CRCR PRACTICE EXAM
CRCR PRACTICE EXAM QUESTIONS AND ANSWERS GRADED A+
The 501(r) regulations require not-for-profit providers 501(c) (3) to do
which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally billed
to all other patients. ANS >> A. Complete a community needs
assessment and develop a discount program for patient balances after
insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
,CRCR PRACTICE EXAM
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity-based costing. ANS >> B.
Charges remain one of the few consistent indicators available to
monitor resource use
The ACO investment model will test the use of pre-paid shared savings
to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new Arcos to form in rural and underserved areas. ANS
>> D. Encourage new Arcos to form in rural and underserved areas
Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow.
,CRCR PRACTICE EXAM
D. Decline such request as finance discussions can disrupt patient care
and patient flow. ANS >> C. Support that choice, providing that the
discussion does not interfere with patient care or disrupt patient flow
Activities completed when the scheduled, pre-registered patient arrives
for service includes:
A. Verifying insurance, activating the record and directing the patient to
the service area.
B. Scanning the driver's license or other phot identification and
directing the patient to the financial counsellor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D. Registering the patient and directing the patient to the service area.
ANS >> C. Activating the record, obtaining signatures and
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:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put ANS >> A. Utilization review
or
B. Case Management
, CRCR PRACTICE EXAM
An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process. ANS >> C. The opportunity to reduce processing
times at the time of service.
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 ANS >> C. Purchase qualified health
benefit plans regardless of insured's health status.
All of the following are conditions that disqualify a procedure or service
from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
CRCR PRACTICE EXAM QUESTIONS AND ANSWERS GRADED A+
The 501(r) regulations require not-for-profit providers 501(c) (3) to do
which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally billed
to all other patients. ANS >> A. Complete a community needs
assessment and develop a discount program for patient balances after
insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
,CRCR PRACTICE EXAM
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity-based costing. ANS >> B.
Charges remain one of the few consistent indicators available to
monitor resource use
The ACO investment model will test the use of pre-paid shared savings
to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new Arcos to form in rural and underserved areas. ANS
>> D. Encourage new Arcos to form in rural and underserved areas
Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow.
,CRCR PRACTICE EXAM
D. Decline such request as finance discussions can disrupt patient care
and patient flow. ANS >> C. Support that choice, providing that the
discussion does not interfere with patient care or disrupt patient flow
Activities completed when the scheduled, pre-registered patient arrives
for service includes:
A. Verifying insurance, activating the record and directing the patient to
the service area.
B. Scanning the driver's license or other phot identification and
directing the patient to the financial counsellor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D. Registering the patient and directing the patient to the service area.
ANS >> C. Activating the record, obtaining signatures and
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:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put ANS >> A. Utilization review
or
B. Case Management
, CRCR PRACTICE EXAM
An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process. ANS >> C. The opportunity to reduce processing
times at the time of service.
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 ANS >> C. Purchase qualified health
benefit plans regardless of insured's health status.
All of the following are conditions that disqualify a procedure or service
from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
