CRCR EXAM PREP EXPECTED QUESTIONS WITH
VERIFIED ANSWERS
Question 1.
When is it not appropriate to use observation status?
ANSWER
As a substitute for an inpatient admission
Question 2.
What activities are completed when a scheduled pre-registered patient arrives for service?
ANSWER
Registering the patient and directing the patient to the service area
Question 3.
What is true of the information the provider supplies to indicate that an authorization for service has
been received from the patient's primary payer?
ANSWER
It is posted on the remittance advice by the payer
Question 4.
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what?
ANSWER
Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled
nursing care admission
Question 5.
what protocol was developed through the Patient Friendly Billing Project?
ANSWER
Provide information using language that is easily understood by the average reader
,Question 6.
Subscriber
ANSWER
An employer, a union, or an association that contracts with an insurance company for the
healthcare plan it offers to eligible employees
Question 7.
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
ANSWER
Birthday
Question 8.
What type of provider bills third-party payers using CMS 1500 form
ANSWER
Hospital-based mammography centers
Question 9.
What type of patient status is used to evaluate the patient's need for inpatient care?
ANSWER
Observation
Question 10.
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 11.
Collecting patient liability dollars after service leads to what?
ANSWER
Lower accounts receivable levels
, Question 12.
What restriction does a managed care plan place on locations that must be used if the plan is to pay
for the services provided?
ANSWER
Site-of-service limitation
Question 13.
When does a hospital add ambulance charges to the Medicare inpatient claim?
ANSWER
If the patient requires ambulance transportation to a skilled nursing facility
Question 14.
What areas does the code of conduct typically focus on?
ANSWER
Human resources. Privacy/confidentiality. Quality of care. Billing/coding. Conflicts of interest.
Laws/regulations
Question 15.
What are some core elements of a board-approved financial policy
ANSWER
Charity care, payment methods, and installment payment guidelines
Question 16.
What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance?
ANSWER
Bad debt adjustment
Question 17.
What circumstance would result in an incorrect nightly room charge?
ANSWER
If the patient's discharge, ordered for tomorrow, has not been charted
VERIFIED ANSWERS
Question 1.
When is it not appropriate to use observation status?
ANSWER
As a substitute for an inpatient admission
Question 2.
What activities are completed when a scheduled pre-registered patient arrives for service?
ANSWER
Registering the patient and directing the patient to the service area
Question 3.
What is true of the information the provider supplies to indicate that an authorization for service has
been received from the patient's primary payer?
ANSWER
It is posted on the remittance advice by the payer
Question 4.
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what?
ANSWER
Medically necessary inpatient hospital services for at least 3 consecutive days before the skilled
nursing care admission
Question 5.
what protocol was developed through the Patient Friendly Billing Project?
ANSWER
Provide information using language that is easily understood by the average reader
,Question 6.
Subscriber
ANSWER
An employer, a union, or an association that contracts with an insurance company for the
healthcare plan it offers to eligible employees
Question 7.
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule?
ANSWER
Birthday
Question 8.
What type of provider bills third-party payers using CMS 1500 form
ANSWER
Hospital-based mammography centers
Question 9.
What type of patient status is used to evaluate the patient's need for inpatient care?
ANSWER
Observation
Question 10.
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 11.
Collecting patient liability dollars after service leads to what?
ANSWER
Lower accounts receivable levels
, Question 12.
What restriction does a managed care plan place on locations that must be used if the plan is to pay
for the services provided?
ANSWER
Site-of-service limitation
Question 13.
When does a hospital add ambulance charges to the Medicare inpatient claim?
ANSWER
If the patient requires ambulance transportation to a skilled nursing facility
Question 14.
What areas does the code of conduct typically focus on?
ANSWER
Human resources. Privacy/confidentiality. Quality of care. Billing/coding. Conflicts of interest.
Laws/regulations
Question 15.
What are some core elements of a board-approved financial policy
ANSWER
Charity care, payment methods, and installment payment guidelines
Question 16.
What type of account adjustment results from the patient's unwillingness to pay for a self-pay balance?
ANSWER
Bad debt adjustment
Question 17.
What circumstance would result in an incorrect nightly room charge?
ANSWER
If the patient's discharge, ordered for tomorrow, has not been charted
