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Exam (elaborations)

CRCR Certification Exam – Latest Questions with Correct Verified Answers (2024/2025, Graded A+)

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This document provides the latest CRCR (Certified Revenue Cycle Representative) Certification Exam questions with fully verified correct answers. It covers essential topics including Medicare and Medicaid regulations, EMTALA compliance, HIPAA, revenue cycle management, financial assistance policies, billing and coding, claim denials and appeals, patient financial communications, and healthcare compliance standards. Designed as a complete exam prep resource, it ensures accuracy, compliance knowledge, and readiness for success on the CRCR exam

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Written for

Institution
CRCR Certification
Course
CRCR Certification

Document information

Uploaded on
August 26, 2025
Number of pages
38
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • crcr certification

Content preview

1
CRCR Cert




CRCR Certification Exam

Questions with Correct Verified

answers Latest Update

(2024/2025) Guaranteed Pass

graded a+

Overall aggregate payments made to a hospice are subject to a

computed "cap amount" calculated by - ANS>>>> ✔The Medicare

Administrative Contractor (MAC) at the end of the hospice cap period




Which of the following is required for participation in Medicaid -

ANS>> ✔Meet Income and Assets Requirements




In choosing a setting for patient financial discussions, organizations

should first and foremost - ANS>> ✔Respect the patients privacy




CRCR Certification

, 2
CRCR Cert

A nightly room charge will be incorrect if the patient's - ANS>>

✔Transfer from ICU (intensive care unit) to the Medical/Surgical

floor is not reflected in the registration system




The Affordable Care Act legislated the development of Health

Insurance Exchanges, where individuals and small businesses can -

ANS>> ✔Purchase qualified health benefit plans regardless of insured's

health status




A portion of the accounts receivable inventory which has NOT

qualified for billing includes: - ANS>> ✔Charitable pledges




What is required for the UB-04/837-I, used by Rural Health Clinics to

generate payment from Medicare? - ANS>> ✔Revenue codes




This directive was developed to promote and ensure healthcare

quality and value and also to protect consumers and workers in the

healthcare system. This directive is called - ANS>> ✔Patient bill of

rights




CRCR Certification

, 3
CRCR Cert

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

level of care assessment, patient trANS>>fer and patient discharge

status on a real-time basis is known as - ANS>> ✔Case management




Which statement is an EMTALA (Emergency Medical Treatment and

Active Labour Act) violation? - ANS>> ✔Registration staff may

routinely contact managed are plANS>> for prior authorizations before

the patient is seen by the on-duty physician




HIPAA had adopted Employer Identification Numbers (EIN) to be

used in standard trANS>>actions to identify the employer of an

individual described in a trANS>>action EIN's are

assigned by - ANS>> ✔The Internal Revenue Service




Checks received through mail, cash received through mail, and lock

box are all examples of - ANS>> ✔Control points for cash posting




What are some core elements if a board-approved financial assistance

policy? - ANS>> ✔Eligibility, application process, and non-payment

collection activities




CRCR Certification

, 4
CRCR Cert

A recurring/series registration is characterized by - ANS>> ✔The

creation of one registration record for multiple days of service




With the advent of the Affordable Care Act Health Insurance

Marketplaces and the expANS>>ion of Medicaid in some states, it is

more important than ever for hospitals to - ANS>> ✔Assist patients in

understanding their insurance coverage and their financial obligation




The purpose of a financial report is to: - ANS>> ✔Present financial

information to decision makers




Patient financial communications best practices produce

communications that are - ANS>> ✔Consistent, clear and

trANS>>parent




Medicare has established guidelines called the Local Coverage

Determinations (LCD) and National Coverage Determinations (NCD)

that establish - ANS>> ✔What services or healthcare items are covered

under Medicare




Any provider that has filed a timely cost report may appeal an adverse

final decision received from the Medicare Administrative Contractor

CRCR Certification
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