CRCR Certification

Patients are contacting hospitals to proactively inquire about costs and fees prior to agreeing to service. The problem for hospitals in providing such information is: a) That hospitals don't want to establish a price without knowing if the patient has insurance and how much reimbursement can be expected b) The fact that charge master lists the total charge, not net charges that reflect charges after a payer's contractual adjustment c) That hospitals don't want to be put in the p...

The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can: A. Obtain price estimates for medical services B. Negotiate the price of medical services with providers C. Purchase qualified health benefit plans regardless of insured's health status D. Meet federal mandates for insurance coverage and obtain the corresponding tax deduction C. Purchase qualified health benefit plans regardless of insured's health status. ...

Days in A/R is calculated based on the value of a) Total cash received to date b) The time it takes to collect anticipated revenue c) The total accounts receivable on a specific date d) Total anticipated revenue minus expenses C All of the following are forms of hospital payment contracting EXCEPT a) Per diem payment b) Bundled Payment c) Fixed Contracting d) Contracted Rebating D The standard claim form used for billing by hospitals, nursing facilities, and other in- patien...

CRCR Certification Exam Questions And Answers Verified 100% Correct 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 ...

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What is the intended outcome of collaborations made through an ACO delivery system for a population of patients? To eliminate duplicate services, prevent medical errors and ensure appropriateness of care. Historically, revenue cycle has delt with contractual adjustments, bad debt and charity deductions from gross revenue. Although deductions continue to exist, the definition of net revenue has been modified through the implementation of ASC 606. Developed by the Financial Accounting Standar...

CRCR CERTIFICATION NEWEST UPDATE / 200 ACTUAL TEST QUESTIONS WITH DETAILED VERIFIED ANSWERS / ALREADY GRADED A Terms in this set (206) Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations s...

CRCR Certification exam study test guide with latest updated questions

Prepare for the CRCR Certification exam with this updated 2025 study guide and practice test. Covers revenue cycle operations, patient access, billing, claims, compliance, and healthcare finance essentials. Includes real exam-style questions and verified answers to help you score 100% and pass with confidence.

CRCR Certification Exam QUESTIONS AND ANSWERS RATED A+ 2025|2026 UPDATE 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) atthe end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In-come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the patients priv...