CRCR LATEST COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔The nightly room charge will be incorrect if the patient's - ✔✔Transfer from ICU to
the Medical/Surgical floor is not reflected in the registration system.
✔✔The soft cost of a dissatisfied customer is - ✔✔The customer passing on info about
their negative experience to potential pts or through social media channels
✔✔An advantage of a pre-registration program is - ✔✔The opportunity to reduce the
corporate compliance failures within the registration process
✔✔It is important to have high registration quality standards because - ✔✔Inaccurate or
incomplete patient data will delay payment or cause denials
✔✔Telemed seeks to improve a patient's health by - ✔✔Permitting 2-way real time
interactive communication between the patient and the clinical professional
✔✔Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as a - ✔✔HMO
✔✔Identifying the patient, in the MPI, creating the registration record, completing
medical necessity screening, determining insurance eligibility and benefits resolving
managed care, requirements and completing financial education/resolution are all -
✔✔The data collection steps for scheduling and pre-registering a patient
✔✔Medicare Part B has an annual deductible, and the beneficiary is responsible for -
✔✔A co-insurance payment for all Part B covered services
✔✔The standard claim form used for billing by hospitals, nursing facilities, and other
inpatient - ✔✔UB-04
,✔✔Charges are the basis for - ✔✔Separation of fiscal responsibilities between the
patient and the health plan
✔✔All of the following are forms of hospital payment contracting EXCEPT -
✔✔Contracted Rebating
✔✔The most common resolution methods for credit balances include all of the following
EXCEPT: - ✔✔Designate the overpayment for charity care
✔✔Ambulance services are billed directly to the health plan for - ✔✔The portion of the
bill outside of the patient's self-pay
✔✔A claim for reimbursement submitted to a third-party payer that has all the
information and documentation required for the payer to make a decision on it is known
as - ✔✔A clean claim
✔✔The healthcare industry is vulnerable to compliance issues, in large part due to the
complexity of the statutes and regulations pertaining to - ✔✔Medicare and Medicaid
payments
✔✔The Correct Coding Initiative Program consists of - ✔✔Edits that are implemented
within providers' claim processing systems
✔✔To provide a patient with information that is meaningful to them, all of the following
factors must be included EXCEPT - ✔✔The actual physician reimbursement
✔✔Which department supports/collaborates with the revenue cycle? - ✔✔Information
Technology
✔✔Medicare Part B has an annual deductible and the beneficiary is responsible for -
✔✔a co-insurance payment for all Part B covered services
✔✔The two types of claims denial appeals are - ✔✔Beneficiary and Provider
✔✔Which of the following is a violation of the EMTALA (Emergency Medical Treatment
and Labor Act?) - ✔✔Registration staff members routinely contact managed care plans
for prior authorizations before the patient is seen by the on duty physician
✔✔Rural Health Clinics (RHC) personnel can provide services in all of the following
locations, EXCEPT - ✔✔Providing inpatient services in the RHC
✔✔The patient discharge process begins when - ✔✔The physician writes the discharge
order
, ✔✔Departments that need to be included in charge master maintenance include all of
the following EXCEPT - ✔✔Quality Assurance
✔✔The first thing a health plan does when processing a claim is - ✔✔Check if the
patient is a health plan beneficiary and what is the coverage
✔✔Vital to accurate calculations of a patient's self-pay amount is - ✔✔
✔✔The most accurate way to validate patient information is to - ✔✔require clinical staff
to verify information at each treatment encounter
✔✔In order for Regulation Z to apply, a hospital must - ✔✔
✔✔All of the following are minimum requirements for new patients with no MPI number
EXCEPT - ✔✔Address
✔✔A typical routine patient financial discussion would include - ✔✔Explaining the
benefits identified through verifying the patients insurance
✔✔Components of financial education include informing the patient of the hospital's
financial policies, assessing the patient's ability to pay and - ✔✔Reviewing payment
alternatives with the patient so appropriate resolution of the health care financial
obligation is achieved
✔✔HFMA best practices indicate that the technology evaluation is conducted to -
✔✔Continually align technology with processes rather than technology dictating
processes
✔✔Scheduler instructions are used to prompt the scheduler to - ✔✔Complete the
scheduling process correctly based on service requested
✔✔When billing Rural Health Clinic services on a UB-04/837-I, specific CPT codes are
collapsed into a single revenue code (520 or 521). Although codes are collapsed into a
single revenue code, it is still important to list the appropriate CPT codes as part -
✔✔These codes will be used to determine medical necessity and useful in determining
what happened during the encounter
✔✔What is likely to occur if credit balances are not identified separately from debit
balances in accounts receivable? - ✔✔The accounts receivable level would be
understated
QUESTIONS SET A+
✔✔The nightly room charge will be incorrect if the patient's - ✔✔Transfer from ICU to
the Medical/Surgical floor is not reflected in the registration system.
