1
HFMA CRCR EXAM, CERTIFICATION EXAM,
PRACTICE EXAM AND A STUDY GUIDE LATEST
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED |ALREADY GRADED A+
Since passage 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 - CORRECT
ANSWER>>Assist patients in understanding their insurance coverage and their financial
obligation
HFMA patient financial communications best practices call for annual training for all staff
EXCEPT - CORRECT ANSWER>>Nursing
The process of verifying health insurance coverage, identifying contract terms, and obtaining
total charges is known as - CORRECT ANSWER>>Insurance verification of reimbursable charges
Net Accounts Receivable is - CORRECT ANSWER>>The amount an entity is reasonably confident
of collecting from overall accounts receivable.
ED patients should be informed that their ability to pay - CORRECT ANSWER>>Will not interfere
with treatment of any emergency medical conditions
Providers are advised that it is best to establish patient financial responsibility and assistance
policies and make sure they are followed internally and by - CORRECT ANSWER>>Business
affiliates
Incorrect data gathering can cause all of the following EXCEPT - CORRECT ANSWER>>The
inability to discuss quality with physicians
All Hospitals are required to establish a written financial assistance policy that applies to -
CORRECT ANSWER>>All emergency and medically necessary care
All of the following are reference resources used to help guide in the application of business
ethics EXCEPT - CORRECT ANSWER>>Consumer satisfaction reports
Each patient is assigned a unique number, commonly called the - CORRECT ANSWER>>Master
,2
Patient Index (MPI) number
HIPAA contains all of the following goals EXCEPT - CORRECT ANSWER>>To ensure proper
coding across the continuum of care
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - CORRECT ANSWER>>The Medicare Administrative Contractor (MAC) at the end
of the hospice cap period
Which of the following is required for participation in Medicaid - CORRECT ANSWER>>Meet
Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first and foremost -
CORRECT ANSWER>>Respect the patients privacy
A nightly room charge will be incorrect if the patient's - CORRECT 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 - CORRECT ANSWER>>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: -
CORRECT ANSWER>>Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from
Medicare? - CORRECT ANSWER>>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 - CORRECT
ANSWER>>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 - CORRECT
ANSWER>>Case management
, 3
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?
- CORRECT ANSWER>>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 - CORRECT ANSWER>>The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples of -
CORRECT ANSWER>>Control points for cash posting
What are some core elements if a board-approved financial assistance policy? - CORRECT
ANSWER>>Eligibility, application process, and nonpayment collection activities
A recurring/series registration is characterized by - CORRECT ANSWER>>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 - CORRECT
ANSWER>>Assist patients in understanding their insurance coverage and their financial
obligation
The purpose of a financial report is to: - CORRECT ANSWER>>Present financial information to
decision makers
Patient financial communications best practices produce communications that are - CORRECT
ANSWER>>Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - CORRECT ANSWER>>What services or
healthcare items are covered under Medicare
Any provider that has filed a timely cost report may appeal an adverse final decision received
from the Medicare Administrative Contractor (MAC). This appeal may be filed with - CORRECT
ANSWER>>The Provider Reimbursement Review Board
HFMA CRCR EXAM, CERTIFICATION EXAM,
PRACTICE EXAM AND A STUDY GUIDE LATEST
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED |ALREADY GRADED A+
Since passage 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 - CORRECT
ANSWER>>Assist patients in understanding their insurance coverage and their financial
obligation
HFMA patient financial communications best practices call for annual training for all staff
EXCEPT - CORRECT ANSWER>>Nursing
The process of verifying health insurance coverage, identifying contract terms, and obtaining
total charges is known as - CORRECT ANSWER>>Insurance verification of reimbursable charges
Net Accounts Receivable is - CORRECT ANSWER>>The amount an entity is reasonably confident
of collecting from overall accounts receivable.
ED patients should be informed that their ability to pay - CORRECT ANSWER>>Will not interfere
with treatment of any emergency medical conditions
Providers are advised that it is best to establish patient financial responsibility and assistance
policies and make sure they are followed internally and by - CORRECT ANSWER>>Business
affiliates
Incorrect data gathering can cause all of the following EXCEPT - CORRECT ANSWER>>The
inability to discuss quality with physicians
All Hospitals are required to establish a written financial assistance policy that applies to -
CORRECT ANSWER>>All emergency and medically necessary care
All of the following are reference resources used to help guide in the application of business
ethics EXCEPT - CORRECT ANSWER>>Consumer satisfaction reports
Each patient is assigned a unique number, commonly called the - CORRECT ANSWER>>Master
,2
Patient Index (MPI) number
HIPAA contains all of the following goals EXCEPT - CORRECT ANSWER>>To ensure proper
coding across the continuum of care
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - CORRECT ANSWER>>The Medicare Administrative Contractor (MAC) at the end
of the hospice cap period
Which of the following is required for participation in Medicaid - CORRECT ANSWER>>Meet
Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first and foremost -
CORRECT ANSWER>>Respect the patients privacy
A nightly room charge will be incorrect if the patient's - CORRECT 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 - CORRECT ANSWER>>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: -
CORRECT ANSWER>>Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from
Medicare? - CORRECT ANSWER>>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 - CORRECT
ANSWER>>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 - CORRECT
ANSWER>>Case management
, 3
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?
- CORRECT ANSWER>>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 - CORRECT ANSWER>>The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples of -
CORRECT ANSWER>>Control points for cash posting
What are some core elements if a board-approved financial assistance policy? - CORRECT
ANSWER>>Eligibility, application process, and nonpayment collection activities
A recurring/series registration is characterized by - CORRECT ANSWER>>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 - CORRECT
ANSWER>>Assist patients in understanding their insurance coverage and their financial
obligation
The purpose of a financial report is to: - CORRECT ANSWER>>Present financial information to
decision makers
Patient financial communications best practices produce communications that are - CORRECT
ANSWER>>Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - CORRECT ANSWER>>What services or
healthcare items are covered under Medicare
Any provider that has filed a timely cost report may appeal an adverse final decision received
from the Medicare Administrative Contractor (MAC). This appeal may be filed with - CORRECT
ANSWER>>The Provider Reimbursement Review Board
