CRCR CERTIFICATION EXAM QUESTIONS WITH THE LATEST
SCORES.
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
_ _ _ _ _ _ _ _ _ _ _ _ _ _
calculated by -- Answer ✔✔ The Medicare Administrative Contractor (MAC) at the end
_ _ _ _ _ _ _ _ _ _ _ _ _
of the hospice cap period
_ _ _ _
Which of the following is required for participation in Medicaid -- Answer ✔✔ Meet
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Income and Assets Requirements _ _ _
In choosing a setting for patient financial discussions, organizations should first and
_ _ _ _ _ _ _ _ _ _ _ _
foremost -- Answer ✔✔ Respect the patients privacy
_ _ _ _ _ _ _
A nightly room charge will be incorrect if the patient's -- Answer ✔✔ Transfer from ICU
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(intensive care unit) to the Medical/Surgical _ _ _ _ _
floor is not reflected in the registration system
_ _ _ _ _ _ _
The Affordable Care Act legislated the development of Health Insurance Exchanges,
_ _ _ _ _ _ _ _ _ _ _
where individuals and small businesses can -- Answer ✔✔ Purchase qualified health
_ _ _ _ _ _ _ _ _ _ _ _
benefit plans regardless of insured's
_ _ _ _
health status _
A portion of the accounts receivable inventory which has NOT qualified for billing
_ _ _ _ _ _ _ _ _ _ _ _ _
includes: -- Answer ✔✔ Charitable pledges _ _ _ _ _
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
_ _ _ _ _ _ _ _ _ _ _ _ _ _
from Medicare? -- Answer ✔✔ Revenue codes
_ _ _ _ _ _
This directive was developed to promote and ensure healthcare quality and value and
_ _ _ _ _ _ _ _ _ _ _ _ _
also to protect consumers and workers in the healthcare system. This directive is called
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Patient bill of rights
_ _ _ _ _ _
,The activity which results in the accurate recording of patient bed and level of care
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
assessment, patient transfer and patient discharge status on a real-time basis is known as
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Case management
_ _ _ _
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
_ _ _ _ _ _ _ _ _ _ _ _
violation? -- Answer ✔✔ Registration staff may routinely contact managed are plans for
_ _ _ _ _ _ _ _ _ _ _ _ _
prior authorizations before the patient is seen by the on-duty physician
_ _ _ _ _ _ _ _ _ _
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
_ _ _ _ _ _ _ _ _ _ _ _
transactions to identify the employer of an individual described in a transaction EIN's are
_ _ _ _ _ _ _ _ _ _ _ _ _
assigned by -- Answer ✔✔ The Internal Revenue Service
_ _ _ _ _ _ _ _
Checks received through mail, cash received through mail, and lock box are all examples
_ _ _ _ _ _ _ _ _ _ _ _ _ _
of -- Answer ✔✔ Control points for cash posting
_ _ _ _ _ _ _ _
What are some core elements if a board-approved financial assistance policy? -- Answer
_ _ _ _ _ _ _ _ _ _ _ _ _
✔✔ Eligibility, application process, and nonpayment collection activities
_ _ _ _ _ _ _
A recurring/series registration is characterized by -- Answer ✔✔ The creation of one
_ _ _ _ _ _ _ _ _ _ _ _ _
registration record for multiple days of service _ _ _ _ _ _
With the advent of the Affordable Care Act Health Insurance Marketplaces and the
_ _ _ _ _ _ _ _ _ _ _ _ _
expansion of Medicaid in some states, it is more important than ever for hospitals to --
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Assist patients in understanding their insurance coverage and their financial
_ _ _ _ _ _ _ _ _ _ _ _
obligation
The purpose of a financial report is to: -- Answer ✔✔ Present financial information to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
decision makers _
Patient financial communications best practices produce communications that are --
_ _ _ _ _ _ _ _ _ _
Answer ✔✔ Consistent, clear and transparent
_ _ _ _ _
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
_ _ _ _ _ _ _ _ _ _
National Coverage Determinations (NCD) that establish -- Answer ✔✔ What services
_ _ _ _ _ _ _ _ _ _ _ _
or healthcare items are covered under Medicare
_ _ _ _ _ _
, 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 -- Answer ✔✔ The Provider Reimbursement Review Board
_ _ _ _ _ _ _ _
Concurrent review and discharge planning -- Answer ✔✔ Occurs during service
_ _ _ _ _ _ _ _ _ _
Duplicate payments occur: -- Answer ✔✔ When providers re-bill claims based on
_ _ _ _ _ _ _ _ _ _ _ _
nonpayment from the initial bill submission _ _ _ _ _
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 -- Answer ✔✔ A beneficiary appeal
_ _ _ _ _ _
Insurance verification results in which of the following -- Answer ✔✔ The accurate
_ _ _ _ _ _ _ _ _ _ _ _ _
identification of the patient's eligibility and benefits _ _ _ _ _ _
The Medicare fee-for service appeal process for both beneficiaries and providers
_ _ _ _ _ _ _ _ _ _ _
includes all of the following levels EXCEPT: -- Answer ✔✔ Judicial review by a federal
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
district court _
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
_ _ _ _ _ _ _ _ _ _
providermay not ask about a patient's insurance information if it would delay what? --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Medical screening and stabilizing treatment
_ _ _ _ _ _
Ambulance services are billed directly to the health plan for -- Answer ✔✔ 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
_ _ _ _ _ _ _ _ _ _ _ _ _
Key performance indicators (KPIs) set standards for accounts receivables (A/R) and --
_ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Provide a method of measuring the collection and control of A/R
_ _ _ _ _ _ _ _ _ _ _ _
he patient discharge process begins when -- Answer ✔✔ The physician writes the
_ _ _ _ _ _ _ _ _ _ _ _ _
discharge orders _
SCORES.
