CRCR Certification Questions With Complete Solutions
"Hard-coded" is the term used to refer to Correct Answers
Codes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is Correct Answers A statement of assets,
liabilities, and capital for an organization at a specified point in
time
A claim for reimbursement submitted to a third-party payer that
has all the information and documentation required for the payer
to make a decision on it is known as Correct Answers A clean
claim
A claim is denied for the following reasons, EXCEPT: Correct
Answers The submitted claim does not have the physicians
signature
A comprehensive "Compliance Program" is defined as Correct
Answers Systematic procedures to ensure that the provisions of
regulations imposed by a government agency are being met
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
Correct Answers The patient's home care coverage
A four digit number code established by the National Uniform
Billing Committee (NUBC)that categorizes/classifies a line item
,in the charge master is known as Correct Answers Revenue
codes
A large number of credit balances are not the result of
overpayments but of Correct Answers Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: Correct Answers
With admission as an inpatient
A nightly room charge will be incorrect if the patient's Correct
Answers Transfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT
qualified for billing includes Correct Answers Charitable
pledges
A portion of the accounts receivable inventory which has NOT
qualified for billing includes: Correct Answers Charitable
pledges
A recurring/series registration is characterized by Correct
Answers The creation of one registration record for multiple
days of service
A scheduled inpatient represents an opportunity for the provider
to do which of the following? Correct Answers Complete
registration and insurance approval before service
, A typical routine patient financial discussion would include
Correct Answers Explaining the benefits identified through
verifying the patients insurance
Account Receivable (A/R) Aging reports Correct Answers
Divide accounts receivable into 30, 60, 90 ,120 days past due
categories
Across all care settings, if a patient consents to a financial
discussion during a medical encounter Correct Answers
Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial
discussion during a medical encounter to expedite discharge, the
HFMA best practice is to: Correct Answers Support that
choice, providing that the discussion does not interfere with
patient care or disrupt patient flow
All Hospitals are required to establish a written financial
assistance policy that applies to Correct Answers All
emergency and medically necessary care
All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT Correct
Answers Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting
EXCEPT Correct Answers Contracted Rebating
"Hard-coded" is the term used to refer to Correct Answers
Codes for services, procedures, and drugs automatically
assigned by the charge master
A balance sheet is Correct Answers A statement of assets,
liabilities, and capital for an organization at a specified point in
time
A claim for reimbursement submitted to a third-party payer that
has all the information and documentation required for the payer
to make a decision on it is known as Correct Answers A clean
claim
A claim is denied for the following reasons, EXCEPT: Correct
Answers The submitted claim does not have the physicians
signature
A comprehensive "Compliance Program" is defined as Correct
Answers Systematic procedures to ensure that the provisions of
regulations imposed by a government agency are being met
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
Correct Answers The patient's home care coverage
A four digit number code established by the National Uniform
Billing Committee (NUBC)that categorizes/classifies a line item
,in the charge master is known as Correct Answers Revenue
codes
A large number of credit balances are not the result of
overpayments but of Correct Answers Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: Correct Answers
With admission as an inpatient
A nightly room charge will be incorrect if the patient's Correct
Answers Transfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT
qualified for billing includes Correct Answers Charitable
pledges
A portion of the accounts receivable inventory which has NOT
qualified for billing includes: Correct Answers Charitable
pledges
A recurring/series registration is characterized by Correct
Answers The creation of one registration record for multiple
days of service
A scheduled inpatient represents an opportunity for the provider
to do which of the following? Correct Answers Complete
registration and insurance approval before service
, A typical routine patient financial discussion would include
Correct Answers Explaining the benefits identified through
verifying the patients insurance
Account Receivable (A/R) Aging reports Correct Answers
Divide accounts receivable into 30, 60, 90 ,120 days past due
categories
Across all care settings, if a patient consents to a financial
discussion during a medical encounter Correct Answers
Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial
discussion during a medical encounter to expedite discharge, the
HFMA best practice is to: Correct Answers Support that
choice, providing that the discussion does not interfere with
patient care or disrupt patient flow
All Hospitals are required to establish a written financial
assistance policy that applies to Correct Answers All
emergency and medically necessary care
All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT Correct
Answers Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting
EXCEPT Correct Answers Contracted Rebating
