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Exam (elaborations)

CRCR MULTIPLE CHOICE 2025 |LATEST EXAM QUESTIONS WITH CORRECT WITH ANSWERS.

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CRCR MULTIPLE CHOICE 2025 |LATEST EXAM QUESTIONS WITH CORRECT WITH ANSWERS.

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CRCR MULTIPLE CHOICE
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Institution
CRCR MULTIPLE CHOICE
Course
CRCR MULTIPLE CHOICE

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Uploaded on
May 30, 2025
Number of pages
64
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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CRCR MULTIPLE CHOICE 2025 |LATEST EXAM
QUESTIONS WITH CORRECT WITH ANSWERS.


Key Performance Indicators (KPIs) set standards for accounts receivables (A/R)
and



a) Provide evidence of financial status



b) Provide a method of measuring the collection and control of A/R

c) Establish productivity targets

d) Make allowance for accurate revenue forecasting - Correct-answer-B




Recognizing that health coverage is complicated and not all patients are able to
navigate

this terrain, HFMA best practices specify that



a) The patient accounts staff have someone assigned to research

coverage on behalf of patients

b) Patients should be given the opportunity to request a patient

advocate, family member, or other designee to help them in these

,2|Page


discussions

c) Patient coverage education may need to be provided by the

health plan

d) A representative of the health plan be included in the patient

financial responsibilities discussion - Correct-answer-B




When there is a request for service, the scheduling staff member must confirm
the

patient's unique identification information to



a) Check if there is any patient balance due

b) Verify the patient's insurance coverage if the patient is a returning

customer

c) Confirm that physician orders have been received

d) Ensure that she/he accesses the correct information in the

historical database - Correct-answer-D




Once the price is estimated in the pre-service stage, a provider's financial best
practice

is to

,3|Page




a) Explain to the patient their financial responsibility and to

determine the plan for payment

b) Allow the patient time to compare prices with other providers

c) Lock-in the prices

d) Have another employee double check the price estimate - Correct-answer-A




What type of account adjustment results from the patient's unwillingness to pay a
self-

pay balance?



a) Charity adjustment

b) Bad debt adjustment

c) Contractual adjustment

d) Administrative adjustment - Correct-answer-B




All of the following are conditions that disqualify a procedure or service from
being paid

for by Medicare EXCEPT

, 4|Page


a) Medically unnecessary

b) Not delivered in a Medicare licensed care setting

c) Offered in an outpatient setting

d) Services and procedures that are custodial in nature - Correct-answer-D




All of the following are forms of hospital payment contracting EXCEPT



a) Contracted Rebating

b) Per Diem Payment

c) Fixed Contracting

d) Bundled Payment - Correct-answer-A




Overall aggregate payments made to a hospice are subject to a computed "cap
amount"

calculated by:



a) The Center for Medicare and Medicaid Services (CMS)

b) Each state's Medicaid plan

c) Medicare

d) The Medicare Administrative Contractor (MAC) at the end of the

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