CRCR Certification questions and
answers well illustrated.
Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by correct answer. The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid correct
answer.
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations
should first and foremost correct answer. Respect the patients
privacy
A nightly room charge will be incorrect if the patient's correct answer.
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 correct answer.
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: correct answer. Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? correct answer. 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
correct answer. Patient bill of rights
The activity which results in the accurate recording of patient bed and level
of care assessment, patient transfer and patient discharge status on a real-
time basis is known as correct answer. Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? correct answer. 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 transactions to identify the employer of an individual described in a
transaction EIN's are assigned by correct answer. The Internal Revenue
Service
Checks received through mail, cash received through mail, and lock
box are all examples of correct answer. Control points for cash
posting
What are some core elements if a board-approved financial assistance
policy? correct answer. Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by correct answer. The
creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces
and the expansion of Medicaid in some states, it is more important than
ever for hospitals to correct answer. Assist patients in understanding
their insurance coverage and their financial obligation
The purpose of a financial report is to: correct answer. Present financial
information to decision makers
Patient financial communications best practices produce
communications that are correct answer. Consistent, clear and
transparent
Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations (NCD) that
establish correct answer. 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 (MAC). This
appeal may be filed with correct answer. The Provider Reimbursement
, Review Board
Concurrent review and discharge planning correct answer. Occurs during
service
answers well illustrated.
Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by correct answer. The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid correct
answer.
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations
should first and foremost correct answer. Respect the patients
privacy
A nightly room charge will be incorrect if the patient's correct answer.
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 correct answer.
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: correct answer. Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? correct answer. 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
correct answer. Patient bill of rights
The activity which results in the accurate recording of patient bed and level
of care assessment, patient transfer and patient discharge status on a real-
time basis is known as correct answer. Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? correct answer. 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 transactions to identify the employer of an individual described in a
transaction EIN's are assigned by correct answer. The Internal Revenue
Service
Checks received through mail, cash received through mail, and lock
box are all examples of correct answer. Control points for cash
posting
What are some core elements if a board-approved financial assistance
policy? correct answer. Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by correct answer. The
creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces
and the expansion of Medicaid in some states, it is more important than
ever for hospitals to correct answer. Assist patients in understanding
their insurance coverage and their financial obligation
The purpose of a financial report is to: correct answer. Present financial
information to decision makers
Patient financial communications best practices produce
communications that are correct answer. Consistent, clear and
transparent
Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations (NCD) that
establish correct answer. 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 (MAC). This
appeal may be filed with correct answer. The Provider Reimbursement
, Review Board
Concurrent review and discharge planning correct answer. Occurs during
service
