CRCR Certification 2025/2026 Exam
Questions and Answers | A+ Score
Assured
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
Which of the following is required for participation in Medicaid - 🧠 ANSWER
✔✔Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should
first and foremost - 🧠 ANSWER ✔✔Respect the patients privacy
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
,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
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - 🧠 ANSWER ✔✔Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? - 🧠 ANSWER ✔✔Revenue codes
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
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
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
,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 - 🧠 ANSWER ✔✔The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box
are all examples of - 🧠 ANSWER ✔✔Control points for cash posting
What are some core elements if a board-approved financial assistance
policy? - 🧠 ANSWER ✔✔Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by - 🧠 ANSWER ✔✔The
creation of one registration record for multiple days of service
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
The purpose of a financial report is to: - 🧠 ANSWER ✔✔Present financial
information to decision makers
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Patient financial communications best practices produce communications
that are - 🧠 ANSWER ✔✔Consistent, clear and transparent
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
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
Concurrent review and discharge planning - 🧠 ANSWER ✔✔Occurs during
service
Duplicate payments occur: - 🧠 ANSWER ✔✔When providers re-bill claims
based on nonpayment from the initial bill submission
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
Questions and Answers | A+ Score
Assured
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
Which of the following is required for participation in Medicaid - 🧠 ANSWER
✔✔Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should
first and foremost - 🧠 ANSWER ✔✔Respect the patients privacy
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
,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
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - 🧠 ANSWER ✔✔Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? - 🧠 ANSWER ✔✔Revenue codes
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
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
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
,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 - 🧠 ANSWER ✔✔The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box
are all examples of - 🧠 ANSWER ✔✔Control points for cash posting
What are some core elements if a board-approved financial assistance
policy? - 🧠 ANSWER ✔✔Eligibility, application process, and nonpayment
collection activities
A recurring/series registration is characterized by - 🧠 ANSWER ✔✔The
creation of one registration record for multiple days of service
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
The purpose of a financial report is to: - 🧠 ANSWER ✔✔Present financial
information to decision makers
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Patient financial communications best practices produce communications
that are - 🧠 ANSWER ✔✔Consistent, clear and transparent
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
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
Concurrent review and discharge planning - 🧠 ANSWER ✔✔Occurs during
service
Duplicate payments occur: - 🧠 ANSWER ✔✔When providers re-bill claims
based on nonpayment from the initial bill submission
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
