CRCR Multiple Choice
A claim is denied for the following reasons, EXCEPT:
a) The fitness plan can not become aware of the subscriber
b) The frequency of service changed into outdoor the insurance timeline
c) The submitted declare does now not have the physicians signature
d) The subscriber become not enrolled at the time of provider - ANS-C
A comprehensive "Compliance Program" is described as
a) Annual criminal audit and overview for adherence to guidelines
b) Educating body of workers on policies
c) Systematic approaches to ensure that the provisions of
guidelines imposed by using a government business enterprise are being met
d) The improvement of operational rules that correspond to
guidelines - ANS-C
A selection on whether a patient must be admitted as an inpatient or turn out to be an
outpatient remark affected person requires medical judgments based totally on all of the
following
EXCEPT
a) The affected person's domestic care insurance
b) Current clinical needs
c) The chance of an detrimental occasion taking place to the patient
d) The patient's clinical records - ANS-A
A four digit range code mounted through the National Uniform Billing Committee (NUBC)
that categorizes/classifies a line object inside the price grasp is referred to as
a) HCPCs codes
b) ICD-10 Procedural codes
c) CPT codes
d) Revenue codes - ANS-D
A massive range of credit balances aren't the end result of overpayments however of
a) Posting errors within the pt accounting gadget
b) Incorrect claim submissions
c) Inadequate staff training
d) Banking transaction mistakes - ANS-A
A Medicare Part A gain period begins:
a) With admission as an inpatient
,b) The first day wherein an man or woman has now not been a medical institution
inpatient now not in a skilled nursing facility for the preceding 60 days
c) Upon the day the insurance top rate is paid
d) Immediately as soon as authorization for remedy is furnished by way of the
fitness plan - ANS-A
A nightly room fee can be wrong if the patient's
a) Discharge for the next day has now not been charted
b) Condition has no longer been discussed throughout the shift trade report
meeting
c) Pharmacy orders to the ICU have now not been entered within the
pharmacy machine
d) Transfer from ICU (intensive care unit) to the Medical/Surgical
floor isn't always contemplated inside the registration machine - ANS-D
A portion of the accounts receivable stock which has NOT qualified for billing
includes
a) Charitable pledges
b) Accounts assigned to a pre-series enterprise
c) Accounts coded but held within the suspense duration
d) Accounts created in the course of pre-registration but now not activated - ANS-A
A part of the money owed receivable inventory which has NOT qualified for billing
consists of:
a) Charitable pledges
b) Accounts created for the duration of pre-registration but now not activated
c) Accounts coded but held within the suspense length
d) Accounts assigned to a pre-series enterprise - ANS-A
A routine/collection registration is characterized by using
a) A creation of a couple of registrations for more than one offerings
b) The advent of 1 registration report for a couple of days of carrier
c) The advent of more than one affected person sorts for one date of carrier
d) The introduction of one registration document in step with analysis per go to - ANS-B
A habitual/collection registration is characterised via
a) The creation of one registration file for multiple days of carrier
b) The advent of more than one registrations for more than one services
c) The advent of 1 registration document in keeping with prognosis consistent with visits
d) The advent of multiple pt types for one date of carrier - ANS-A
A scheduled inpatient represents an possibility for the company to do which of the
following?
A) Refer the affected person to any other area with the fitness device
, b) Comply with EMTALA (Emergency Medical Treatment and Labor Act)
necessities earlier than service
c) Complete registration and coverage approval before carrier
d) Register the affected person after she or he is located in a bed on that carrier
unit. - ANS-C
Across all care settings, if a affected person has the same opinion to a monetary discussion
throughout a scientific
come upon to expedite discharge, the HFMA great exercise is to:
a) Make positive that the attending team of workers can solution questions and
help in obtaining required affected person financial records
b) Have a patient economic obligations package geared up for the affected person,
containing all the required registration forms and instructions
c) Support that desire, presenting that the discussion does not
intrude with patient care or disrupt patient float
d) Decline such request as finance discussions can disrupt patient
care and affected person waft - ANS-C
Across all care settings, if a pt sees eye to eye to a economic dialogue all through a clinical
come upon
to expedite discharge, the HFMA excellent practice is to
a) Have a pt monetary duties kit equipped for the pt containing all the required
registration bureaucracy and commands
b) Make positive that the attending body of workers can answer questions and assist in
acquiring
required pt monetary facts
c) Support that preference, imparting that the dialogue does no longer intervene with pt care
or
disrupt pt drift
d) Decline such request as finance discussions can disrupt pt care and pt drift - ANS-C
All of the subsequent are conditions that disqualify a technique or service from being paid
for by way of Medicare EXCEPT
a) Medically useless
b) Not brought in a Medicare licensed care putting
c) Offered in an outpatient placing
d) Services and methods which might be custodial in nature - ANS-D
All of the subsequent are sorts of sanatorium fee contracting EXCEPT
a) Contracted Rebating
b) Per Diem Payment
c) Fixed Contracting
d) Bundled Payment - ANS-A
All of the subsequent are forms of hospital fee contracting EXCEPT
