CRCR TEST EVALUATION ANSWERS AND
QUESTIONS SET A+
✔✔Unless the patient encounter is an emergency, it is more efficient and effective to -
✔✔Collect all information after the patient has been discharged
✔✔Applying the contracted payment amount to the amount of total charges yields -
✔✔A pricing agreement
✔✔"Hard-coded" is the term used to refer to - ✔✔Codes for services, procedures, and
drugs automatically assigned by the charge master
✔✔The advantages to using a third-party collection agency include all of the following
EXCEPT - ✔✔Providers pay pennies on each dollar collected
✔✔Which of the following is usually covered on a Conditions of Admission form -
✔✔Release of information
✔✔The 501(r) regulations require not-for-profit providers (501(c)(3) organizations) to do
which of the following activities. - ✔✔Complete a community needs assessment and
develop a discount program for patient balances after insurance payment
✔✔To be eligible for Medicaid, an individual must - ✔✔meet income and asset
requirements
✔✔Eliminating mail time and reducing data entry time, electronically monitoring the
receipt of claims and online claim adjudication, more prompt payment are all benefits
achieved by - ✔✔The electronic submission of claims using electronic transfers
✔✔There are unique billing requirements based on - ✔✔The provider type
✔✔The unscheduled "direct" admission represents a patient who: - ✔✔Is admitted from
a physician's office on an urgent basis
,✔✔In resolving medical accounts, a law firm may be used as: - ✔✔A substitute for a
collection agency
✔✔The legal authority to request and analyze provider claim documentation to ensure
that - ✔✔The Office of the U.S. Inspector General (OIG)
✔✔The office of inspector general (OIG) publishes a compliance work plan -
✔✔Annually
✔✔Room and bed charges are typically posted - ✔✔From the midnight census
✔✔All of the following information should be reviewed as part of schedule finalization
EXCEPT: - ✔✔The results of any and all test
✔✔Revenue cycle activities occurring at the point-of-service include all of the following
EXCEPT: - ✔✔Providing charges to the third-party payer as they are incurred
✔✔HFMA's patient financial communications best practices specify that pts should be
told about the - ✔✔The service providers that typically participate in the service, e.g.
radiologists ,pathologists, etc.
✔✔The core financial activities resolved within patient access include: - ✔✔Scheduling,
pre-registration, insurance verification and managed care processing
✔✔A decision on whether a patient should be admitted as an inpatient or become about
patient observation patient requires medical judgments based on all of the following
EXCEPT - ✔✔The patient's home care coverage
✔✔Which option is a benefit of pre-registering a patient for services - ✔✔The patient
arrival process is expedited, reducing wait times and delays
✔✔Days in A/R is calculated based on the value of - ✔✔The total accounts receivable
on a specific date
✔✔Case Management requires that a case manager be assigned - ✔✔To a select
patient group
✔✔Which of the following is required for participation in Medicaid? - ✔✔Meet income
and assets requirements
✔✔All of the following are steps in safeguarding collections EXCEPT - ✔✔Issuing
receipts
, ✔✔The Electronic Remittance Advice (ERA) data set is : - ✔✔A standardized form that
provides third party payment details to providers
✔✔All of the following are conditions that disqualify a procedure or service from being
paid for by Medicare EXCEPT - ✔✔Services and procedures that are custodial in nature
✔✔Medicare beneficiaries remain in the same "benefit period" - ✔✔Until the beneficiary
is "hospitalization and/or skilled nursing facility-free" for 60 consecutive days
✔✔It is important to calculate reserves to ensure - ✔✔Stable financial operations and
accurate financial reporting
✔✔A claim is denied for the following reasons, EXCEPT: - ✔✔The submitted claim does
not have the physicians signature
✔✔HFMA best practices call for patient financial discussions to be reinforced - ✔✔By
changing policies to programs
✔✔Patients should be informed that costs presented in a price estimate may - ✔✔Vary
from estimates, depending on the actual services performed
✔✔The nuanced data resulting from detailed ICD-10 coding allows senior leadership to
work with physicians to do all of the following EXCEPT: - ✔✔Obtain higher
compensation for physicians
✔✔Charges as the most appropriate measurement of utilization enables - ✔✔Accuracy
of expense and cost capture
✔✔Once the EMTALA requirements are satisfied - ✔✔The remaining registration
processing is initiated at the bedside or in a registration area
✔✔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: - ✔✔Support
that choice, providing that the discussion does not interfere with patient care or disrupt
patient flow
✔✔In Chapter 7 straight bankruptcy filling - ✔✔The court liquidates the debtor's
nonexempt property, pays creditors, and discharges the debtor from the debt
✔✔Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding - ✔✔That
reorganizes a debtor's holdings and instructs creditors to look to the debtors' future
