Crcr Practice Questions & Correct Verified Answers || Graded A+ | Latest Update

CRCR PRACTICE QUESTIONS & CORRECT VERIFIED
ANSWERS || GRADED A+ | LATEST UPDATE



1. The 501(r) regulations require not-for-profit providers 501(c) (3) to do which
of the following activities?

A. Complete a community needs assessment and develop a discount program
for patient balances after insurance payment.

B. Pursue extraordinary collection activities with all patients eligible for finan-
cial assistance.

C. Implement a financial assistance program for uninsured and underinsured
patients.

D. Discount all charges to self-pay patients to an amount generally billed to
all other patients ANS >> A. Complete a community needs assessment and
develop a discount program for patient balances after insurance payment

2. The accurate capture of charges remains critically important because:

A. Of the potential of fraud and abuse charges from erroneous billing.

B. Charges remain one of the few consistent indicators available to monitor
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,resource use.

C. Charges are means of measuring physician productivity.

D. Charges provide the data used in activity based costing ANS >> B. Charges
remain one of the few consistent indicators available to monitor resource use

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

A. Invest in treatment protocols that reduce costs to Medicare

B. Attract physicians to participate in the ACO payment system.

C. Raise quality ratings in designated hospitals.

D. Encourage new ACOs to form in rural and underserved areas ANS >> D.
Encourage new ACOs to form in rural and underserved areas

4. Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best practice is
to:

A. Have a patient financial responsibilities kit ready for the patient, containing
all of the required registration forms and instructions.

B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.

C. Support that choice, providing that the discussion does not interfere with
patient care or disrupt patient flow.

D. Decline such request as finance discussions can disrupt patient care and
patient flow ANS >> C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow

5. Activities completed when the scheduled, pre-registered patient arrives for
service includes:

A. Verifying insurance, activating the record and directing the patient to the
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,service area. B




B. Scanning the driver's license or other phot identification and directing
B B B B B B B B B


the patient to the financial counselor.
B B B B B B




C. Activating the record, obtaining signatures and finalizing financial issues.
B B B B B B B B




D. Registering the patient and directing the patient to the service area
B B B B B B B B B B


ANS >> C. Activating the record, obtaining signatures and
B B BB B B B B B B




6. The activity which results in the accurate recording of patient bed and
B B B B B B B B B B B


level of care assessment, patient transfer and patient discharge status on
B B B B B B B B B B B


a real-time basis is known as:
B B B B B B




A. Utilization review B




B. Case Management B




C. Census Management B




D. Patient through-put: A. Utilization review
B B B B


or
B




B. Case Management
B B




7. An advantage of a pre-registration program is:
B B B B B B




A. The markets value of such a program
B B B B B B




B. The ability to eliminate no-show appointments.
B B B B B




C. The opportunity to reduce processing times at the time of service.
B B B B B B B B B B




D. The opportunity to reduce corporate compliance failures within the registra-
B B B B B B B B B


tion process ANS >> C. The opportunity to reduce processing times at the time of
B B B B BB B B B B B B B B B B


service.
B




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, 8. The Affordable Care Act legislated the development of Health Insurance
B B B B B B B B B


Exchanges, where individuals and small businesses can:
B B B B B B B




A. Obtain price estimates for medical services
B B B B B




B. Negotiate the price of medical services with providers
B B B B B B B




C. Purchase qualified health benefit plans regardless of insured's health
B B B B B B B B


status
B




D. Meet federal mandates for insurance coverage and obtain the correspond-
B B B B B B B B B


ing tax deduction: C. Purchase qualified health benefit plans regardless of in-
B B B B B B B B B B B B


sured's health status.
B B B




9. All of the following are conditions that disqualify a procedure or
B B B B B B B B B B


service from being paid for by Medicare EXCEPT:
B B B B B B B B




A. Offered in an outpatient setting B B B B




B. Medically unnecessary B




C. Not delivered in a Medicare licensed care setting.
B B B B B B B




D. Services and procedures that are custodial in nature: C. Not delivered in a
B B B B B B B B B B B B


Medicare licensed care setting
B B B B




10. All of the following are reference resources used to help guide in
B B B B B B B B B B B


the application for business ethics EXCEPT:
B B B B B B




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