CRCR Certification Questions with Detailed Verified Answers

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CRCR Certification Questions with
Detailed Verified Answers

Question: Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by


Ans: The Medicare Administrative Contractor (MAC) at the end of the
hospice cap period


Question: Which of the following is required for participation in Medicaid


Ans: Meet Income and Assets Requirements


Question: In choosing a setting for patient financial discussions,
organizations should first and foremost


Ans: Respect the patients privacy


Question: A nightly room charge will be incorrect if the patient's


Ans: Transfer from ICU (intensive care unit) to the Medical/Surgical


floor is not reflected in the registration system


Question: The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses can

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Ans: Purchase qualified health benefit plans regardless of insured's


health status


Question: A portion of the accounts receivable inventory which has NOT
qualified for billing includes:


Ans: Charitable pledges


Question: What is required for the UB-04/837-I, used by Rural Health Clinics
to generate payment from Medicare?


Ans: Revenue codes


Question: 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


Ans: Patient bill of rights


Question: 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


Ans: Case management


Question: Which statement is an EMTALA (Emergency Medical Treatment
and Active Labor Act) violation?

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Ans: Registration staff may routinely contact managed are plans for prior
authorizations before the patient is seen by the on-duty physician


Question: 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


Ans: The Internal Revenue Service


Question: Checks received through mail, cash received through mail, and
lock box are all examples of


Ans: Control points for cash posting


Question: What are some core elements if a board-approved financial
assistance policy?


Ans: Eligibility, application process, and nonpayment collection activities


Question: A recurring/series registration is characterized by


Ans: The creation of one registration record for multiple days of service


Question: 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

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Ans: Assist patients in understanding their insurance coverage and their
financial obligation


Question: The purpose of a financial report is to:


Ans: Present financial information to decision makers


Question: Patient financial communications best practices produce
communications that are


Ans: Consistent, clear and transparent


Question: Medicare has established guidelines called the Local Coverage
Determinations (LCD) and National Coverage Determinations (NCD) that
establish


Ans: What services or healthcare items are covered under Medicare


Question: 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


Ans: The Provider Reimbursement Review Board


Question: Concurrent review and discharge planning


Ans: Occurs during service


Question: Duplicate payments occur: