CRCR Certification Multiple Choice Exam | 140 Questions with 100% Correct Answers | Latest 2025/2026 | Graded A.

CRCR Certification Multiple Choice Exam i,- i,- i,- i,- i,-




| 140 Questions with 100% Correct
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Answers | Latest 2025/2026 | Graded A. i,- i,- i,- i,- i,- i,-




Patients are contacting hospitals to proactively inquire about
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costs and fees prior to
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agreeing to service. The problem for hospitals in providing such
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information is: i,-




a) That hospitals don't want to establish a price without knowing if
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the patient has insurance and how much reimbursement can be
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expected
b) The fact that charge master lists the total charge, not net
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charges
that reflect charges after a payer's contractual adjustment
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c) That hospitals don't want to be put in the position of
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"guaranteeing" price without having room for additional charges i,- i,- i,- i,- i,- i,- i,-




that may arise in the course of treatment
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d) Their reluctance to share proprietary information
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Across all care settings, if a patient consents to a financial
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discussion during a medical i,- i,- i,-

,encounter to expedite discharge, the HFMA best practice is to:
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a) Make sure that the attending staff can answer questions and
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assist in obtaining required patient financial data
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b) Have a patient financial responsibilities kit ready for the patient,
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containing all of the required registration forms and instructions
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c) Support that choice, providing that the discussion does not
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interfere with patient care or disrupt patient flow
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d) Decline such request as finance discussions can disrupt patient
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care and patient flow
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A comprehensive "Compliance Program" is defined as
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a) Annual legal audit and review for adherence to regulations
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b) Educating staff on regulations
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c) Systematic procedures to ensure that the provisions of
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regulations imposed by a government agency are being met
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d) The development of operational policies that correspond to
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regulations i,-i,- i,- C


Case Management requires that a case manager be assigned
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,a) To patients of any physician requesting case management
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b) To a select patient group
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c) To every patient
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d) To specific cases designated by third party contractual
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agreement B i,-i,- i,-




The disadvantages of outsourcing include all of the following
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EXCEPT:
a) The impact of customer service or patient relations
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b) The impact of loss of direct control of accounts receivable
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services
c) Increased costs due to vendor ineffectiveness
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d) Reduced internal staffing costs and a reliance on outsourced
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staff D i,-i,- i,-




The Medicare fee-for service appeal process for both
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beneficiaries and providers i,- i,-




includes all of the following levels EXCEPT:
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a) Medical necessity review by an independent physician's panel
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b) Judicial review by a federal district court
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, c) Redetermination by the company that handles claims for
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Medicare
d) Review by the Medicare Appeals Council (Appeals Council)
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B


Business ethics, or organizational ethics represent:
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a) The principles and standards by which organizations operate
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b) Regulations that must be followed by law
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c) Definitions of appropriate customer service
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d) The code of acceptable conduct
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A portion of the accounts receivable inventory which has NOT
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qualified for billing
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includes:


a) Charitable pledges
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b) Accounts created during pre-registration but not activated
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c) Accounts coded but held within the suspense period
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d) Accounts assigned to a pre-collection agency
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