CRCR CERTIFICATION EXAM TEST BANK ALL WITH 450 QUESTIONS AND CORRECT DETAILED SOLUTIONS JUST RELEASED THIS YEAR

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CRCR CERTIFICATION EXAM TEST BANK ALL
WITH 450 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR

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 -
ANSWER✔✔Case management




QUESTION: What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - ANSWER✔✔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 -
ANSWER✔✔Patient bill of rights




QUESTION: 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




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

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assigned by - ANSWER✔✔The Internal Revenue Service




QUESTION: 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




QUESTION: Which of the following is required for participation in Medicaid - ANSWER✔✔Meet
Income and Assets Requirements




QUESTION: In choosing a setting for patient financial discussions, organizations should first and
foremost - ANSWER✔✔Respect the patients privacy




QUESTION: 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




QUESTION: 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

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health status




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




QUESTION: Checks received through mail, cash received through mail, and lock box are all
examples of - ANSWER✔✔Control points for cash posting




QUESTION: What are some core elements if a board-approved financial assistance policy? -
ANSWER✔✔Eligibility, application process, and nonpayment collection activities




QUESTION: A recurring/series registration is characterized by - ANSWER✔✔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 -
ANSWER✔✔Assist patients in understanding their insurance coverage and their financial
obligation




QUESTION: The purpose of a financial report is to: - ANSWER✔✔Present financial information
to decision makers

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QUESTION: Patient financial communications best practices produce communications that are -
ANSWER✔✔Consistent, clear and transparent




QUESTION: 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




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 -
ANSWER✔✔The Provider Reimbursement Review Board




QUESTION: Concurrent review and discharge planning - ANSWER✔✔Occurs during service




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




QUESTION: 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




QUESTION: Insurance verification results in which of the following - ANSWER✔✔The accurate
identification of the patient's eligibility and benefits