CRCR EXAM MULTIPLE CHOICE, PREP, CERTIFIED
REVENUE CYCLE REPRESENTATIVE UPDATED
QUESTIONS AND CORRECT ANSWERS
Question:
1. What are collection agency fees based on?
Answer:
A percentage of dollars collected
Question:
2. Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule?
Answer:
Birthday
Question:
3. In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers?
Answer:
Case rates
Question:
4. What customer service improvements might improve the patient accounts department?
Answer:
Holding staff accountable for customer service during performance reviews
Question:
5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Answer:
Inform a Medicare beneficiary that Medicare may not pay for the order or service
Question:
6. What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance?
Answer:
Bad debt adjustment
Question:
7. What is the initial hospice benefit?
Answer:
Two 90-day periods and an unlimited number of subsequent periods
Question:
8. When does a hospital add ambulance charges to the Medicare inpatient claim?
Answer:
If the patient requires ambulance transportation to a skilled nursing facility
, Question:
9. How should a provider resolve a late-charge credit posted after an account is billed?
Answer:
Post a late-charge adjustment to the account
Question:
10. an increase in the dollars aged greater than 90 days
Answer:
They are not being processed in a timely manner
Question:
11. What is an advantage of a preregistration program?
Answer:
It reduces processing times at the time of service
Question:
12. What are the two statutory exclusions from hospice coverage?
Answer:
Medically unnecessary services and custodial care
Question:
13. What core financial activities are resolved within patient access?
Answer:
Scheduling, insurance verification, discharge processing, and payment of point-of-service receipts
Question:
14. What statement applies to the scheduled outpatient?
Answer:
The services do not involve an overnight stay
Question:
15. How is a mis-posted contractual allowance resolved?
Answer:
Comparing the contract reimbursement rates with the contract on the admittance advice to identify
the correct amount
Question:
16. What type of patient status is used to evaluate the patient's need for inpatient care?
Answer:
Observation
Question:
17. Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what?
REVENUE CYCLE REPRESENTATIVE UPDATED
QUESTIONS AND CORRECT ANSWERS
Question:
1. What are collection agency fees based on?
Answer:
A percentage of dollars collected
Question:
2. Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule?
Answer:
Birthday
Question:
3. In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers?
Answer:
Case rates
Question:
4. What customer service improvements might improve the patient accounts department?
Answer:
Holding staff accountable for customer service during performance reviews
Question:
5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Answer:
Inform a Medicare beneficiary that Medicare may not pay for the order or service
Question:
6. What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance?
Answer:
Bad debt adjustment
Question:
7. What is the initial hospice benefit?
Answer:
Two 90-day periods and an unlimited number of subsequent periods
Question:
8. When does a hospital add ambulance charges to the Medicare inpatient claim?
Answer:
If the patient requires ambulance transportation to a skilled nursing facility
, Question:
9. How should a provider resolve a late-charge credit posted after an account is billed?
Answer:
Post a late-charge adjustment to the account
Question:
10. an increase in the dollars aged greater than 90 days
Answer:
They are not being processed in a timely manner
Question:
11. What is an advantage of a preregistration program?
Answer:
It reduces processing times at the time of service
Question:
12. What are the two statutory exclusions from hospice coverage?
Answer:
Medically unnecessary services and custodial care
Question:
13. What core financial activities are resolved within patient access?
Answer:
Scheduling, insurance verification, discharge processing, and payment of point-of-service receipts
Question:
14. What statement applies to the scheduled outpatient?
Answer:
The services do not involve an overnight stay
Question:
15. How is a mis-posted contractual allowance resolved?
Answer:
Comparing the contract reimbursement rates with the contract on the admittance advice to identify
the correct amount
Question:
16. What type of patient status is used to evaluate the patient's need for inpatient care?
Answer:
Observation
Question:
17. Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what?