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CRCR Exam Questions and Answers 100%
Pass
Which of the following statements are true of HFMA's Patient Financial Communications Best
Practices? - ANS The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsibility for balances
after insurance, if any.
The patient experience includes all of the following except: - ANS Recognition that revenue
cycle processes must be patient-centric and efficient. This is especially true in the areas of
scheduling, registration, admitting, financial counseling and account resolution conversation
with patients.
Corporate compliance programs play an important role in protecting the integrity of operations
and ensuring compliance with federal and state requirements. The code of conduct is: -
ANS A critical tool to ensure compliance, essential and integral component, fosters an
environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have always been
liable for payment? - ANS Black lung service programs, veteran affairs program, working
aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics violations.
Examples include: - ANS financial misconduct, theft of property, applying policies in
inconsistent manner (all of the above)
, ©THESTAR 2025 ALL RIGHTS RESERVED
What is the intended outcome of collaborations made through an ACO delivery system for a
population of patients? - ANS To eliminate duplicate services, prevent medical errors and
ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service revenues?
- ANS explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production and submission
of claims to third party payers and patients (self-pay)? - ANS Elapsed days from discharge to
final bill and elapsed days from final bill to claim/bill submission
What happens during the post-service stage? - ANS Final coding of all services, preparation
and submission of claims, payment processing and balance billing and resolution.
The following statements describe best practices established by the Medicaid Debt Task Force.
Select true statements. - ANS educate patients, coordinate to avoid duplicate patient
contacts, be consistent in key aspects of account resolution, follow best practices for
communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle initiative? -
ANS Process Compliance
What is the objective of the HCAHPS initiative? - ANS To provide a standardized method for
evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue cycle? -
ANS Assisted Living Services
Which option is NOT a continuum of care provider? - ANS Health Plan Contracting
CRCR Exam Questions and Answers 100%
Pass
Which of the following statements are true of HFMA's Patient Financial Communications Best
Practices? - ANS The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsibility for balances
after insurance, if any.
The patient experience includes all of the following except: - ANS Recognition that revenue
cycle processes must be patient-centric and efficient. This is especially true in the areas of
scheduling, registration, admitting, financial counseling and account resolution conversation
with patients.
Corporate compliance programs play an important role in protecting the integrity of operations
and ensuring compliance with federal and state requirements. The code of conduct is: -
ANS A critical tool to ensure compliance, essential and integral component, fosters an
environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have always been
liable for payment? - ANS Black lung service programs, veteran affairs program, working
aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics violations.
Examples include: - ANS financial misconduct, theft of property, applying policies in
inconsistent manner (all of the above)
, ©THESTAR 2025 ALL RIGHTS RESERVED
What is the intended outcome of collaborations made through an ACO delivery system for a
population of patients? - ANS To eliminate duplicate services, prevent medical errors and
ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service revenues?
- ANS explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production and submission
of claims to third party payers and patients (self-pay)? - ANS Elapsed days from discharge to
final bill and elapsed days from final bill to claim/bill submission
What happens during the post-service stage? - ANS Final coding of all services, preparation
and submission of claims, payment processing and balance billing and resolution.
The following statements describe best practices established by the Medicaid Debt Task Force.
Select true statements. - ANS educate patients, coordinate to avoid duplicate patient
contacts, be consistent in key aspects of account resolution, follow best practices for
communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle initiative? -
ANS Process Compliance
What is the objective of the HCAHPS initiative? - ANS To provide a standardized method for
evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue cycle? -
ANS Assisted Living Services
Which option is NOT a continuum of care provider? - ANS Health Plan Contracting
