CRCR Exam Prep with correct answers 2025

CRCR Exam Prep with
correct answers 2025


WhatvdovCasevManagersvdo?v-
vvcorrectvanswersvMonitorvhighvresourcevcasesvtovensureveffectivevutilization




WhatvisvHIMvresponsiblevfor?v-
vvcorrectvanswersvallvptvmedicalvrecords:vtranscribe,vcoding,vreleasevtovbiling,vanswervrequestsvforv


documentation



Whatvisvutilizationvmanagementvresponsiblevfor?v-
vvcorrectvanswersvmanagevcases:vservicesvcorrect,vonvtime




Whatvarevthevthreevtypesvofvutilizationvreview?v-
vvcorrectvanswersvProspective,vConcurrent,vRetrospective




Wherevcanvhomevhealthvservicesvbevoffered?v-
vvcorrectvanswersvHome,vAssistvLiving,vneighbors:vjustvnotvSNFvnorvHospital

,Tovreceivev-Carevpayments,vwhatvmustvavSNFvhavevwhenvreceivingvavptvfromvavhosp?v-
vvcorrectvanswersvAvtransfervagreementvapprovedvbyv-Care.




Canvavhomevhealthvagencyvemployvanothervagencyvtovprovidevservices?v-
vvcorrectvanswersvYes,vsovlongvasvatvleastvonevemployeevofvthevoriginalvagencyvprovidesvcare.




WhatvisvthevNetvCollectionvRate?v-
vvcorrectvanswersvhowvmuchvcashvwasvcollectedvasvav%vofvavailablevtovcollect?




WhatvisvthevNetvCollectionvRatevbenchmark?v-vvcorrectvanswersv95%



Whatvisvthevbenchmarkvforvdenialsv-vvcorrectvanswersv<2%vonvfirstvsubmission



Formualvforvcostvtovcollectv-vvcorrectvanswersvtotalvPFSvexpenses/grossvptvcarevcollections



Whatvisvthevbenchmarkvforvcostvtovcollectv-vvcorrectvanswersv2.25%



Whatv%vofvthevUB-04vsourcevofvdatavisvfromvptvaccess?v-vvcorrectvanswersv40%



Whatv%vofvthevUB-04vsourcevofvdatavisvfromvservicevdepts?v-vvcorrectvanswersv11%



Whatv%vofvthevUB-04vsourcevofvdatavisvfromvHIM?v-vvcorrectvanswersv20%



Whatv%vofvthevUB-04vsourcevofvdatavisvfromvbilling?v-vvcorrectvanswersv20%



Whatv%vofvthevUB-04vsourcevofvdatavisvnotvused?v-vvcorrectvanswersv9%

, Whatv%vofvthevCMSv1500vsourcevofvdatavisvfromvptvaccess?v-vvcorrectvanswersv53%



Whatv%vofvthevCMSv1500vsourcevofvdatavisvfromvservice?v-vvcorrectvanswersv14%



Whatv%vofvthevCMSv1500vsourcevofvdatavisvfromvHIMv-vvcorrectvanswersv7%



Whatv%vofvthevCMSv1500vsourcevofvdatavisvfromvbilling?v-vvcorrectvanswersv26%



FromvwhomvisvthevUB-04vdirected?v-vvcorrectvanswersvinstitutional:vhospitals,vSNF,vhospice



FromvwhomvisvthevCMSv1500?v-vvcorrectvanswersvnon-institutional:vphysicians,vDME



InvthevFDCA,vwhatvisvTitlevIv-vvcorrectvanswersvTruthvinvLendingvAct



WhatvisvthevTruthvinvLendingvActv-
vvcorrectvanswersv5vpointsvmustvbevtriggeredv(suchvasvinterestvwillvbevcharged),vthenvmustvdisclosev


APR,vtotalvpayments,vlatevpaymentvcharges,vetc.



WhatvarevthevpenaltiesvforvviolatingvthevFDCA?v-vvcorrectvanswersvcreditorsvcanvbevsued



WhovenforcesvthevFDCAvforvhospitals?v-vvcorrectvanswersvFTC



InvthevFDCA,vwhatvisvTitlevIIIv-vvcorrectvanswersvlimitsvgarnishments



InvthevFDCA,vwhatvisvTitlevIVv-vvcorrectvanswersvFairvCreditvReportingvAct