CRCR EXAM QUESTIONS WITH 100%
COMPLETE ANSWERS
Terms in this set (74) Questions Verified Answers
1. Days in AR is calculated based on the C) The total dollar value of accounts
value of: receivable on a received on a specific
date
A) Total cash received to date
B) Total anticipated revenue minus
expenses
C) The total dollar value of accounts
receivable on a received on a specific
date
D) The time it takes to collect
anticipated revenue
,2. The first thing a health plan does when A) Check if the patient is a health plan
processing a claim is: beneficiary and what is the coverage
A) Check if the patient is a health plan
beneficiary and what is the coverage
B) Verify if the providers are in
network or not
C) Confirm if deductible and co-
insurance requirements have been met
D) Review to make sure the claim is
complete
3. To insure proper internal controls large A) Only the CFO
adjustments are able to be completed
by:
A) Only the CFO
B) A manager or supervisor
C) An external auditor
, D) Only cash posters with
4. Duplicate payments occur: A) When providers rebill claims based
on non payment from the initial bill
A) When providers rebill claims based submitted
on non payment from the initial bill
submitted
B) When there are other healthcare
claims in process and the anticipated
deductible and coinsurance amounts
still show open but will be met by the
in process claims
C) When service departments do not
process charges with the organizations
suspense days
D) When the payers coordination of
benefits is not captured correctly at the
time of registration
5. Charges are the basis for third party and D) Billing compliance issues
regulatory reviews of resource
, consumption . An out of date charge
master can result in:
A) Decrease in denials
B) Increased revenue
C) Lower patient satisfaction scores
D) Billing compliance issues
6. Unless the patient encounter is an A) Obtain the required demographic
emergency it is more efficient and and insurance information before
effective to: services are rendered
A) Obtain the required demographic
and insurance information before
services are rendered
B) Use historical information and
contact the patient only if the claim is
rejected
C) Collect all information after the
COMPLETE ANSWERS
Terms in this set (74) Questions Verified Answers
1. Days in AR is calculated based on the C) The total dollar value of accounts
value of: receivable on a received on a specific
date
A) Total cash received to date
B) Total anticipated revenue minus
expenses
C) The total dollar value of accounts
receivable on a received on a specific
date
D) The time it takes to collect
anticipated revenue
,2. The first thing a health plan does when A) Check if the patient is a health plan
processing a claim is: beneficiary and what is the coverage
A) Check if the patient is a health plan
beneficiary and what is the coverage
B) Verify if the providers are in
network or not
C) Confirm if deductible and co-
insurance requirements have been met
D) Review to make sure the claim is
complete
3. To insure proper internal controls large A) Only the CFO
adjustments are able to be completed
by:
A) Only the CFO
B) A manager or supervisor
C) An external auditor
, D) Only cash posters with
4. Duplicate payments occur: A) When providers rebill claims based
on non payment from the initial bill
A) When providers rebill claims based submitted
on non payment from the initial bill
submitted
B) When there are other healthcare
claims in process and the anticipated
deductible and coinsurance amounts
still show open but will be met by the
in process claims
C) When service departments do not
process charges with the organizations
suspense days
D) When the payers coordination of
benefits is not captured correctly at the
time of registration
5. Charges are the basis for third party and D) Billing compliance issues
regulatory reviews of resource
, consumption . An out of date charge
master can result in:
A) Decrease in denials
B) Increased revenue
C) Lower patient satisfaction scores
D) Billing compliance issues
6. Unless the patient encounter is an A) Obtain the required demographic
emergency it is more efficient and and insurance information before
effective to: services are rendered
A) Obtain the required demographic
and insurance information before
services are rendered
B) Use historical information and
contact the patient only if the claim is
rejected
C) Collect all information after the
