Certified Revenue Cycle Representative (CRCR) Exam
Questions AND Correct Answers
"Hard-coded" is the term used to refer to - ✔✔Codes for services,
procedures, and drugs automatically assigned by the charge master
A claim is denied for the following reasons, EXCEPT - ✔✔The
submitted claim does not have the physicians signature
A fundamental requirement for correctly identifying a charity and a
bad debt accounts is - ✔✔A board-approved financial assistance
policy
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.
A portion of the accounts receivable inventory which has NOT
qualified for billing includes - ✔✔Charitable pledges
A recurring/series registration is characterized by - ✔✔The creation of
one registration record for multiple days of service
A routine patient financial discussion would include - ✔✔Explaining
the benefits identified through verifying the patient's insurance
, A successful pre-registration program: - ✔✔Identifies clearly what
information must be gathered including demographic data, insurance
data, and financial information
All of the following information describe claim edits EXCEPT - ✔✔The
claim editing process slowed down the receipt of payments, increases
account receivable outstanding, and decreases cash flow.
An advantage of a pre-registration program is - ✔✔The opportunity to
reduce processing times at the time of service.
An effective discussion between the financial counselor and the
patient can include which of the following? - ✔✔Patients can have
more appropriate expectations regarding their financial
responsibilities
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 - ✔✔A beneficiary
appeal
As a part of the Revenue Cycle, what is a component of a
Provider/Patient Conversation? - ✔✔Written Follow-up
Questions AND Correct Answers
"Hard-coded" is the term used to refer to - ✔✔Codes for services,
procedures, and drugs automatically assigned by the charge master
A claim is denied for the following reasons, EXCEPT - ✔✔The
submitted claim does not have the physicians signature
A fundamental requirement for correctly identifying a charity and a
bad debt accounts is - ✔✔A board-approved financial assistance
policy
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.
A portion of the accounts receivable inventory which has NOT
qualified for billing includes - ✔✔Charitable pledges
A recurring/series registration is characterized by - ✔✔The creation of
one registration record for multiple days of service
A routine patient financial discussion would include - ✔✔Explaining
the benefits identified through verifying the patient's insurance
, A successful pre-registration program: - ✔✔Identifies clearly what
information must be gathered including demographic data, insurance
data, and financial information
All of the following information describe claim edits EXCEPT - ✔✔The
claim editing process slowed down the receipt of payments, increases
account receivable outstanding, and decreases cash flow.
An advantage of a pre-registration program is - ✔✔The opportunity to
reduce processing times at the time of service.
An effective discussion between the financial counselor and the
patient can include which of the following? - ✔✔Patients can have
more appropriate expectations regarding their financial
responsibilities
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 - ✔✔A beneficiary
appeal
As a part of the Revenue Cycle, what is a component of a
Provider/Patient Conversation? - ✔✔Written Follow-up