Certified Revenue Cycle
Representative (CRCR) Exam
Questions & Answers
Pricing transparency is defined as readily available information on the price of healthcare
services, that together with other information, help define the value of those services and
enable consumers to - ANSWERS-Identify, compare, and choose providers that offer the desired
level of value.
Because case managers document the clinical reasons for treatment, they are - ANSWERS-A
good resource when developing written appeals and denials.
All of the following information describe claim edits EXCEPT - ANSWERS-The claim editing
process slowed down the receipt of payments, increases account receivable outstanding, and
decreases cash flow.
What types of services are classified as non-acute? - ANSWERS-Hospice Care, Clinic Services &
Skilled Nursing
The unscheduled "direct" admission represents a patient who: - ANSWERS-Is admitted from a
physician's office on an urgent basis.
The process of creating the pre-registration record ensures - ANSWERS-That access staff will
have complete and valid information needed to finalize any remaining pre-access activities.
An advantage of a pre-registration program is - ANSWERS-The opportunity to reduce processing
times at the time of service.
, Claim edits are - ANSWERS-Rules developed to verify the accuracy of claims based on each
health plan's policies.
Examples of ethic violations that impact the revenue cycle include all of the following EXCEPT -
ANSWERS-Seeking payment options for patient self-pay
EMTALA and HFMA best practices specify that, in an Emergency Department setting - ANSWERS-
No patient financial discussions should occur before a patient is screened and stabilized.
Which of the following is usually covered on a Conditions of Admission form - ANSWERS-
Release of information
The nuanced data resulting from detailed ICD-10 coding allows senior leadership to work with
physicians to do all of the following EXCEPT - ANSWERS-Obtain higher compensation for
physicians
Selecting the wrong insurance plan code can lead to the following problems or denials, except -
ANSWERS-Estimating the wrong reimbursement
Eliminating mail time and reducing data entry time, electronically monitoring the receipt of
claims and online claim adjudication; more prompt payment are all benefits achieved by -
ANSWERS-The electronic submission of claims using electronic transactions
Process observation is a part of what framework of Revenue Cycle? - ANSWERS-Compliance
ICD-10-CM and ICD-10-PCS code sets are modifications of - ANSWERS-The international ICD-10
codes as developed by the WHO (World Health Organization)
Representative (CRCR) Exam
Questions & Answers
Pricing transparency is defined as readily available information on the price of healthcare
services, that together with other information, help define the value of those services and
enable consumers to - ANSWERS-Identify, compare, and choose providers that offer the desired
level of value.
Because case managers document the clinical reasons for treatment, they are - ANSWERS-A
good resource when developing written appeals and denials.
All of the following information describe claim edits EXCEPT - ANSWERS-The claim editing
process slowed down the receipt of payments, increases account receivable outstanding, and
decreases cash flow.
What types of services are classified as non-acute? - ANSWERS-Hospice Care, Clinic Services &
Skilled Nursing
The unscheduled "direct" admission represents a patient who: - ANSWERS-Is admitted from a
physician's office on an urgent basis.
The process of creating the pre-registration record ensures - ANSWERS-That access staff will
have complete and valid information needed to finalize any remaining pre-access activities.
An advantage of a pre-registration program is - ANSWERS-The opportunity to reduce processing
times at the time of service.
, Claim edits are - ANSWERS-Rules developed to verify the accuracy of claims based on each
health plan's policies.
Examples of ethic violations that impact the revenue cycle include all of the following EXCEPT -
ANSWERS-Seeking payment options for patient self-pay
EMTALA and HFMA best practices specify that, in an Emergency Department setting - ANSWERS-
No patient financial discussions should occur before a patient is screened and stabilized.
Which of the following is usually covered on a Conditions of Admission form - ANSWERS-
Release of information
The nuanced data resulting from detailed ICD-10 coding allows senior leadership to work with
physicians to do all of the following EXCEPT - ANSWERS-Obtain higher compensation for
physicians
Selecting the wrong insurance plan code can lead to the following problems or denials, except -
ANSWERS-Estimating the wrong reimbursement
Eliminating mail time and reducing data entry time, electronically monitoring the receipt of
claims and online claim adjudication; more prompt payment are all benefits achieved by -
ANSWERS-The electronic submission of claims using electronic transactions
Process observation is a part of what framework of Revenue Cycle? - ANSWERS-Compliance
ICD-10-CM and ICD-10-PCS code sets are modifications of - ANSWERS-The international ICD-10
codes as developed by the WHO (World Health Organization)
