CRCR Certification Exam TEST BANK| 530 All i,- i,- i,- i,- i,- i,- i,-
Possible Questions with Verified Answers i,- i,- i,- i,- i,-
|100% Correct | Latest 2025/2026 Update. i,- i,- i,- i,- i,-
Days in A/R is calculated based on the value of
i,- i,- i,- i,- i,- i,- i,- i,- i,-
a) Total cash received to date
i,- i,- i,- i,- i,-
b) The time it takes to collect anticipated revenue
i,- i,- i,- i,- i,- i,- i,- i,-
c) The total accounts receivable on a specific date
i,- i,- i,- i,- i,- i,- i,- i,-
d) Total anticipated revenue minus expenses
i,- i,- i,- i,- i,- i,-i,- i,- C
All of the following are forms of hospital payment contracting
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
EXCEPT
a) Per diem payment
i,- i,- i,-
b) Bundled Payment
i,- i,-
c) Fixed Contracting
i,- i,-
d) Contracted Rebating
i,- i,- i,-i,- i,- D
The standard claim form used for billing by hospitals, nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
facilities, and other in- i,- i,- i,-
patient
,services is called the
i,- i,- i,-
a) UB-04
i,-
b) 1500
i,-
c) COST REPORT
i,- i,-
d) REMITTANCE NOTICE
i,- i,- i,-i,- i,- A
To maximize the value derived from customer complaints, all
i,- i,- i,- i,- i,- i,- i,- i,- i,-
consumer complaints should i,- i,-
be
a) Responded to within two business days
i,- i,- i,- i,- i,- i,-
b) Tracked and shared to improve the customer experience
i,- i,- i,- i,- i,- i,- i,- i,-
c) Handled by a specially trained "service recovery" team
i,- i,- i,- i,- i,- i,- i,- i,-
d) Brought immediately to management's attention
i,- i,- i,- i,- i,- i,-i,- i,- A
The HCAHPS (hospital consumer assessment of healthcare
i,- i,- i,- i,- i,- i,- i,-
providers and systems) i,- i,-
initiative
was launched to
i,- i,-
a) Gather national date on overall trust in the nation's health care
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
system
b) Create a national database on physician quality
i,- i,- i,- i,- i,- i,- i,-
,c) Provide a standardized method for evaluating patient's
i,- i,- i,- i,- i,- i,- i,- i,-
perspective on i,-
hospital care. ? i,- i,-
d) Provide data for building shared savings reimbursement for
i,- i,- i,- i,- i,- i,- i,- i,- i,-
quality procedures. Ci,- i,-i,- i,-
Health Plan Contracting Departments do all of the following
i,- i,- i,- i,- i,- i,- i,- i,- i,-
EXCEPT
a) Establish a global reimbursement rate to use with all third-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
party payer i,-
b) Review all managed care contracts for accuracy for loading
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
contract terms into the i,- i,- i,-
patient accounting system i,- i,-
c) Review payment schemes to ensure that the health plan and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provider understand how i,- i,-
reimbursements must be calculated i,- i,- i,-
d) Review contracts to ensure the appeals process for denied
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
claims is clearly specified
i,- A i,- i,- i,-i,- i,-
The benefit of Medicare Advantage Plan is
i,- i,- i,- i,- i,- i,-
a) It is a less costly plan compared to traditional Medicare
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
b) Patients may retain a primary care physician and see another
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
physician for a second i,- i,- i,-
, opinion at no charge i,- i,- i,-
c) Patients generally have their Medicare-coverage healthcare
i,- i,- i,- i,- i,- i,- i,-
through
the plan and do not need to worry about "part a" or "part b"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
benefits
d) Patients receive significant discounting on services contracted
i,- i,- i,- i,- i,- i,- i,- i,-
by the federal
i,- i,-
government i,-i,- i,- C
Once the EMTALA requirements are satisfied
i,- i,- i,- i,- i,-
a) Third-party payer info should be collected from the pt and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
payer
should be notified of the ED visiti,- i,- i,- i,- i,- i,-
b) An initial registration record is completed so that the proper
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
coding can be initiated i,- i,- i,-
c) The pt then assumes full liability for services unless a third-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
party payer is notified or
i,- i,- i,- i,-
the pt applies for financial assistance within the first 48 hours
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
d) The remaining registration processing is initiated either at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
bedside or In a i,- i,- i,-
registration area i,- i,-i,- i,- A
The soft cost of a dissatisfied customer is
