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Exam (elaborations)

CRCR Certification Questions and Correct Answers/ Latest Update / Already Graded

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Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by Ans: The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid Ans: Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost Ans: Respect the patients privacy A nightly room charge will be incorrect if the patient's Ans: 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 All rights reserved © 2025/ 2026 | Page | 2 Ans: 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: Ans: Charitable pledges What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? Ans: 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 Ans: 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 Ans: Case management All rights reserved © 2025/ 2026 | Page | 3 Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation? Ans: 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 tra

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Uploaded on
December 27, 2025
Number of pages
42
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Page |1


CRCR Certification Questions and Correct
Answers/ Latest Update / Already Graded
Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by

Ans: The Medicare Administrative Contractor (MAC) at the end
of the hospice cap period


Which of the following is required for participation in Medicaid

Ans: Meet Income and Assets Requirements


In choosing a setting for patient financial discussions, organizations
should first and foremost

Ans: Respect the patients privacy


A nightly room charge will be incorrect if the patient's

Ans: 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


All rights reserved © 2025/ 2026 |

, Page |2


Ans: 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:

Ans: Charitable pledges


What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare?

Ans: 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

Ans: 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

Ans: Case management



All rights reserved © 2025/ 2026 |

, Page |3

Which statement is an EMTALA (Emergency Medical Treatment and
Active Labor Act) violation?

Ans: 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

Ans: The Internal Revenue Service


Checks received through mail, cash received through mail, and lock
box are all examples of

Ans: Control points for cash posting


What are some core elements if a board-approved financial assistance
policy?

Ans: Eligibility, application process, and nonpayment
collection activities


A recurring/series registration is characterized by

All rights reserved © 2025/ 2026 |

, Page |4


Ans: 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

Ans: Assist patients in understanding their insurance coverage
and their financial obligation


The purpose of a financial report is to:

Ans: Present financial information to decision makers


Patient financial communications best practices produce
communications that are

Ans: Consistent, clear and transparent


Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations (NCD)
that establish

Ans: What services or healthcare items are covered under
Medicare



All rights reserved © 2025/ 2026 |

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