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
_ _ _ _ _ _ _ _ _ _ _ _ _ _
calculated by -- Answer ✔✔ The Medicare Administrative Contractor (MAC) at the end
_ _ _ _ _ _ _ _ _ _ _ _ _
of the hospice cap period
_ _ _ _
Which of the following is required for participation in Medicaid -- Answer ✔✔ Meet
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Income and Assets Requirements _ _ _
In choosing a setting for patient financial discussions, organizations should first and
_ _ _ _ _ _ _ _ _ _ _ _
foremost -- Answer ✔✔ Respect the patients privacy
_ _ _ _ _ _ _
A nightly room charge will be incorrect if the patient's -- Answer ✔✔ Transfer from ICU
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(intensive care unit) to the Medical/Surgical _ _ _ _ _
floor is not reflected in the registration system
_ _ _ _ _ _ _
The Affordable Care Act legislated the development of Health Insurance Exchanges,
_ _ _ _ _ _ _ _ _ _ _
where individuals and small businesses can -- Answer ✔✔ Purchase qualified health
_ _ _ _ _ _ _ _ _ _ _ _
benefit plans regardless of insured's
_ _ _ _
health status _
A portion of the accounts receivable inventory which has NOT qualified for billing
_ _ _ _ _ _ _ _ _ _ _ _ _
includes: -- Answer ✔✔ Charitable pledges _ _ _ _ _
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
_ _ _ _ _ _ _ _ _ _ _ _ _ _
from Medicare? -- Answer ✔✔ Revenue codes
_ _ _ _ _ _
This directive was developed to promote and ensure healthcare quality and value and
_ _ _ _ _ _ _ _ _ _ _ _ _
also to protect consumers and workers in the healthcare system. This directive is called
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Patient bill of rights
_ _ _ _ _ _
,The activity which results in the accurate recording of patient bed and level of care
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
assessment, patient transfer and patient discharge status on a real-time basis is known as
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Case management
_ _ _ _
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
_ _ _ _ _ _ _ _ _ _ _ _
violation? -- Answer ✔✔ Registration staff may routinely contact managed are plans for
_ _ _ _ _ _ _ _ _ _ _ _ _
prior authorizations before the patient is seen by the on-duty physician
_ _ _ _ _ _ _ _ _ _
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
_ _ _ _ _ _ _ _ _ _ _ _
transactions to identify the employer of an individual described in a transaction EIN's are
_ _ _ _ _ _ _ _ _ _ _ _ _
assigned by -- Answer ✔✔ The Internal Revenue Service
_ _ _ _ _ _ _ _
Checks received through mail, cash received through mail, and lock box are all examples
_ _ _ _ _ _ _ _ _ _ _ _ _ _
of -- Answer ✔✔ Control points for cash posting
_ _ _ _ _ _ _ _
What are some core elements if a board-approved financial assistance policy? -- Answer
_ _ _ _ _ _ _ _ _ _ _ _ _
✔✔ Eligibility, application process, and nonpayment collection activities
_ _ _ _ _ _ _
A recurring/series registration is characterized by -- Answer ✔✔ The creation of one
_ _ _ _ _ _ _ _ _ _ _ _ _
registration record for multiple days of service _ _ _ _ _ _
With the advent of the Affordable Care Act Health Insurance Marketplaces and the
_ _ _ _ _ _ _ _ _ _ _ _ _
expansion of Medicaid in some states, it is more important than ever for hospitals to --
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Assist patients in understanding their insurance coverage and their financial
_ _ _ _ _ _ _ _ _ _ _ _
obligation
The purpose of a financial report is to: -- Answer ✔✔ Present financial information to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
decision makers _
Patient financial communications best practices produce communications that are --
_ _ _ _ _ _ _ _ _ _
Answer ✔✔ Consistent, clear and transparent
_ _ _ _ _
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
_ _ _ _ _ _ _ _ _ _
National Coverage Determinations (NCD) that establish -- Answer ✔✔ What services
_ _ _ _ _ _ _ _ _ _ _ _
or healthcare items are covered under Medicare
_ _ _ _ _ _
, 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 -- Answer ✔✔ The Provider Reimbursement Review Board
_ _ _ _ _ _ _ _
Concurrent review and discharge planning -- Answer ✔✔ Occurs during service
_ _ _ _ _ _ _ _ _ _
Duplicate payments occur: -- Answer ✔✔ When providers re-bill claims based on
_ _ _ _ _ _ _ _ _ _ _ _
nonpayment from the initial bill submission _ _ _ _ _
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 -- Answer ✔✔ A beneficiary appeal
_ _ _ _ _ _
Insurance verification results in which of the following -- Answer ✔✔ The accurate
_ _ _ _ _ _ _ _ _ _ _ _ _
identification of the patient's eligibility and benefits _ _ _ _ _ _
The Medicare fee-for service appeal process for both beneficiaries and providers
_ _ _ _ _ _ _ _ _ _ _
includes all of the following levels EXCEPT: -- Answer ✔✔ Judicial review by a federal
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
district court _
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
_ _ _ _ _ _ _ _ _ _
providermay not ask about a patient's insurance information if it would delay what? --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Medical screening and stabilizing treatment
_ _ _ _ _ _
Ambulance services are billed directly to the health plan for -- Answer ✔✔ 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
_ _ _ _ _ _ _ _ _ _ _ _ _
Key performance indicators (KPIs) set standards for accounts receivables (A/R) and --
_ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Provide a method of measuring the collection and control of A/R
_ _ _ _ _ _ _ _ _ _ _ _
he patient discharge process begins when -- Answer ✔✔ The physician writes the
_ _ _ _ _ _ _ _ _ _ _ _ _
discharge orders _