i,- i,- i,- i,- i,- i,- i,-
Possible Questions with Verified Answers i,- i,- i,- i,- i,-
|100% Correct | Latest 2025/2026 Update. i,- i,- i,- i,- i,-
Days in A/R is calculated based on the value of
i,- i,- i,- i,- i,- i,- i,- i,- i,-
a) Total cash received to date
i,- i,- i,- i,- i,-
b) The time it takes to collect anticipated revenue
i,- i,- i,- i,- i,- i,- i,- i,-
c) The total accounts receivable on a specific date
i,- i,- i,- i,- i,- i,- i,- i,-
d) Total anticipated revenue minus expenses
i,- i,- i,- i,- i,- i,-i,- i,- C
All of the following are forms of hospital payment contracting
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
EXCEPT
a) Per diem payment
i,- i,- i,-
b) Bundled Payment
i,- i,-
c) Fixed Contracting
i,- i,-
d) Contracted Rebating
i,- i,- i,-i,- i,- D
The standard claim form used for billing by hospitals, nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
facilities, and other in- i,- i,- i,-
patient
,services is called the
i,- i,- i,-
a) UB-04
i,-
b) 1500
i,-
c) COST REPORT
i,- i,-
d) REMITTANCE NOTICE
i,- i,- i,-i,- i,- A
To maximize the value derived from customer complaints, all
i,- i,- i,- i,- i,- i,- i,- i,- i,-
consumer complaints should i,- i,-
be
a) Responded to within two business days
i,- i,- i,- i,- i,- i,-
b) Tracked and shared to improve the customer experience
i,- i,- i,- i,- i,- i,- i,- i,-
c) Handled by a specially trained "service recovery" team
i,- i,- i,- i,- i,- i,- i,- i,-
d) Brought immediately to management's attention
i,- i,- i,- i,- i,- i,-i,- i,- A
The HCAHPS (hospital consumer assessment of healthcare
i,- i,- i,- i,- i,- i,- i,-
providers and systems) i,- i,-
initiative
was launched to
i,- i,-
a) Gather national date on overall trust in the nation's health care
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
system
b) Create a national database on physician quality
i,- i,- i,- i,- i,- i,- i,-
,c) Provide a standardized method for evaluating patient's
i,- i,- i,- i,- i,- i,- i,- i,-
perspective on i,-
hospital care. ? i,- i,-
d) Provide data for building shared savings reimbursement for
i,- i,- i,- i,- i,- i,- i,- i,- i,-
quality procedures. Ci,- i,-i,- i,-
Health Plan Contracting Departments do all of the following
i,- i,- i,- i,- i,- i,- i,- i,- i,-
EXCEPT
a) Establish a global reimbursement rate to use with all third-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
party payer i,-
b) Review all managed care contracts for accuracy for loading
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
contract terms into the i,- i,- i,-
patient accounting system i,- i,-
c) Review payment schemes to ensure that the health plan and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provider understand how i,- i,-
reimbursements must be calculated i,- i,- i,-
d) Review contracts to ensure the appeals process for denied
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
claims is clearly specified
i,- A i,- i,- i,-i,- i,-
The benefit of Medicare Advantage Plan is
i,- i,- i,- i,- i,- i,-
a) It is a less costly plan compared to traditional Medicare
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
b) Patients may retain a primary care physician and see another
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
physician for a second i,- i,- i,-
, opinion at no charge i,- i,- i,-
c) Patients generally have their Medicare-coverage healthcare
i,- i,- i,- i,- i,- i,- i,-
through
the plan and do not need to worry about "part a" or "part b"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
benefits
d) Patients receive significant discounting on services contracted
i,- i,- i,- i,- i,- i,- i,- i,-
by the federal
i,- i,-
government i,-i,- i,- C
Once the EMTALA requirements are satisfied
i,- i,- i,- i,- i,-
a) Third-party payer info should be collected from the pt and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
payer
should be notified of the ED visiti,- i,- i,- i,- i,- i,-
b) An initial registration record is completed so that the proper
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
coding can be initiated i,- i,- i,-
c) The pt then assumes full liability for services unless a third-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
party payer is notified or
i,- i,- i,- i,-
the pt applies for financial assistance within the first 48 hours
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
d) The remaining registration processing is initiated either at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
bedside or In a i,- i,- i,-
registration area i,- i,-i,- i,- A
The soft cost of a dissatisfied customer is
i,- i,- i,- i,- i,- i,- i,-
