CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
1. In what situation(s) should a provider NOT use a modifier?: -
CPT already indicates 2-4 lesions
-CPT indicates multiple extremities
2. What are other names for Three-Day Payment Window?: ALL
OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or 24-hour rule
3. What happens during the post-service stage?: Final coding,
preparation and submission of claims, payment processing, balance billing and
resolution.
4. What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
- Follow best practices for communication: Best practices created by the
Medical Debt Task Force
5. Which option is NOT a main HFMA Healthcare Dollars &
Sense® revenue cycle initiative?: Process Compliance
6. Which option is NOT a continuum of care provider?
A. Physician
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility: B. Health Plan Contracting
7. What is "implied certification"?: When it is implied that a provider met all
compliance standards before submitting a claim
8. Which of the following are essential elements of an
effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the
Billing Depart-ment.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from
participation in a
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
federal healthcare program.
E. Reasonable methods to achieve compliance with standards,
including mon-itoring systems and hotlines.: A. Established compliance
standards and procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
9. When was Health Information Technology for Economic
and Clinical Health (HITECH) Act signed into law?: FEB 17, 2009
10. When did HITECH Act become effective?: 2013
11. Annually, the OIG publishes a work plan of
compliance issues and objec-tives that will be focused on
throughout the following year. Identify which option is
NOT a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving
the Acute- and Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier: D. Standard Unique Employer
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
Identifier
12. What Plan are the tasks below a part of?
- Medicare Payments Made Outside of the Hospice Benefit
- Denials and Appeals in Medicare Part C and Part D
- Medicare Part B Payments for End-Stage Renal Disease
Dialysis Services
- Review of Home Health Claims for Services With 5 to 10
Skilled Visits: The 2020 OIG Work Plan
13. When was the Preservation of Access to Care for
Medicare Beneficiaries and Pension Relief Act signed into law?:
JUNE 25 2010
14. What is the Medicare DRG Three-Day Payment Window?: All
Diagnostic services provided to a Medicare patient by a hospital on the Date of the
patient's Inpatient admission or during the 3 calendar
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
1. In what situation(s) should a provider NOT use a modifier?: -
CPT already indicates 2-4 lesions
-CPT indicates multiple extremities
2. What are other names for Three-Day Payment Window?: ALL
OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or 24-hour rule
3. What happens during the post-service stage?: Final coding,
preparation and submission of claims, payment processing, balance billing and
resolution.
4. What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
- Follow best practices for communication: Best practices created by the
Medical Debt Task Force
5. Which option is NOT a main HFMA Healthcare Dollars &
Sense® revenue cycle initiative?: Process Compliance
6. Which option is NOT a continuum of care provider?
A. Physician
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility: B. Health Plan Contracting
7. What is "implied certification"?: When it is implied that a provider met all
compliance standards before submitting a claim
8. Which of the following are essential elements of an
effective compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the
Billing Depart-ment.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from
participation in a
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
federal healthcare program.
E. Reasonable methods to achieve compliance with standards,
including mon-itoring systems and hotlines.: A. Established compliance
standards and procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards, including monitoring systems
and hotlines.
9. When was Health Information Technology for Economic
and Clinical Health (HITECH) Act signed into law?: FEB 17, 2009
10. When did HITECH Act become effective?: 2013
11. Annually, the OIG publishes a work plan of
compliance issues and objec-tives that will be focused on
throughout the following year. Identify which option is
NOT a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving
the Acute- and Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier: D. Standard Unique Employer
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED REVENUE CYCLE
REPRESENTATIVE MATERIALS FROM HFMA STUDY GUIDE
Identifier
12. What Plan are the tasks below a part of?
- Medicare Payments Made Outside of the Hospice Benefit
- Denials and Appeals in Medicare Part C and Part D
- Medicare Part B Payments for End-Stage Renal Disease
Dialysis Services
- Review of Home Health Claims for Services With 5 to 10
Skilled Visits: The 2020 OIG Work Plan
13. When was the Preservation of Access to Care for
Medicare Beneficiaries and Pension Relief Act signed into law?:
JUNE 25 2010
14. What is the Medicare DRG Three-Day Payment Window?: All
Diagnostic services provided to a Medicare patient by a hospital on the Date of the
patient's Inpatient admission or during the 3 calendar
