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 - ANSWERS-D) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - ANSWERS-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. - ANSWERS-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 - ANSWERS-D) Assisted Living Services
, What must a SNF have to participate in the Medicare Program? - ANSWERS-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. - ANSWERS-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 - ANSWERS-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. - ANSWERS-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.
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 - ANSWERS-D) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - ANSWERS-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. - ANSWERS-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 - ANSWERS-D) Assisted Living Services
, What must a SNF have to participate in the Medicare Program? - ANSWERS-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. - ANSWERS-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 - ANSWERS-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. - ANSWERS-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.
