CRCR Certification EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Terms in this set (206) QUETIONS VERIFIED ANSWERS
1) Overall aggregate payments made to The Medicare Administrative
a hospice are subject to a computed Contractor (MAC) at the end of
"cap amount" calculated by the hospice cap period
2) Which of the following is required for Meet Income and Assets
participation in Medicaid Requirements
3) In choosing a setting for patient Respect the patients privacy
financial discussions, organizations
should first and foremost
4) A nightly room charge will be incorrect Transfer from ICU (intensive care
if the patient's unit) to the Medical/Surgical
floor is not reflected in the
registration system
5) The Affordable Care Act legislated the Purchase qualified health benefit
development of Health Insurance plans regardless of insured's
, Exchanges, where individuals and health status
small businesses can
6) A portion of the accounts receivable Charitable pledges
inventory which has NOT qualified for
billing includes:
7) What is required for the UB-04/837-I, Revenue codes
used by Rural Health Clinics to
generate payment from Medicare?
8) This directive was developed to Patient bill of rights
promote and ensure healthcare quality
and value and also to protect
consumers and workers in the
healthcare system. This directive is
called
9) The activity which results in the Case management
accurate recording of patient bed and
level of care assessment, patient
transfer and patient discharge status
on a real-time basis is known as
10) Which statement is an EMTALA Registration staff may routinely
(Emergency Medical Treatment and contact managed are plans for
Active Labor Act) violation? prior authorizations before the
patient is seen by the on-duty
, physician
11) HIPAA had adopted Employer The Internal Revenue Service
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
12) Checks received through mail, cash Control points for cash posting
received through mail, and lock box
are all examples of
13) What are some core elements if a Eligibility, application process,
board-approved financial assistance and nonpayment collection
policy? activities
14) A recurring/series registration is The creation of one registration
characterized by record for multiple days of
service
15) With the advent of the Affordable Care Assist patients in understanding
Act Health Insurance Marketplaces their insurance coverage and
and the expansion of Medicaid in their financial obligation
some states, it is more important than
ever for hospitals to
16) The purpose of a financial report is to: Present financial information to
decision makers
, 17) Patient financial communications best Consistent, clear and transparent
practices produce communications
that are
18) Medicare has established guidelines What services or healthcare
called the Local Coverage items are covered under
Determinations (LCD) and National Medicare
Coverage Determinations (NCD) that
establish
19) Any provider that has filed a timely The Provider Reimbursement
cost report may appeal an adverse Review Board
final decision received from the
Medicare Administrative Contractor
(MAC). This appeal may be filed with
20) Concurrent review and discharge Occurs during service
planning
21) Duplicate payments occur: When providers re-bill claims
based on nonpayment from the
initial bill submission
22) An individual enrolled in Medicare who A beneficiary appeal
is dissatisfied with the government's
claim determination is entitled to
reconsideration of the decision. This
type of appeal is known as
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Terms in this set (206) QUETIONS VERIFIED ANSWERS
1) Overall aggregate payments made to The Medicare Administrative
a hospice are subject to a computed Contractor (MAC) at the end of
"cap amount" calculated by the hospice cap period
2) Which of the following is required for Meet Income and Assets
participation in Medicaid Requirements
3) In choosing a setting for patient Respect the patients privacy
financial discussions, organizations
should first and foremost
4) A nightly room charge will be incorrect Transfer from ICU (intensive care
if the patient's unit) to the Medical/Surgical
floor is not reflected in the
registration system
5) The Affordable Care Act legislated the Purchase qualified health benefit
development of Health Insurance plans regardless of insured's
, Exchanges, where individuals and health status
small businesses can
6) A portion of the accounts receivable Charitable pledges
inventory which has NOT qualified for
billing includes:
7) What is required for the UB-04/837-I, Revenue codes
used by Rural Health Clinics to
generate payment from Medicare?
8) This directive was developed to Patient bill of rights
promote and ensure healthcare quality
and value and also to protect
consumers and workers in the
healthcare system. This directive is
called
9) The activity which results in the Case management
accurate recording of patient bed and
level of care assessment, patient
transfer and patient discharge status
on a real-time basis is known as
10) Which statement is an EMTALA Registration staff may routinely
(Emergency Medical Treatment and contact managed are plans for
Active Labor Act) violation? prior authorizations before the
patient is seen by the on-duty
, physician
11) HIPAA had adopted Employer The Internal Revenue Service
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
12) Checks received through mail, cash Control points for cash posting
received through mail, and lock box
are all examples of
13) What are some core elements if a Eligibility, application process,
board-approved financial assistance and nonpayment collection
policy? activities
14) A recurring/series registration is The creation of one registration
characterized by record for multiple days of
service
15) With the advent of the Affordable Care Assist patients in understanding
Act Health Insurance Marketplaces their insurance coverage and
and the expansion of Medicaid in their financial obligation
some states, it is more important than
ever for hospitals to
16) The purpose of a financial report is to: Present financial information to
decision makers
, 17) Patient financial communications best Consistent, clear and transparent
practices produce communications
that are
18) Medicare has established guidelines What services or healthcare
called the Local Coverage items are covered under
Determinations (LCD) and National Medicare
Coverage Determinations (NCD) that
establish
19) Any provider that has filed a timely The Provider Reimbursement
cost report may appeal an adverse Review Board
final decision received from the
Medicare Administrative Contractor
(MAC). This appeal may be filed with
20) Concurrent review and discharge Occurs during service
planning
21) Duplicate payments occur: When providers re-bill claims
based on nonpayment from the
initial bill submission
22) An individual enrolled in Medicare who A beneficiary appeal
is dissatisfied with the government's
claim determination is entitled to
reconsideration of the decision. This
type of appeal is known as
