CRCR Certification Exam QUESTIONS COMPREHENSIVE
questions answered| 2026 verified graded A+ already passed!
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice
cap period
Which of the following is required for participation in Medicaid - Meet Income and Assets
Requirements
In choosing a setting for patient financial discussions, organizations should first and
foremost - Respect the patients privacy
A nightly room charge will be incorrect if the patient's - Transfer from ICU (intensive care
unit) to the Medical/Surgical
floor is not reflected in the registration system
The A-ordable Care Act legislated the development of Health Insurance Exchanges,
where individuals and small businesses can - 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: - Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
from Medicare? - 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 -
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
- Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation? - Registration sta- 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 - The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples
of - Control points for cash posting
What are some core elements if a board-approved financial assistance policy? - Eligibility,
application process, and nonpayment collection activities
A recurring/series registration is characterized by - The creation of one registration record
for multiple days of service
With the advent of the A-ordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals to -
Assist patients in understanding their insurance coverage and their financial obligation
The purpose of a financial report is to: - Present financial information to decision makers
, Patient financial communications best practices produce communications that are -
Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - 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
- The Provider Reimbursement Review Board
Concurrent review and discharge planning - Occurs during service
Duplicate payments occur: - When providers re-bill claims based on nonpayment from
the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known as
- A beneficiary appeal
Insurance verification results in which of the following - The accurate identification of the
patient's eligibility and benefits
The Medicare fee-for service appeal process for both beneficiaries and providers includes
all of the following levels EXCEPT: - Judicial review by a federal district court
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
providermay not ask about a patient's insurance information if it would delay what? -
Medical screening and stabilizing treatment
questions answered| 2026 verified graded A+ already passed!
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice
cap period
Which of the following is required for participation in Medicaid - Meet Income and Assets
Requirements
In choosing a setting for patient financial discussions, organizations should first and
foremost - Respect the patients privacy
A nightly room charge will be incorrect if the patient's - Transfer from ICU (intensive care
unit) to the Medical/Surgical
floor is not reflected in the registration system
The A-ordable Care Act legislated the development of Health Insurance Exchanges,
where individuals and small businesses can - 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: - Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
from Medicare? - 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 -
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
- Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation? - Registration sta- 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 - The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples
of - Control points for cash posting
What are some core elements if a board-approved financial assistance policy? - Eligibility,
application process, and nonpayment collection activities
A recurring/series registration is characterized by - The creation of one registration record
for multiple days of service
With the advent of the A-ordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals to -
Assist patients in understanding their insurance coverage and their financial obligation
The purpose of a financial report is to: - Present financial information to decision makers
, Patient financial communications best practices produce communications that are -
Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - 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
- The Provider Reimbursement Review Board
Concurrent review and discharge planning - Occurs during service
Duplicate payments occur: - When providers re-bill claims based on nonpayment from
the initial bill submission
An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known as
- A beneficiary appeal
Insurance verification results in which of the following - The accurate identification of the
patient's eligibility and benefits
The Medicare fee-for service appeal process for both beneficiaries and providers includes
all of the following levels EXCEPT: - Judicial review by a federal district court
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
providermay not ask about a patient's insurance information if it would delay what? -
Medical screening and stabilizing treatment
