CRCR EXAM MULTIPLE CHOICE, CRCR EXAM PREP
UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
how are HCPCS codes and the appropriate modifiers
used?
ANSWER
To report the level 1, 2, or 3 code that correctly describes the service provided
Question 2.
What statement describes the APC (Ambulatory payment
classification) system?
ANSWER
APC rates are calculated on a national basis and are wage-adjusted by
geographic region
Question 3.
What circumstance would result in an incorrect nightly
room charge?
ANSWER
If the patient's discharge, ordered for tomorrow, has not been charted
Question 4.
what protocol was developed through the Patient
Friendly Billing Project?
ANSWER
Provide information using language that is easily understood by the average
reader
,Question 5.
an increase in the dollars aged greater than 90 days from
date of service indicate what about accounts
ANSWER
They are not being processed in a timely manner
Question 6.
How must providers handle credit balances?
ANSWER
Comply with state statutes concerning reporting credit balance
Question 7.
What process can be used to shorten claim turnaround
time?
ANSWER
Send high-dollar hard-copy claims with required attachments by overnight mail or
registered mail
Question 8.
What do the MSP disability rules require?
ANSWER
group health plan
Question 9.
What technique is acceptable way to complete the MSP
screening for a facility situation?
ANSWER
Ask if the patient's current services was accident related
, Question 10.
What are non-emergency patients who come for service
without prior notification to the provider called?
ANSWER
Unscheduled patients
Question 11.
What standard claim forms are currently used by the
healthcare industry to submit claims to third-party
payers?
ANSWER
The UB-04 and the CMS 1500
Question 12.
What statement DOES NOT apply to revenue codes?
ANSWER
revenue codes identify the payer
Question 13.
ANSWER
The patient's full legal name, date of birth, and sex
Question 14.
What should the provider do if both of the patient's
insurance plans pay as primary?
ANSWER
Determine the correct payer and notify the incorrect payer of the processing
error
UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
how are HCPCS codes and the appropriate modifiers
used?
ANSWER
To report the level 1, 2, or 3 code that correctly describes the service provided
Question 2.
What statement describes the APC (Ambulatory payment
classification) system?
ANSWER
APC rates are calculated on a national basis and are wage-adjusted by
geographic region
Question 3.
What circumstance would result in an incorrect nightly
room charge?
ANSWER
If the patient's discharge, ordered for tomorrow, has not been charted
Question 4.
what protocol was developed through the Patient
Friendly Billing Project?
ANSWER
Provide information using language that is easily understood by the average
reader
,Question 5.
an increase in the dollars aged greater than 90 days from
date of service indicate what about accounts
ANSWER
They are not being processed in a timely manner
Question 6.
How must providers handle credit balances?
ANSWER
Comply with state statutes concerning reporting credit balance
Question 7.
What process can be used to shorten claim turnaround
time?
ANSWER
Send high-dollar hard-copy claims with required attachments by overnight mail or
registered mail
Question 8.
What do the MSP disability rules require?
ANSWER
group health plan
Question 9.
What technique is acceptable way to complete the MSP
screening for a facility situation?
ANSWER
Ask if the patient's current services was accident related
, Question 10.
What are non-emergency patients who come for service
without prior notification to the provider called?
ANSWER
Unscheduled patients
Question 11.
What standard claim forms are currently used by the
healthcare industry to submit claims to third-party
payers?
ANSWER
The UB-04 and the CMS 1500
Question 12.
What statement DOES NOT apply to revenue codes?
ANSWER
revenue codes identify the payer
Question 13.
ANSWER
The patient's full legal name, date of birth, and sex
Question 14.
What should the provider do if both of the patient's
insurance plans pay as primary?
ANSWER
Determine the correct payer and notify the incorrect payer of the processing
error
