CRCR Certification
1. - ANS-
2. "Hard-coded" is the term used to refer to - ANS-Codes for services, procedures, and
drugs automatically assigned by the charge master
3. A balance sheet is - ANS-A statement of assets, liabilities, and capital for an
organization at a specified point in time
4. A claim for reimbursement submitted to a third-party payer that has all the
information and documentation required for the payer to make a decision on it is
known as - ANS-A clean claim
5. A claim is denied for the following reasons, EXCEPT: - ANS-The submitted claim
does not have the physicians signature
6. A comprehensive "Compliance Program" is defined as - ANS-Systematic procedures
to ensure that the provisions of regulations imposed by a government agency are
being met
7. A decision on whether a patient should be admitted as an inpatient or become about
patient observation patient requires medical judgments based on all of the following
EXCEPT - ANS-The patient's home care coverage
8. A four digit number code established by the National Uniform Billing Committee
(NUBC)that categorizes/classifies a line item in the charge master is known as -
ANS-Revenue codes
9. A large number of credit balances are not the result of overpayments but of -
ANS-Posting errors in the patient accounting system
10. A Medicare Part A benefit period begins: - ANS-With admission as an inpatient
11. A nightly room charge will be incorrect if the patient's - ANS-Transfer from ICU
(intensive care unit) to the Medical/Surgical
12. floor is not reflected in the registration system
13. A portion of the accounts receivable inventory which has NOT qualified for billing
includes - ANS-Charitable pledges
14. A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - ANS-Charitable pledges
15. A recurring/series registration is characterized by - ANS-The creation of one
registration record for multiple days of service
16. A scheduled inpatient represents an opportunity for the provider to do which of the
following? - ANS-Complete registration and insurance approval before service
17. A typical routine patient financial discussion would include - ANS-Explaining the
benefits identified through verifying the patients insurance
18. Account Receivable (A/R) Aging reports - ANS-Divide accounts receivable into 30,
60, 90 ,120 days past due categories
19. Across all care settings, if a patient consents to a financial discussion during a
medical encounter - ANS-Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
20. Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to: -
, ANS-Support that choice, providing that the discussion does not interfere with patient
care or disrupt patient flow
21. All Hospitals are required to establish a written financial assistance policy that applies
to - ANS-All emergency and medically necessary care
22. All of the following are conditions that disqualify a procedure or service from being
paid for by Medicare EXCEPT - ANS-Services and procedures that are custodial in
nature
23. All of the following are forms of hospital payment contracting EXCEPT -
ANS-Contracted Rebating
24. All of the following are minimum requirements for new patients with no MPI number
EXCEPT - ANS-Address
25. All of the following are potential causes of credit balances EXCEPT - ANS-A patient's
choice to build up a credit against future medical bills
26. All of the following are reference resources used to help guide in the application of
business ethics EXCEPT - ANS-Consumer satisfaction reports
27. All of the following are steps in safeguarding collections EXCEPT - ANS-Issuing
receipts
28. All of the following are steps in verifying insurance EXCEPT - ANS-The patient
signing the statement of financial responsibility
29. All of the following information should be reviewed as part of schedule finalization
EXCEPT: - ANS-The results of any and all test
30. Ambulance services are billed directly to the health plan for - ANS-Services provided
before a patient is admitted and for ambulance rides arranged to pick up the patient
from the hospital after discharge to take him/her home or to another facility
31. Ambulance services are billed directly to the health plan for - ANS-The portion of the
bill outside of the patient's self-pay
32. An advantage of a pre-registration program is - ANS-The opportunity to reduce the
corporate compliance failures within the registration process
33. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is
known as - ANS-A beneficiary appeal
34. An originating site is - ANS-The location of the patient at the time the service is
provided
35. Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as a - ANS-HMO
36. Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on; a
monthly fee is known as a - ANS-HMO
37. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be
filed with - ANS-The Provider Reimbursement Review Board
38. Applying the contracted payment amount to the amount of total charges yields -
ANS-A pricing agreement
39. Appropriate training for patient financial counseling staff must cover all of the
following EXCEPT: - ANS-Documenting the conversation in the medical records