A claim is denied for the following reasons, EXCEPT:
a) The fitness plan can not become aware of the subscriber
b) The frequency of service changed into outdoor the insurance timeline
c) The submitted declare does now not have the physicians signature
d) The subscriber become not enrolled at the time of provider - ANS-C
A comprehensive "Compliance Program" is described as
a) Annual criminal audit and overview for adherence to guidelines
b) Educating body of workers on policies
c) Systematic approaches to ensure that the provisions of
guidelines imposed by using a government business enterprise are being met
d) The improvement of operational rules that correspond to
guidelines - ANS-C
A selection on whether a patient must be admitted as an inpatient or turn out to be an
outpatient remark affected person requires medical judgments based totally on all of the
following
EXCEPT
a) The affected person's domestic care insurance
b) Current clinical needs
c) The chance of an detrimental occasion taking place to the patient
d) The patient's clinical records - ANS-A
A four digit range code mounted through the National Uniform Billing Committee (NUBC)
that categorizes/classifies a line object inside the price grasp is referred to as
a) HCPCs codes
b) ICD-10 Procedural codes
c) CPT codes
d) Revenue codes - ANS-D
A massive range of credit balances aren't the end result of overpayments however of
a) Posting errors within the pt accounting gadget
b) Incorrect claim submissions
c) Inadequate staff training
d) Banking transaction mistakes - ANS-A
A Medicare Part A gain period begins:
a) With admission as an inpatient
,b) The first day wherein an man or woman has now not been a medical institution
inpatient now not in a skilled nursing facility for the preceding 60 days
c) Upon the day the insurance top rate is paid
d) Immediately as soon as authorization for remedy is furnished by way of the
fitness plan - ANS-A
A nightly room fee can be wrong if the patient's
a) Discharge for the next day has now not been charted
b) Condition has no longer been discussed throughout the shift trade report
meeting
c) Pharmacy orders to the ICU have now not been entered within the
pharmacy machine
d) Transfer from ICU (intensive care unit) to the Medical/Surgical
floor isn't always contemplated inside the registration machine - ANS-D
A portion of the accounts receivable stock which has NOT qualified for billing
includes
a) Charitable pledges
b) Accounts assigned to a pre-series enterprise
c) Accounts coded but held within the suspense duration
d) Accounts created in the course of pre-registration but now not activated - ANS-A
A part of the money owed receivable inventory which has NOT qualified for billing
consists of:
a) Charitable pledges
b) Accounts created for the duration of pre-registration but now not activated
c) Accounts coded but held within the suspense length
d) Accounts assigned to a pre-series enterprise - ANS-A
A routine/collection registration is characterized by using
a) A creation of a couple of registrations for more than one offerings
b) The advent of 1 registration report for a couple of days of carrier
c) The advent of more than one affected person sorts for one date of carrier
d) The introduction of one registration document in step with analysis per go to - ANS-B
A habitual/collection registration is characterised via
a) The creation of one registration file for multiple days of carrier
b) The advent of more than one registrations for more than one services
c) The advent of 1 registration document in keeping with prognosis consistent with visits
d) The advent of multiple pt types for one date of carrier - ANS-A
A scheduled inpatient represents an possibility for the company to do which of the
following?
A) Refer the affected person to any other area with the fitness device
, b) Comply with EMTALA (Emergency Medical Treatment and Labor Act)
necessities earlier than service
c) Complete registration and coverage approval before carrier
d) Register the affected person after she or he is located in a bed on that carrier
unit. - ANS-C
Across all care settings, if a affected person has the same opinion to a monetary discussion
throughout a scientific
come upon to expedite discharge, the HFMA great exercise is to:
a) Make positive that the attending team of workers can solution questions and
help in obtaining required affected person financial records
b) Have a patient economic obligations package geared up for the affected person,
containing all the required registration forms and instructions
c) Support that desire, presenting that the discussion does not
intrude with patient care or disrupt patient float
d) Decline such request as finance discussions can disrupt patient
care and affected person waft - ANS-C
Across all care settings, if a pt sees eye to eye to a economic dialogue all through a clinical
come upon
to expedite discharge, the HFMA excellent practice is to
a) Have a pt monetary duties kit equipped for the pt containing all the required
registration bureaucracy and commands
b) Make positive that the attending body of workers can answer questions and assist in
acquiring
required pt monetary facts
c) Support that preference, imparting that the dialogue does no longer intervene with pt care
or
disrupt pt drift
d) Decline such request as finance discussions can disrupt pt care and pt drift - ANS-C
All of the subsequent are conditions that disqualify a technique or service from being paid
for by way of Medicare EXCEPT
a) Medically useless
b) Not brought in a Medicare licensed care putting
c) Offered in an outpatient placing
d) Services and methods which might be custodial in nature - ANS-D
All of the subsequent are sorts of sanatorium fee contracting EXCEPT
a) Contracted Rebating
b) Per Diem Payment
c) Fixed Contracting
d) Bundled Payment - ANS-A
All of the subsequent are forms of hospital fee contracting EXCEPT