✔✔The soft cost of a dissatisfied customer is - ✔✔The customer passing on info about
their negative experience to potential pts or through social media channels
✔✔An advantage of a pre-registration program is - ✔✔The opportunity to reduce the
corporate compliance failures within the registration process
✔✔It is important to have high registration quality standards because - ✔✔Inaccurate or
incomplete patient data will delay payment or cause denials
✔✔Telemed seeks to improve a patient's health by - ✔✔Permitting 2-way real time
interactive communication between the patient and the clinical professional
✔✔Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as a - ✔✔HMO
✔✔Identifying the patient, in the MPI, creating the registration record, completing
medical necessity screening, determining insurance eligibility and benefits resolving
managed care, requirements and completing financial education/resolution are all -
✔✔The data collection steps for scheduling and pre-registering a patient
✔✔Medicare Part B has an annual deductible, and the beneficiary is responsible for -
✔✔A co-insurance payment for all Part B covered services
✔✔The standard claim form used for billing by hospitals, nursing facilities, and other
inpatient - ✔✔UB-04
,✔✔Charges are the basis for - ✔✔Separation of fiscal responsibilities between the
patient and the health plan
✔✔All of the following are forms of hospital payment contracting EXCEPT -
✔✔Contracted Rebating
✔✔The most common resolution methods for credit balances include all of the following
EXCEPT: - ✔✔Designate the overpayment for charity care
✔✔Ambulance services are billed directly to the health plan for - ✔✔The portion of the
bill outside of the patient's self-pay
✔✔A claim for reimbursement submitted to a third-party payer that has all the
information and documentation required for the payer to make a decision on it is known
as - ✔✔A clean claim
✔✔The healthcare industry is vulnerable to compliance issues, in large part due to the
complexity of the statutes and regulations pertaining to - ✔✔Medicare and Medicaid
payments
✔✔The Correct Coding Initiative Program consists of - ✔✔Edits that are implemented
within providers' claim processing systems
✔✔To provide a patient with information that is meaningful to them, all of the following
factors must be included EXCEPT - ✔✔The actual physician reimbursement
✔✔Which department supports/collaborates with the revenue cycle? - ✔✔Information
Technology
✔✔Medicare Part B has an annual deductible and the beneficiary is responsible for -
✔✔a co-insurance payment for all Part B covered services
✔✔The two types of claims denial appeals are - ✔✔Beneficiary and Provider
✔✔Which of the following is a violation of the EMTALA (Emergency Medical Treatment
and Labor Act?) - ✔✔Registration staff members routinely contact managed care plans
for prior authorizations before the patient is seen by the on duty physician
✔✔Rural Health Clinics (RHC) personnel can provide services in all of the following
locations, EXCEPT - ✔✔Providing inpatient services in the RHC
✔✔The patient discharge process begins when - ✔✔The physician writes the discharge
order
, ✔✔Departments that need to be included in charge master maintenance include all of
the following EXCEPT - ✔✔Quality Assurance
✔✔The first thing a health plan does when processing a claim is - ✔✔Check if the
patient is a health plan beneficiary and what is the coverage
✔✔Vital to accurate calculations of a patient's self-pay amount is - ✔✔
✔✔The most accurate way to validate patient information is to - ✔✔require clinical staff
to verify information at each treatment encounter
✔✔In order for Regulation Z to apply, a hospital must - ✔✔
✔✔All of the following are minimum requirements for new patients with no MPI number
EXCEPT - ✔✔Address
✔✔A typical routine patient financial discussion would include - ✔✔Explaining the
benefits identified through verifying the patients insurance
✔✔Components of financial education include informing the patient of the hospital's
financial policies, assessing the patient's ability to pay and - ✔✔Reviewing payment
alternatives with the patient so appropriate resolution of the health care financial
obligation is achieved
✔✔HFMA best practices indicate that the technology evaluation is conducted to -
✔✔Continually align technology with processes rather than technology dictating
processes
✔✔Scheduler instructions are used to prompt the scheduler to - ✔✔Complete the
scheduling process correctly based on service requested
✔✔When billing Rural Health Clinic services on a UB-04/837-I, specific CPT codes are
collapsed into a single revenue code (520 or 521). Although codes are collapsed into a
single revenue code, it is still important to list the appropriate CPT codes as part -
✔✔These codes will be used to determine medical necessity and useful in determining
what happened during the encounter
✔✔What is likely to occur if credit balances are not identified separately from debit
balances in accounts receivable? - ✔✔The accounts receivable level would be
understated
