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Certified Revenue Cycle Representative (CRCR) COMPLETE QUESTIONS AND
ANSWERS | ALREADY PASSED | 2025 LATEST!!



Eliminating mail time and reducing data entry time, electronically monitoring the receipt of
claims and online claim adjudication; more prompt payment are all benefits achieved by -
The electronic submission of claims using electronic transactions



Process observation is a part of what framework of Revenue Cycle? - Compliance



ICD-10-CM and ICD-10-PCS code sets are modifications of - The international ICD-10
codes as developed by the WHO (World Health Organization)



In the balance resolution process, providers should: - Ask the patient if he or she would like
to receive information about payment options and supportive financial assistance programs



A claim is denied for the following reasons, EXCEPT - The submitted claim does not have
the physicians signature



What is a component of HFMA's "Healthcare Dollars & Sense" initiative? - Medical
Account Resolution



Charges, as the most appropriate measurement of utilization enables - Accuracy of expense
and cost capture in the revenue cycle



Net Accounts Receivable is - The amount an entity is reasonably confident of collection from
overall accounts receivables

, The soft cost of a dissatisfied customer is - The customer passing on information about their
negative experience to potential patients or through social media channels.



A Medicare Part A benefit period begins - The first day in which an individual has not been a
hospital inpatient nor in a skilled nursing facility for the previous 60 days.



The most common resolution methods for credit balances include all the following EXCEPT -
Designate the overpayment for charity care



Duplicate payments occur - When providers re-bill claims based on nonpayment from the
initial bill submission



The core financial activities resolved within patient access include - Scheduling , pre-
registration, insurance verification and managed care processing



As a part of the Revenue Cycle, what is a component of a Provider/Patient Conversation? -
Written Follow-up



A portion of the accounts receivable inventory which has NOT qualified for billing includes -
Charitable pledges



Where is an appropriate setting to have a patient financial setting? - Financial Counselor's
office



Health Information Management (HIM is responsible for) - All patient medical records



To be eligible for Medicaid, an individual must - meet income and asset requirements

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