important
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because:
A. Of the potential of fraud and abuse charges from erroneous
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billing.
B. Charges remain one of the few consistent indicators available
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to monitor resource use.
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C. Charges are means of measuring physician productivity.
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D. Charges provide the data used in activity based costing.
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Charges remain one of the few consistent indicators available to
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monitor resource use i,- i,-




The ACO investment model will test the use of pre-paid shared
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savings to: i,-




A. Invest in treatment protocols that reduce costs to Medicare
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B. Attract physicians to participate in the ACO payment system.
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