CRCR CERTIFICATION HFMA EXAM TEST
Questions and Answers
1. Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by: The Medicare Administrative Contractor (MAC) at
the end of the hospice cap period
2. Which of the following is required for participation in Medicaid: Meet
Income and Assets Requirements
3. In choosing a setting for patient financial discussions,
organizations should first and foremost: Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's: Transfer from ICU
(intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5. The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses can: Purchase
qualified health benefit plans regardless of insured's
health status
6. A portion of the accounts receivable inventory which has NOT
,qualified for billing includes:: Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics
to generate payment from Medicare?: Revenue codes
8. 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: Patient bill of rights
9. 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: Case management
10. Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation?: Registration statt may routinely contact managed are
plans for prior authorizations before the patient is seen by the on-duty physician
11. 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: The Internal Revenue Service
12. Checks received through mail, cash received through mail, and
lock box are all examples of: Control points for cash posting
, 13. What are some core elements if a board-approved financial
assistance poli- cy?: Eligibility, application process, and nonpayment collection activities
14. A recurring/series registration is characterized by: The creation of one
registration record for multiple days of service
15. 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: Assist patients in understanding their
insurance coverage and their financial obligation
16. The purpose of a financial report is to:: Present financial information to
decision makers
17. Patient financial communications best practices produce
communications that are: Consistent, clear and transparent
18. Medicare has established guidelines called the Local Coverage
Determina- tions (LCD) and National Coverage Determinations (NCD)
that establish: What services or healthcare items are covered under Medicare
19. 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: The Provider Reimbursement
Review Board
Questions and Answers
1. Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by: The Medicare Administrative Contractor (MAC) at
the end of the hospice cap period
2. Which of the following is required for participation in Medicaid: Meet
Income and Assets Requirements
3. In choosing a setting for patient financial discussions,
organizations should first and foremost: Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's: Transfer from ICU
(intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5. The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses can: Purchase
qualified health benefit plans regardless of insured's
health status
6. A portion of the accounts receivable inventory which has NOT
,qualified for billing includes:: Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics
to generate payment from Medicare?: Revenue codes
8. 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: Patient bill of rights
9. 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: Case management
10. Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation?: Registration statt may routinely contact managed are
plans for prior authorizations before the patient is seen by the on-duty physician
11. 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: The Internal Revenue Service
12. Checks received through mail, cash received through mail, and
lock box are all examples of: Control points for cash posting
, 13. What are some core elements if a board-approved financial
assistance poli- cy?: Eligibility, application process, and nonpayment collection activities
14. A recurring/series registration is characterized by: The creation of one
registration record for multiple days of service
15. 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: Assist patients in understanding their
insurance coverage and their financial obligation
16. The purpose of a financial report is to:: Present financial information to
decision makers
17. Patient financial communications best practices produce
communications that are: Consistent, clear and transparent
18. Medicare has established guidelines called the Local Coverage
Determina- tions (LCD) and National Coverage Determinations (NCD)
that establish: What services or healthcare items are covered under Medicare
19. 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: The Provider Reimbursement
Review Board
