CRCR Certification Final Quiz ( Updated 2025)
Complete Questions & Answers (Solved) 100%
Correct
The disadvantages of outsourcing include all of the following
EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts receivable
services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on outsourced
staff - ✔✔ANSWER ✔✔-d) Reduced internal staffing costs and a
reliance on outsourced staff
The Medicare fee-for service appeal process for both
beneficiaries and providers
,includes all of the following levels EXCEPT:
a) Medical necessity review by an independent physician's
panel
b) Judicial review by a federal district court
c) Redetermination by the company that handles claims for
Medicare
d) Review by the Medicare Appeals Council (Appeals Council) -
✔✔ANSWER ✔✔-b) Judicial review by a federal district court
Business ethics, or organizational ethics represent:
a) The principles and standards by which organizations operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct - ✔✔ANSWER ✔✔-a) The
principles and standards by which organizations operate
A portion of the accounts receivable inventory which has NOT
qualified for billing
includes:
a) Charitable pledges
b) Accounts created during pre-registration but not activated
,c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency - ✔✔ANSWER
✔✔-a) Charitable pledges
Local Coverage Determinations (LCD) and National Coverage
Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are reimbursable
d) What Medicare reimburses and what should be referred to
Medicaid - ✔✔ANSWER ✔✔-c) Which diagnoses, signs, or
symptoms are reimbursable
Days in A/R is calculated based on the value of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date - ✔✔ANSWER ✔✔-c) The time it
takes to collect anticipated revenue
, Patients are contacting hospitals to proactively inquire about
costs and fees prior to
agreeing to service. The problem for hospitals in providing such
information is:
a) That hospitals don't want to establish a price without
knowing if
the patient has insurance and how much reimbursement can be
expected
b) The fact that charge master lists the total charge, not net
charges
that reflect charges after a payer's contractual adjustment
c) That hospitals don't want to be put in the position of
"guaranteeing" price without having room for additional
charges
that may arise in the course of treatment
d) Their reluctance to share proprietary information -
✔✔ANSWER ✔✔-b) The fact that charge master lists the total
charge, not net charges
that reflect charges after a payer's contractual adjustment
Across all care settings, if a patient consents to a financial
discussion during a medical
Complete Questions & Answers (Solved) 100%
Correct
The disadvantages of outsourcing include all of the following
EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts receivable
services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on outsourced
staff - ✔✔ANSWER ✔✔-d) Reduced internal staffing costs and a
reliance on outsourced staff
The Medicare fee-for service appeal process for both
beneficiaries and providers
,includes all of the following levels EXCEPT:
a) Medical necessity review by an independent physician's
panel
b) Judicial review by a federal district court
c) Redetermination by the company that handles claims for
Medicare
d) Review by the Medicare Appeals Council (Appeals Council) -
✔✔ANSWER ✔✔-b) Judicial review by a federal district court
Business ethics, or organizational ethics represent:
a) The principles and standards by which organizations operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct - ✔✔ANSWER ✔✔-a) The
principles and standards by which organizations operate
A portion of the accounts receivable inventory which has NOT
qualified for billing
includes:
a) Charitable pledges
b) Accounts created during pre-registration but not activated
,c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency - ✔✔ANSWER
✔✔-a) Charitable pledges
Local Coverage Determinations (LCD) and National Coverage
Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are reimbursable
d) What Medicare reimburses and what should be referred to
Medicaid - ✔✔ANSWER ✔✔-c) Which diagnoses, signs, or
symptoms are reimbursable
Days in A/R is calculated based on the value of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date - ✔✔ANSWER ✔✔-c) The time it
takes to collect anticipated revenue
, Patients are contacting hospitals to proactively inquire about
costs and fees prior to
agreeing to service. The problem for hospitals in providing such
information is:
a) That hospitals don't want to establish a price without
knowing if
the patient has insurance and how much reimbursement can be
expected
b) The fact that charge master lists the total charge, not net
charges
that reflect charges after a payer's contractual adjustment
c) That hospitals don't want to be put in the position of
"guaranteeing" price without having room for additional
charges
that may arise in the course of treatment
d) Their reluctance to share proprietary information -
✔✔ANSWER ✔✔-b) The fact that charge master lists the total
charge, not net charges
that reflect charges after a payer's contractual adjustment
Across all care settings, if a patient consents to a financial
discussion during a medical
