CRCR Certification Exam Actual Questions
with Revised Answers (), (A+
Guarantee)
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - Answer-The Medicare Administrative Contractor (MAC)
at the end of the hospice cap period
Which of the following is required for participation in Medicaid - Answer-Meet
Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - Answer-Respect the patients privacy
A nightly room charge will be incorrect if the patient's - 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 - Answer-Purchase
qualified health benefit plans regardless of insured's
health status
,Departments that need to be included in charge master maintenance include all
of the following EXCEPT - Answer-Quality Assurance
The first thing a health plan does when processing a claim is - Answer-Check if the
patient is a health plan beneficiary and what is the coverage
Vital to accurate calculations of a patient's self-pay amount is - Answer-
The most accurate way to validate patient information is to - Answer-require
clinical staff to verify information at each treatment encounter
In order for Regulation Z to apply, a hospital must - Answer-
All of the following are minimum requirements for new patients with no MPI
number EXCEPT - Answer-Address
A typical routine patient financial discussion would include - Answer-Explaining
the benefits identified through verifying the patients insurance
Components of financial education include informing the patient of the hospital's
financial policies, assessing the patient's ability to pay and - Answer-Reviewing
payment alternatives with the patient so appropriate resolution of the health care
financial obligation is achieved
, HFMA best practices indicate that the technology evaluation is conducted to -
Answer-Continually align technology with processes rather than technology
dictating processes
Scheduler instructions are used to prompt the scheduler to - Answer-Complete
the scheduling process correctly based on service requested
When billing Rural Health Clinic services on a UB-04/837-I, specific CPT codes are
collapsed into a single revenue code (520 or 521). Although codes are collapsed
into a single revenue code, it is still important to list the appropriate CPT codes as
part - Answer-These codes will be used to determine medical necessity and useful
in determining what happened during the encounter
What is likely to occur if credit balances are not identified separately from debit
balances in accounts receivable? - Answer-The accounts receivable level would be
understated
The process of verifying health insurance coverage, identifying contract terms,
and obtaining total charges is known as - Answer-insurance verification and
reimbursable charges
Unless the patient encounter is an emergency, it is more efficient and effective to
- Answer-Collect all information after the patient has been discharged
Applying the contracted payment amount to the amount of total charges yields -
Answer-A pricing agreement
"Hard-coded" is the term used to refer to - Answer-Codes for services,
procedures, and drugs automatically assigned by the charge master
with Revised Answers (), (A+
Guarantee)
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - Answer-The Medicare Administrative Contractor (MAC)
at the end of the hospice cap period
Which of the following is required for participation in Medicaid - Answer-Meet
Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - Answer-Respect the patients privacy
A nightly room charge will be incorrect if the patient's - 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 - Answer-Purchase
qualified health benefit plans regardless of insured's
health status
,Departments that need to be included in charge master maintenance include all
of the following EXCEPT - Answer-Quality Assurance
The first thing a health plan does when processing a claim is - Answer-Check if the
patient is a health plan beneficiary and what is the coverage
Vital to accurate calculations of a patient's self-pay amount is - Answer-
The most accurate way to validate patient information is to - Answer-require
clinical staff to verify information at each treatment encounter
In order for Regulation Z to apply, a hospital must - Answer-
All of the following are minimum requirements for new patients with no MPI
number EXCEPT - Answer-Address
A typical routine patient financial discussion would include - Answer-Explaining
the benefits identified through verifying the patients insurance
Components of financial education include informing the patient of the hospital's
financial policies, assessing the patient's ability to pay and - Answer-Reviewing
payment alternatives with the patient so appropriate resolution of the health care
financial obligation is achieved
, HFMA best practices indicate that the technology evaluation is conducted to -
Answer-Continually align technology with processes rather than technology
dictating processes
Scheduler instructions are used to prompt the scheduler to - Answer-Complete
the scheduling process correctly based on service requested
When billing Rural Health Clinic services on a UB-04/837-I, specific CPT codes are
collapsed into a single revenue code (520 or 521). Although codes are collapsed
into a single revenue code, it is still important to list the appropriate CPT codes as
part - Answer-These codes will be used to determine medical necessity and useful
in determining what happened during the encounter
What is likely to occur if credit balances are not identified separately from debit
balances in accounts receivable? - Answer-The accounts receivable level would be
understated
The process of verifying health insurance coverage, identifying contract terms,
and obtaining total charges is known as - Answer-insurance verification and
reimbursable charges
Unless the patient encounter is an emergency, it is more efficient and effective to
- Answer-Collect all information after the patient has been discharged
Applying the contracted payment amount to the amount of total charges yields -
Answer-A pricing agreement
"Hard-coded" is the term used to refer to - Answer-Codes for services,
procedures, and drugs automatically assigned by the charge master
