CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
- ans
"Hard-coded" is the term used to refer to - ansCodes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is - ansA statement of assets, liabilities, and capital for an organization at a specified
point in time
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 - ansA clean claim
A claim is denied for the following reasons, EXCEPT: - ansThe submitted claim does not have the
physicians signature
A comprehensive "Compliance Program" is defined as - ansSystematic procedures to ensure that the
provisions of regulations imposed by a government agency are being met
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 - ansThe patient's
home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as - ansRevenue codes
A large number of credit balances are not the result of overpayments but of - ansPosting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ansWith admission as an inpatient
,CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A nightly room charge will be incorrect if the patient's - ansTransfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes -
ansCharitable pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: -
ansCharitable pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for
multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? -
ansComplete registration and insurance approval before service
A typical routine patient financial discussion would include - ansExplaining the benefits identified
through verifying the patients insurance
Account Receivable (A/R) Aging reports - ansDivide accounts receivable into 30, 60, 90 ,120 days past
due categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter -
ansSupport that choice, providing that the discussion does not interfere with patient care or disrupt
patient flow
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: - ansSupport that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
All Hospitals are required to establish a written financial assistance policy that applies to - ansAll
emergency and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT - ansServices and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT - ansContracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT -
ansAddress
All of the following are potential causes of credit balances EXCEPT - ansA patient's choice to build up a
credit against future medical bills
All of the following are reference resources used to help guide in the application of business ethics
EXCEPT - ansConsumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT - ansIssuing receipts
All of the following are steps in verifying insurance EXCEPT - ansThe patient signing the statement of
financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ansThe
results of any and all test
Ambulance services are billed directly to the health plan for - ansServices provided before a patient is
admitted and for ambulance rides arranged to pick up the patient from the hospital after discharge to
take him/her home or to another facility
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
- ans
"Hard-coded" is the term used to refer to - ansCodes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is - ansA statement of assets, liabilities, and capital for an organization at a specified
point in time
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 - ansA clean claim
A claim is denied for the following reasons, EXCEPT: - ansThe submitted claim does not have the
physicians signature
A comprehensive "Compliance Program" is defined as - ansSystematic procedures to ensure that the
provisions of regulations imposed by a government agency are being met
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 - ansThe patient's
home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as - ansRevenue codes
A large number of credit balances are not the result of overpayments but of - ansPosting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ansWith admission as an inpatient
,CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A nightly room charge will be incorrect if the patient's - ansTransfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes -
ansCharitable pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: -
ansCharitable pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for
multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? -
ansComplete registration and insurance approval before service
A typical routine patient financial discussion would include - ansExplaining the benefits identified
through verifying the patients insurance
Account Receivable (A/R) Aging reports - ansDivide accounts receivable into 30, 60, 90 ,120 days past
due categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter -
ansSupport that choice, providing that the discussion does not interfere with patient care or disrupt
patient flow
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: - ansSupport that choice, providing that the discussion
does not interfere with patient care or disrupt patient flow
, CRCR CERTIFICATION PREP QUESTION AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
All Hospitals are required to establish a written financial assistance policy that applies to - ansAll
emergency and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT - ansServices and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT - ansContracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT -
ansAddress
All of the following are potential causes of credit balances EXCEPT - ansA patient's choice to build up a
credit against future medical bills
All of the following are reference resources used to help guide in the application of business ethics
EXCEPT - ansConsumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT - ansIssuing receipts
All of the following are steps in verifying insurance EXCEPT - ansThe patient signing the statement of
financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ansThe
results of any and all test
Ambulance services are billed directly to the health plan for - ansServices provided before a patient is
admitted and for ambulance rides arranged to pick up the patient from the hospital after discharge to
take him/her home or to another facility