earnings for payment
QUESTIONS SET A+
✔✔Unless the patient encounter is an emergency, it is more efficient and effective to -
✔✔Collect all information after the patient has been discharged
✔✔Applying the contracted payment amount to the amount of total charges yields -
✔✔A pricing agreement
✔✔"Hard-coded" is the term used to refer to - ✔✔Codes for services, procedures, and
drugs automatically assigned by the charge master
✔✔The advantages to using a third-party collection agency include all of the following
EXCEPT - ✔✔Providers pay pennies on each dollar collected
✔✔Which of the following is usually covered on a Conditions of Admission form -
✔✔Release of information
✔✔The 501(r) regulations require not-for-profit providers (501(c)(3) organizations) to do
which of the following activities. - ✔✔Complete a community needs assessment and
develop a discount program for patient balances after insurance payment
✔✔To be eligible for Medicaid, an individual must - ✔✔meet income and asset
requirements
✔✔Eliminating mail time and reducing data entry time, electronically monitoring the
receipt of claims and online claim adjudication, more prompt payment are all benefits
achieved by - ✔✔The electronic submission of claims using electronic transfers
✔✔There are unique billing requirements based on - ✔✔The provider type
✔✔The unscheduled "direct" admission represents a patient who: - ✔✔Is admitted from
a physician's office on an urgent basis
,✔✔In resolving medical accounts, a law firm may be used as: - ✔✔A substitute for a
collection agency
✔✔The legal authority to request and analyze provider claim documentation to ensure
that - ✔✔The Office of the U.S. Inspector General (OIG)
✔✔The office of inspector general (OIG) publishes a compliance work plan -
✔✔Annually
✔✔Room and bed charges are typically posted - ✔✔From the midnight census
✔✔All of the following information should be reviewed as part of schedule finalization
EXCEPT: - ✔✔The results of any and all test
✔✔Revenue cycle activities occurring at the point-of-service include all of the following
EXCEPT: - ✔✔Providing charges to the third-party payer as they are incurred
✔✔HFMA's patient financial communications best practices specify that pts should be
told about the - ✔✔The service providers that typically participate in the service, e.g.
radiologists ,pathologists, etc.
✔✔The core financial activities resolved within patient access include: - ✔✔Scheduling,
pre-registration, insurance verification and managed care processing
✔✔A decision on whether a patient should be admitted as an inpatient or become about
patient observation patient requires medical judgments based on all of the following
EXCEPT - ✔✔The patient's home care coverage
✔✔Which option is a benefit of pre-registering a patient for services - ✔✔The patient
arrival process is expedited, reducing wait times and delays
✔✔Days in A/R is calculated based on the value of - ✔✔The total accounts receivable
on a specific date
✔✔Case Management requires that a case manager be assigned - ✔✔To a select
patient group
✔✔Which of the following is required for participation in Medicaid? - ✔✔Meet income
and assets requirements
✔✔All of the following are steps in safeguarding collections EXCEPT - ✔✔Issuing
receipts
, ✔✔The Electronic Remittance Advice (ERA) data set is : - ✔✔A standardized form that
provides third party payment details to providers
✔✔All of the following are conditions that disqualify a procedure or service from being
paid for by Medicare EXCEPT - ✔✔Services and procedures that are custodial in nature
✔✔Medicare beneficiaries remain in the same "benefit period" - ✔✔Until the beneficiary
is "hospitalization and/or skilled nursing facility-free" for 60 consecutive days
✔✔It is important to calculate reserves to ensure - ✔✔Stable financial operations and
accurate financial reporting
✔✔A claim is denied for the following reasons, EXCEPT: - ✔✔The submitted claim does
not have the physicians signature
✔✔HFMA best practices call for patient financial discussions to be reinforced - ✔✔By
changing policies to programs
✔✔Patients should be informed that costs presented in a price estimate may - ✔✔Vary
from estimates, depending on the actual services performed
✔✔The nuanced data resulting from detailed ICD-10 coding allows senior leadership to
work with physicians to do all of the following EXCEPT: - ✔✔Obtain higher
compensation for physicians
✔✔Charges as the most appropriate measurement of utilization enables - ✔✔Accuracy
of expense and cost capture
✔✔Once the EMTALA requirements are satisfied - ✔✔The remaining registration
processing is initiated at the bedside or in a registration area
✔✔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: - ✔✔Support
that choice, providing that the discussion does not interfere with patient care or disrupt
patient flow
✔✔In Chapter 7 straight bankruptcy filling - ✔✔The court liquidates the debtor's
nonexempt property, pays creditors, and discharges the debtor from the debt
✔✔Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding - ✔✔That
reorganizes a debtor's holdings and instructs creditors to look to the debtors' future
earnings for payment
