CRCR STUDY GUIDE EXAMS SET TEST PAPER
QUESTIONS AND SOLUTIONS 2026 VIEW
AHEAD EXAM.
◍ 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
◍ 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
◍ Insurance verification results in which of the following. Answer:
The accurate identification of the patient's eligibility and benefits
◍ The Medicare fee-for service appeal process for both beneficiaries
and providers includes all of the following levels EXCEPT:. Answer:
Judicial review by a federal district court
◍ Under EMTALA (Emergency Medical Treatment and Labor Act)
regulations, the providermay not ask about a patient's insurance
information if it would delay what?. Answer: Medical screening and
stabilizing treatment
◍ Ambulance services are billed directly to the health plan for.
Answer: Services provided before a patient is admitted and for
QUESTIONS AND SOLUTIONS 2026 VIEW
AHEAD EXAM.
◍ 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
◍ 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
◍ Insurance verification results in which of the following. Answer:
The accurate identification of the patient's eligibility and benefits
◍ The Medicare fee-for service appeal process for both beneficiaries
and providers includes all of the following levels EXCEPT:. Answer:
Judicial review by a federal district court
◍ Under EMTALA (Emergency Medical Treatment and Labor Act)
regulations, the providermay not ask about a patient's insurance
information if it would delay what?. Answer: Medical screening and
stabilizing treatment
◍ Ambulance services are billed directly to the health plan for.
Answer: Services provided before a patient is admitted and for
