CRCR Certification Exam TEST BANK| 530 All Possible Questions with Verified Answers |100% Correct | Latest 2025/2026 Update.

CRCR Certification Exam TEST BANK| 530 All i,- i,- i,- i,- i,- i,- i,-




Possible Questions with Verified Answers i,- i,- i,- i,- i,-




|100% Correct | Latest 2025/2026 Update. i,- i,- i,- i,- i,-




Days in A/R is calculated based on the value of
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a) Total cash received to date
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b) The time it takes to collect anticipated revenue
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c) The total accounts receivable on a specific date
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d) Total anticipated revenue minus expenses
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All of the following are forms of hospital payment contracting
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EXCEPT
a) Per diem payment
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b) Bundled Payment
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c) Fixed Contracting
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d) Contracted Rebating
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The standard claim form used for billing by hospitals, nursing
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facilities, and other in- i,- i,- i,-




patient

,services is called the
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a) UB-04
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b) 1500
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c) COST REPORT
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d) REMITTANCE NOTICE
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To maximize the value derived from customer complaints, all
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consumer complaints should i,- i,-




be
a) Responded to within two business days
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b) Tracked and shared to improve the customer experience
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c) Handled by a specially trained "service recovery" team
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d) Brought immediately to management's attention
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The HCAHPS (hospital consumer assessment of healthcare
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providers and systems) i,- i,-




initiative
was launched to
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a) Gather national date on overall trust in the nation's health care
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system
b) Create a national database on physician quality
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,c) Provide a standardized method for evaluating patient's
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perspective on i,-




hospital care. ? i,- i,-




d) Provide data for building shared savings reimbursement for
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quality procedures. Ci,- i,-i,- i,-




Health Plan Contracting Departments do all of the following
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EXCEPT
a) Establish a global reimbursement rate to use with all third-
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party payer i,-




b) Review all managed care contracts for accuracy for loading
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contract terms into the i,- i,- i,-




patient accounting system i,- i,-




c) Review payment schemes to ensure that the health plan and
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provider understand how i,- i,-




reimbursements must be calculated i,- i,- i,-




d) Review contracts to ensure the appeals process for denied
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claims is clearly specified
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The benefit of Medicare Advantage Plan is
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a) It is a less costly plan compared to traditional Medicare
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b) Patients may retain a primary care physician and see another
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physician for a second i,- i,- i,-

, opinion at no charge i,- i,- i,-




c) Patients generally have their Medicare-coverage healthcare
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through
the plan and do not need to worry about "part a" or "part b"
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benefits
d) Patients receive significant discounting on services contracted
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by the federal
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government i,-i,- i,- C


Once the EMTALA requirements are satisfied
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a) Third-party payer info should be collected from the pt and the
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payer
should be notified of the ED visiti,- i,- i,- i,- i,- i,-




b) An initial registration record is completed so that the proper
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coding can be initiated i,- i,- i,-




c) The pt then assumes full liability for services unless a third-
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party payer is notified or
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the pt applies for financial assistance within the first 48 hours
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d) The remaining registration processing is initiated either at the
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bedside or In a i,- i,- i,-




registration area i,- i,-i,- i,- A


The soft cost of a dissatisfied customer is
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