CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
In what situation(s) should a provider NOT use a modifier? -
correct answer ✅- CPT already indicates 2-4 lesions
- CPT indicates multiple extremities
What are other names for Three-Day Payment Window? -
correct answer ✅ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or
24-hour rule
What happens during the post-service stage? -
correct answer ✅Final coding, preparation and submission of
claims, payment processing, balance billing and resolution.
What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
,CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
- Follow best practices for communication -
correct answer ✅Best practices created by the Medical Debt Task
Force
Which option is NOT a main HFMA Healthcare Dollars & Sense®
revenue cycle initiative? -
correct answer ✅Process Compliance
Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility -
correct answer ✅B. Health Plan Contracting
What is "implied certification"? -
correct answer ✅When it is implied that a provider met all
compliance standards before submitting a claim
,CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
Which of the following are essential elements of an effective
compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing
Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from
participation in a federal healthcare program.
E. Reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines. -
correct answer ✅A. Established compliance standards and
procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines.
, CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
When was Health Information Technology for Economic and Clinical
Health (HITECH) Act signed into law? -
correct answer ✅FEB 17, 2009
When did HITECH Act become effective? -
correct answer ✅2013
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year.
Identify which option is NOT a work plan task mentioned in this
course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and
Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier -
correct answer ✅D. Standard Unique Employer Identifier
What Plan are the tasks below a part of?
Representative - Materials from HFMA
Exam Questions And Answers
In what situation(s) should a provider NOT use a modifier? -
correct answer ✅- CPT already indicates 2-4 lesions
- CPT indicates multiple extremities
What are other names for Three-Day Payment Window? -
correct answer ✅ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or
24-hour rule
What happens during the post-service stage? -
correct answer ✅Final coding, preparation and submission of
claims, payment processing, balance billing and resolution.
What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
,CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
- Follow best practices for communication -
correct answer ✅Best practices created by the Medical Debt Task
Force
Which option is NOT a main HFMA Healthcare Dollars & Sense®
revenue cycle initiative? -
correct answer ✅Process Compliance
Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility -
correct answer ✅B. Health Plan Contracting
What is "implied certification"? -
correct answer ✅When it is implied that a provider met all
compliance standards before submitting a claim
,CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
Which of the following are essential elements of an effective
compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing
Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from
participation in a federal healthcare program.
E. Reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines. -
correct answer ✅A. Established compliance standards and
procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines.
, CRCR Exam Prep, Certified Revenue Cycle
Representative - Materials from HFMA
Exam Questions And Answers
When was Health Information Technology for Economic and Clinical
Health (HITECH) Act signed into law? -
correct answer ✅FEB 17, 2009
When did HITECH Act become effective? -
correct answer ✅2013
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year.
Identify which option is NOT a work plan task mentioned in this
course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and
Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier -
correct answer ✅D. Standard Unique Employer Identifier
What Plan are the tasks below a part of?
