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Exam (elaborations)

CRCR Certification Exam – Questions and Answers (A+ Grade)

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This document contains comprehensive certification exam questions and fully verified answers for the CRCR (Certified Revenue Cycle Representative) exam. It covers key topics including revenue cycle management, medical billing processes, claims processing, insurance verification, compliance regulations, reimbursement systems, and patient financial services. The material is accurate and structured to support effective exam preparation and certification success.

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CRCR CERTIFICATION EXAM




CRCR CERTIFICATION EXAM QUESTIONS AND ANSWERS GRADED A+




T/F Consents are signed as part of the post-service
process ANS >> False


T/F Patient service costs are calculated in the pre-service
process for scheduled patients ANS >> True


T/F The patient is scheduled and registered for service is
a time-of-service activity ANS >> False


T/F The patient account is monitored for payment is a
time-of-service activity ANS >> False

,CRCR CERTIFICATION EXAM




T/F Case management and discharge planning services
are a post-service activity ANS >> False


T/F Sending the bill electronically to the health plan is a
time-of-service activity ANS >> False


Revenue Cycle Initiatives ANS >> Healthcare Dollars &
Sunset financial comm. best practices, best practices for
price transparency, medical accounts resolution


PFC Best Practices ANS >> 6 areas: Annual staff training,
training program topics, process observation, executive
level metrics reporting, technology verification, feedback
and response


Where individuals and small businesses can compare and
purchase qualified health benefit plans ANS >> Health
Insurance Marketplace/Health Insurance exchange

,CRCR CERTIFICATION EXAM



Medical Debt Task Force ANS >> developed a best
practice workflow that builds off of HDMI’s previous
patient friendly billing work and spans the patient-centric
revenue cycle.


The following statements describe best practices
established by the Medical Debt Task Force ANS >>
Educate patients, coordinate to avoid duplicate patient
contacts, be consistent in key aspects of account
resolution, follow best practices for communication


Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS) ANS >> standardized method for
evaluating patients' perspective on hospital care


Hard Costs ANS >> loss of future revenue


Soft Costs ANS >> customer’s passing on information
about their negative experience to potential patients or
through social media channels

, CRCR CERTIFICATION EXAM



Post Acute Services ANS >> include skilled nursing, home
health, durable medical equipment, hospice, and assisted
living


Skilled Nursing Facility (SNF) ANS >> institution (skilled
nursing home/rehabilitation centre) engaged in provided
skilled nursing care for injured/disabled/sick persons


Durable Medical Equipment (DME) ANS >> Medical
equipment that is prescribed by a doctor for use in the
home


Home Health Agency (HHA) ANS >> public agency or
private organization


Level 1 Modifier ANS >> usually provide info about
performance of a procedures/apply to CPT/consist of 2
numbers


Level 2 Modifiers ANS >> used for OPPS/provide addle
detail ab out an anatomical location or about a procedure

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