CRCR Study Guide - 120 Questions And Answers (Latest Update 2023)
Patient Centric Revenue Cycle Correct Answer - This includes all the major processing
steps required to process a pt account from the request for service through closing the account
with a zero balance and purging it from the system
pre-service Correct Answer - this is the period in which scheduling and pre-access takes
place, including different steps that will be completed
pre-service Correct Answer - what is it when the requested service is screened for
medical necessity, health plan coverage & benefits are verified, and pre-auth is obtained
scheduled patient- Time of Service Correct Answer - what is it when a final account
review is completed prior to the patient's arrival? (Pre-reg record is activated, consents are
signed, and co-payments and other amounts are collected)
express arrival Correct Answer - pre-processed patient's can report to this, which is a
desk located in a centralized access, upon their arrival.
post-service Correct Answer - this includes account activities that occur after the patient
is d/c until the account reaches a zero balance
post-service Correct Answer - Final coding of all services, perparation and submission of
claims, payment processing and balance billing are all included and finalized when?
Patient Financial Communications Best Practices Correct Answer - This brings
consistency, clarity, and transparency to patient financial communications
Patient Financial Communications Best Practices Correct Answer - this outlines steps to
help patient's understand the cost of services they receive, their insurance coverage, and their
individual responsibility (review Patient Financial Comm. Best Practice document)
true Correct Answer - true or false: Conversations should occur in a location and manner
that are sensitive to the patient's needs
timely discussions Correct Answer - this type of discussion will help ensure that patient's
understand their financial obligation and that providers are aware of the patient's ability to pay
guarantor Correct Answer - the person responsible for payment of the bill
true Correct Answer - true or false: A financial counselor or supervisor should be
involved for complex situations such as uninsured or underinsured patient's
false; NO patient financial discussions should occur before a patient is screened and stabilized
Correct Answer - true or false: You MUST obtain basic registration info and insurance
coverage before the patient is cared for in the ED.
, true Correct Answer - true or false: When the provider takes the initiative to
communicate financial matters with the patient, it actually take a burden off the patient.
false; Technology evaluation may be performed by ANY qualified individual or organization,
internal or external Correct Answer - true or false: Technology evaluation can ONLY be
done by a qualified individual, internal to the facililty
HFMA's Adopter Program Correct Answer - this program is a recognition for providers
who implement and support the best practices are eligible and encouraged to apply
Code of Conduct Correct Answer - Through what document does a hospital est.
compliance standards?
Identify acceptable compliance programs in various provider setting Correct Answer -
what is the purpose OIG work plan?
non-diagnostic services provided on Tuesday through Friday Correct Answer - If a
Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
reports a specific circumstance that affects a procedure or service without changing the code or
its definition. Correct Answer - What does a modifier allow a provider to do?
they must be billed separately to the Part B carrier Correct Answer - if OP diagnostic
services are provided within 3 day of admission of a medicare beneficiary to an IPPS (Inpatient
Prospective Payment system) hospital, what must happen?
One registration record is created for multiple days of service Correct Answer - What is
recurring or series registration?
unscheduled patients Correct Answer - what are non-emergency pt who come for service
w/o prior notification to the provider called?
used to evaluate the need for an IP admission Correct Answer - Which of the following
statements apply to the Obs patient type?
physician, nursing, and pharmacy Correct Answer - which services are hospice programs
required to provide on a around-the-clock patient?q
complete the scheduling process correctly based on service requested Correct Answer -
Scheduler instructions are used to prompt the scheduler to do what?
procedure time Correct Answer - This is the time needed to prepare the patient before
services is the difference between the patients arrival time?
Patient Centric Revenue Cycle Correct Answer - This includes all the major processing
steps required to process a pt account from the request for service through closing the account
with a zero balance and purging it from the system
pre-service Correct Answer - this is the period in which scheduling and pre-access takes
place, including different steps that will be completed
pre-service Correct Answer - what is it when the requested service is screened for
medical necessity, health plan coverage & benefits are verified, and pre-auth is obtained
scheduled patient- Time of Service Correct Answer - what is it when a final account
review is completed prior to the patient's arrival? (Pre-reg record is activated, consents are
signed, and co-payments and other amounts are collected)
express arrival Correct Answer - pre-processed patient's can report to this, which is a
desk located in a centralized access, upon their arrival.
post-service Correct Answer - this includes account activities that occur after the patient
is d/c until the account reaches a zero balance
post-service Correct Answer - Final coding of all services, perparation and submission of
claims, payment processing and balance billing are all included and finalized when?
Patient Financial Communications Best Practices Correct Answer - This brings
consistency, clarity, and transparency to patient financial communications
Patient Financial Communications Best Practices Correct Answer - this outlines steps to
help patient's understand the cost of services they receive, their insurance coverage, and their
individual responsibility (review Patient Financial Comm. Best Practice document)
true Correct Answer - true or false: Conversations should occur in a location and manner
that are sensitive to the patient's needs
timely discussions Correct Answer - this type of discussion will help ensure that patient's
understand their financial obligation and that providers are aware of the patient's ability to pay
guarantor Correct Answer - the person responsible for payment of the bill
true Correct Answer - true or false: A financial counselor or supervisor should be
involved for complex situations such as uninsured or underinsured patient's
false; NO patient financial discussions should occur before a patient is screened and stabilized
Correct Answer - true or false: You MUST obtain basic registration info and insurance
coverage before the patient is cared for in the ED.
, true Correct Answer - true or false: When the provider takes the initiative to
communicate financial matters with the patient, it actually take a burden off the patient.
false; Technology evaluation may be performed by ANY qualified individual or organization,
internal or external Correct Answer - true or false: Technology evaluation can ONLY be
done by a qualified individual, internal to the facililty
HFMA's Adopter Program Correct Answer - this program is a recognition for providers
who implement and support the best practices are eligible and encouraged to apply
Code of Conduct Correct Answer - Through what document does a hospital est.
compliance standards?
Identify acceptable compliance programs in various provider setting Correct Answer -
what is the purpose OIG work plan?
non-diagnostic services provided on Tuesday through Friday Correct Answer - If a
Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
reports a specific circumstance that affects a procedure or service without changing the code or
its definition. Correct Answer - What does a modifier allow a provider to do?
they must be billed separately to the Part B carrier Correct Answer - if OP diagnostic
services are provided within 3 day of admission of a medicare beneficiary to an IPPS (Inpatient
Prospective Payment system) hospital, what must happen?
One registration record is created for multiple days of service Correct Answer - What is
recurring or series registration?
unscheduled patients Correct Answer - what are non-emergency pt who come for service
w/o prior notification to the provider called?
used to evaluate the need for an IP admission Correct Answer - Which of the following
statements apply to the Obs patient type?
physician, nursing, and pharmacy Correct Answer - which services are hospice programs
required to provide on a around-the-clock patient?q
complete the scheduling process correctly based on service requested Correct Answer -
Scheduler instructions are used to prompt the scheduler to do what?
procedure time Correct Answer - This is the time needed to prepare the patient before
services is the difference between the patients arrival time?
