CRCR Review Questions
with complete
solutions.
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue
cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance CORRECT ANSWER. D) Process Compliance
Approximately what % of billing information is obtained during the
registration process (Patient Access). CORRECT ANSWER. 40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective
on hospital care.
C) To provide clear communication and good customer service, which
will give the provider a competitive edge.
D) To make certain that during registration key information is verified by
means of a picture ID and insurance card. CORRECT ANSWER. B) To
provide a standardization method for evaluating patients' perspective on
hospital care.
Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services CORRECT ANSWER. D) Assisted Living Services
, What must a SNF have to participate in the Medicare Program? CORRECT
ANSWER.
A written transfer agreement with one of more participating hospitals
providing for the transfer of patients between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient
must meet 2 conditions. CORRECT ANSWER. 1) An MD must certify that a
patient is confined to his/her residence (Not necessarily bedridden). Leaving
the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for
purposes of home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice CORRECT ANSWER. C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating
in a federal healthcare program. CORRECT ANSWER. A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
What is the OIG? CORRECT ANSWER. The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments CORRECT ANSWER. A) Standard Unique
Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or
entity owned by the hospital) on the date of the beneficiary's inpatient
admission or during the calendar days immediately
preceding the date of the admission are required to be included on the
inpatient bill. CORRECT ANSWER. 3
with complete
solutions.
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue
cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance CORRECT ANSWER. D) Process Compliance
Approximately what % of billing information is obtained during the
registration process (Patient Access). CORRECT ANSWER. 40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective
on hospital care.
C) To provide clear communication and good customer service, which
will give the provider a competitive edge.
D) To make certain that during registration key information is verified by
means of a picture ID and insurance card. CORRECT ANSWER. B) To
provide a standardization method for evaluating patients' perspective on
hospital care.
Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services CORRECT ANSWER. D) Assisted Living Services
, What must a SNF have to participate in the Medicare Program? CORRECT
ANSWER.
A written transfer agreement with one of more participating hospitals
providing for the transfer of patients between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient
must meet 2 conditions. CORRECT ANSWER. 1) An MD must certify that a
patient is confined to his/her residence (Not necessarily bedridden). Leaving
the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for
purposes of home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice CORRECT ANSWER. C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating
in a federal healthcare program. CORRECT ANSWER. A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
What is the OIG? CORRECT ANSWER. The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments CORRECT ANSWER. A) Standard Unique
Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or
entity owned by the hospital) on the date of the beneficiary's inpatient
admission or during the calendar days immediately
preceding the date of the admission are required to be included on the
inpatient bill. CORRECT ANSWER. 3