1. - ANS-
2. "Hard-coded" is the term used to refer to - ANS-Codes for services, procedures, and
drugs automatically assigned by the charge master
3. A balance sheet is - ANS-A statement of assets, liabilities, and capital for an
organization at a specified point in time
4. A claim for reimbursement submitted to a third-party payer that has all the
information and documentation required for the payer to make a decision on it is
known as - ANS-A clean claim
5. A claim is denied for the following reasons, EXCEPT: - ANS-The submitted claim
does not have the physicians signature
6. A comprehensive "Compliance Program" is defined as - ANS-Systematic procedures
to ensure that the provisions of regulations imposed by a government agency are
being met
7. A decision on whether a patient should be admitted as an inpatient or become about
patient observation patient requires medical judgments based on all of the following
EXCEPT - ANS-The patient's home care coverage
8. A four digit number code established by the National Uniform Billing Committee
(NUBC)that categorizes/classifies a line item in the charge master is known as -
ANS-Revenue codes
9. A large number of credit balances are not the result of overpayments but of -
ANS-Posting errors in the patient accounting system
10. A Medicare Part A benefit period begins: - ANS-With admission as an inpatient
11. A nightly room charge will be incorrect if the patient's - ANS-Transfer from ICU
(intensive care unit) to the Medical/Surgical
12. floor is not reflected in the registration system
13. A portion of the accounts receivable inventory which has NOT qualified for billing
includes - ANS-Charitable pledges
14. A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - ANS-Charitable pledges
15. A recurring/series registration is characterized by - ANS-The creation of one
registration record for multiple days of service
16. A scheduled inpatient represents an opportunity for the provider to do which of the
following? - ANS-Complete registration and insurance approval before service
17. A typical routine patient financial discussion would include - ANS-Explaining the
benefits identified through verifying the patients insurance
18. Account Receivable (A/R) Aging reports - ANS-Divide accounts receivable into 30,
60, 90 ,120 days past due categories
19. Across all care settings, if a patient consents to a financial discussion during a
medical encounter - ANS-Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
20. Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to: -
, ANS-Support that choice, providing that the discussion does not interfere with patient
care or disrupt patient flow
21. All Hospitals are required to establish a written financial assistance policy that applies
to - ANS-All emergency and medically necessary care
22. All of the following are conditions that disqualify a procedure or service from being
paid for by Medicare EXCEPT - ANS-Services and procedures that are custodial in
nature
23. All of the following are forms of hospital payment contracting EXCEPT -
ANS-Contracted Rebating
24. All of the following are minimum requirements for new patients with no MPI number
EXCEPT - ANS-Address
25. All of the following are potential causes of credit balances EXCEPT - ANS-A patient's
choice to build up a credit against future medical bills
26. All of the following are reference resources used to help guide in the application of
business ethics EXCEPT - ANS-Consumer satisfaction reports
27. All of the following are steps in safeguarding collections EXCEPT - ANS-Issuing
receipts
28. All of the following are steps in verifying insurance EXCEPT - ANS-The patient
signing the statement of financial responsibility
29. All of the following information should be reviewed as part of schedule finalization
EXCEPT: - ANS-The results of any and all test
30. Ambulance services are billed directly to the health plan for - ANS-Services provided
before a patient is admitted and for ambulance rides arranged to pick up the patient
from the hospital after discharge to take him/her home or to another facility
31. Ambulance services are billed directly to the health plan for - ANS-The portion of the
bill outside of the patient's self-pay
32. An advantage of a pre-registration program is - ANS-The opportunity to reduce the
corporate compliance failures within the registration process
33. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is
known as - ANS-A beneficiary appeal
34. An originating site is - ANS-The location of the patient at the time the service is
provided
35. Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as a - ANS-HMO
36. Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on; a
monthly fee is known as a - ANS-HMO
37. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be
filed with - ANS-The Provider Reimbursement Review Board
38. Applying the contracted payment amount to the amount of total charges yields -
ANS-A pricing agreement
39. Appropriate training for patient financial counseling staff must cover all of the
following EXCEPT: - ANS-Documenting the conversation in the medical records
