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Exam (elaborations)

CRCR Certification Exam Study Guide with Complete Solutions (Verified Answers) Latest 2025/2026 Update.

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HFMA's patient financial communications best practices specify that pts should be told about the The service providers that typically participate in the service, e.g. radiologists ,pathologists, etc. The core financial activities resolved within patient access include: Scheduling, pre-registration, insurance verification and managed care processing 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 The patient's home care coverage Which option is a benefit of pre-registering a patient for services The patient arrival process is expedited, reducing wait times and delays Days in A/R is calculated based on the value of The total accounts receivable on a specific date Case Management requires that a case manager be assigned To a select patient group Which of the following is required for participation in Medicaid? Meet income and assets requirements All of the following are steps in safeguarding collections EXCEPT Issuing receipts Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost Respect the patients privacy A nightly room charge will be incorrect if the patient's Transfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system

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Institution
HFMA CRCR
Course
HFMA CRCR











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Written for

Institution
HFMA CRCR
Course
HFMA CRCR

Document information

Uploaded on
January 24, 2025
Number of pages
35
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

CRCR Certification Exam Study Guide i,- i,- i,- i,- i,-




with Complete Solutions (Verified i,- i,- i,- i,-




Answers) Latest 2025/2026 Update. i,- i,- i,-




HFMA's patient financial communications best practices specify
i,- i,- i,- i,- i,- i,- i,-



that pts should be told about the
i,- i,- The service providers that i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-



typically participate in the service, e.g. radiologists ,pathologists,
i,- i,- i,- i,- i,- i,- i,- i,-



etc.


The core financial activities resolved within patient access include:
i,- i,- i,- i,- i,- i,- i,- i,- i,-



i,- Scheduling, pre-registration, insurance verification and
i,- i,- i,- i,- i,- i,-



managed care processing i,- i,-




A decision on whether a patient should be admitted as an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



inpatient or become about patient observation patient requires
i,- i,- i,- i,- i,- i,- i,- i,-



medical judgments based on all of the following EXCEPT
i,- The i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-



patient's home care coverage i,- i,- i,-




Which option is a benefit of pre-registering a patient for services
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



The patient arrival process is expedited, reducing wait times
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and delays i,-

,Days in A/R is calculated based on the value of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- The total i,- i,-



accounts receivable on a specific date i,- i,- i,- i,- i,-




Case Management requires that a case manager be assigned
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



To a select patient group
i,- i,- i,- i,-




Which of the following is required for participation in Medicaid?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



Meet income and assets requirements
i,- i,- i,- i,- i,-




All of the following are steps in safeguarding collections EXCEPT
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



Issuing receipts
i,- i,-




Overall aggregate payments made to a hospice are subject to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



computed "cap amount" calculated by The Medicare
i,- i,- i,- i,- i,-i,- i,- i,- i,-



Administrative Contractor (MAC) at the end of the hospice cap i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



period


Which of the following is required for participation in Medicaid
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



Meet Income and Assets Requirements
i,- i,- i,- i,- i,-




In choosing a setting for patient financial discussions,
i,- i,- i,- i,- i,- i,- i,- i,-



organizations should first and foremost Respect the patients i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-



privacy

,A nightly room charge will be incorrect if the patient's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



Transfer from ICU (intensive care unit) to the Medical/Surgical
i,- i,- i,- i,- i,- i,- i,- i,-




floor is not reflected in the registration system
i,- i,- i,- i,- i,- i,- i,-




The Affordable Care Act legislated the development of Health
i,- i,- i,- i,- i,- i,- i,- i,- i,-



Insurance Exchanges, where individuals and small businesses can
i,- i,- i,- i,- i,- i,- i,- i,-i,-



Purchase qualified health benefit plans regardless of insured's
i,- i,- i,- i,- i,- i,- i,- i,-




health status i,-




A portion of the accounts receivable inventory which has NOT
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



qualified for billing includes: Charitable pledges i,- i,- i,- i,-i,- i,- i,-




What is required for the UB-04/837-I, used by Rural Health Clinics
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



to generate payment from Medicare?
i,- Revenue codes i,- i,- i,- i,-i,- i,- i,-




This directive was developed to promote and ensure healthcare
i,- i,- i,- i,- i,- i,- i,- i,- i,-



quality and value and also to protect consumers and workers in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the healthcare system. This directive is called
i,- Patient bill of i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-



rights


The activity which results in the accurate recording of patient bed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and level of care assessment, patient transfer and patient
i,- i,- i,- i,- i,- i,- i,- i,- i,-

, discharge status on a real-time basis is known as
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- Case i,-



management


Which statement is an EMTALA (Emergency Medical Treatment
i,- i,- i,- i,- i,- i,- i,- i,-



and Active Labor Act) violation?
i,- Registration staff may
i,- i,- i,- i,-i,- i,- i,- i,- i,-



routinely contact managed are plans for prior authorizations
i,- i,- i,- i,- i,- i,- i,- i,-



before the patient is seen by the on-duty physician
i,- i,- i,- i,- i,- i,- i,- i,-




HIPAA had adopted Employer Identification Numbers (EIN) to be
i,- i,- i,- i,- i,- i,- i,- i,- i,-



used in standard transactions to identify the employer of an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



individual described in a transaction EIN's are i,- i,- i,- i,- i,- i,-




assigned by i,- i,-i,- i,- The Internal Revenue Servicei,- i,- i,-




Checks received through mail, cash received through mail, and
i,- i,- i,- i,- i,- i,- i,- i,- i,-



lock box are all examples of
i,- Control points for cash posting
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-




What are some core elements if a board-approved financial
i,- i,- i,- i,- i,- i,- i,- i,- i,-



assistance policy? Eligibility, application process, and
i,- i,-i,- i,- i,- i,- i,- i,-



nonpayment collection activities i,- i,-




A recurring/series registration is characterized by
i,- The i,- i,- i,- i,- i,-i,- i,- i,-



creation of one registration record for multiple days of service
i,- i,- i,- i,- i,- i,- i,- i,- i,-

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