CRCR Certification v2 Newest 2025/2026 Complete
Questions And Correct Answers (Verified Answers)|Brand
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Practice questions for this set
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federally aided, state operated program to provide health and long term care coverage
for low-income individuals or families
Choose an answer
T/F Consents are signed as part of the post-
1 2 Hard Costs
service process
T/F Case management and discharge
3 Medicaid 4
planning services are a post-service activity
Don't know?
Terms in this set (143)
T/F Consents are signed as part of the False
post-service process
T/F Patient service costs are calculated True
in the pre-serviceprocess for
scheduled patients
T/F The patient is scheduled and False
registered for service is a time-of-
service activity
T/F The patient account is monitored False
for payment is a time-of-service activity
, T/F Case management and discharge False
planning services are a post-service
activity
T/F Sending the bill electronically to False
the health plan is a time-of-service
activity
Healthcare Dollars & Sense:pt financial comm. best practices, best practices
Revenue Cycle Initiatives
for price transparency, medical accounts resolution
6 areas:Annual staff training, training program topics, process observation,
PFC Best Practices executive level metrics reporting, technology verification, feedback and
response
Where individuals and small businesses Health Insurance Marketplace/Health Insurance exchange
can compare and purchase qualified
health benefit plans
developed a best practice workflow that builds off of HFMA's previous
Medical Debt Task Force
patient friendly billingwork and spansthe patient-centric revenue cycle.
The following statements describe best Educate patients, coordinate to avoid duplicate patient contacts, be
practices established by the Medical consistent in key aspects of account resolution, follow best practices for
Debt Task Force communication
Hospital Consumer Assessment of standardized method for evaluating patients' perspective on hospital care
Healthcare Providers and Systems
(HCAHPS)
Hard Costs loss of future revenue
customer's passing on information about their negative experience to
Soft Costs
potential patients or through social media channels
include skilled nursing , home health, durable medical equipment, hospice,
Post Acute Services
and assisted living
institution (skilled nursing home/rehabilitation center) engaged in provided
Skilled Nursing Facility (SNF)
skilled nursing care for injured/disabled/sick persons
Durable Medical Equipment (DME) Medical equipment that is prescribed by a doctor for use in the home
Home Health Agency (HHA) public agency or private organization
usually provide info about performance of a procedures/apply to CPT/consist
Level 1 Modifier
of 2 numbers
used for OPPS/provide addtl detail ab out an anatomical location or about a
Level 2 Modifiers procedure or service/apply to HCPCS codes/consist of either 2 letters or a 1
letter & 1 number
purpose is to ensure that the most comprehensive groups of codes, rather
Correct Coding Initiative(CCI) E than the component parts, are billed. THe program consists of edits that are
implemented within providers' claim processing systems
Financial misconduct/Overcharging/Theft of property/ Falsifying records to
Ethics Violations
boos reimbursement/miscoding claims
Questions And Correct Answers (Verified Answers)|Brand
New Version!
Save
Practice questions for this set
Learn 1 /7 Study with Learn
federally aided, state operated program to provide health and long term care coverage
for low-income individuals or families
Choose an answer
T/F Consents are signed as part of the post-
1 2 Hard Costs
service process
T/F Case management and discharge
3 Medicaid 4
planning services are a post-service activity
Don't know?
Terms in this set (143)
T/F Consents are signed as part of the False
post-service process
T/F Patient service costs are calculated True
in the pre-serviceprocess for
scheduled patients
T/F The patient is scheduled and False
registered for service is a time-of-
service activity
T/F The patient account is monitored False
for payment is a time-of-service activity
, T/F Case management and discharge False
planning services are a post-service
activity
T/F Sending the bill electronically to False
the health plan is a time-of-service
activity
Healthcare Dollars & Sense:pt financial comm. best practices, best practices
Revenue Cycle Initiatives
for price transparency, medical accounts resolution
6 areas:Annual staff training, training program topics, process observation,
PFC Best Practices executive level metrics reporting, technology verification, feedback and
response
Where individuals and small businesses Health Insurance Marketplace/Health Insurance exchange
can compare and purchase qualified
health benefit plans
developed a best practice workflow that builds off of HFMA's previous
Medical Debt Task Force
patient friendly billingwork and spansthe patient-centric revenue cycle.
The following statements describe best Educate patients, coordinate to avoid duplicate patient contacts, be
practices established by the Medical consistent in key aspects of account resolution, follow best practices for
Debt Task Force communication
Hospital Consumer Assessment of standardized method for evaluating patients' perspective on hospital care
Healthcare Providers and Systems
(HCAHPS)
Hard Costs loss of future revenue
customer's passing on information about their negative experience to
Soft Costs
potential patients or through social media channels
include skilled nursing , home health, durable medical equipment, hospice,
Post Acute Services
and assisted living
institution (skilled nursing home/rehabilitation center) engaged in provided
Skilled Nursing Facility (SNF)
skilled nursing care for injured/disabled/sick persons
Durable Medical Equipment (DME) Medical equipment that is prescribed by a doctor for use in the home
Home Health Agency (HHA) public agency or private organization
usually provide info about performance of a procedures/apply to CPT/consist
Level 1 Modifier
of 2 numbers
used for OPPS/provide addtl detail ab out an anatomical location or about a
Level 2 Modifiers procedure or service/apply to HCPCS codes/consist of either 2 letters or a 1
letter & 1 number
purpose is to ensure that the most comprehensive groups of codes, rather
Correct Coding Initiative(CCI) E than the component parts, are billed. THe program consists of edits that are
implemented within providers' claim processing systems
Financial misconduct/Overcharging/Theft of property/ Falsifying records to
Ethics Violations
boos reimbursement/miscoding claims
