CRCR Practice Questions
1. A. Complete a community needs assessment and develop a discount pro-
gram for patient balances after insurance payment: The 501(r) regulations re-
quire 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 pa-
tients.
D. Discount all charges to self-pay patients to an amount generally billed to all other
patients.
2. B. Charges remain one of the few consistent indicators available to mon-
itor resource use: The accurate capture of charges remains critically important
because:
A. Of the potential of fraud and abuse charges from erroneous billing.
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.
3. D. Encourage new ACOs to form in rural and underserved areas: 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 ACOs to form in rural and underserved areas.
4. C. Support that choice, providing that the discussion does not interfere with
patient care or disrupt patient flow: 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.
D. Decline such request as finance discussions can disrupt patient care and patient
flow.
5. C. Activating the record, obtaining signatures and: Activities completed when
the scheduled, pre-registered patient arrives for service includes:
, CRCR Practice Questions
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 counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the service area.
6. A. Utilization review
or
B. Case Management: 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
7. C. The opportunity to reduce processing times at the time of service.: 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.
8. C. Purchase qualified health benefit plans regardless of insured's health
status.: 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
9. C. Not delivered in a Medicare licensed care setting: 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.
D. Services and procedures that are custodial in nature
10. A. Consumer satisfaction reports: All of the following are reference resources
used to help guide in the application for business ethics EXCEPT:
, CRCR Practice Questions
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
11. A. Placing collections in a lock-box for posting review the next business
day: All of the following are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting review the next business day.
B. Posting the payment to the patient's account
C. Completing balancing activities
D. Issuing receipts
12. B. The patient signing the statement of financial responsibility: All of the
following are steps in verifying insurance EXCEPT:
A. Sequencing plans involved in a coordination of benefits (COB) situation.
B. The patient signing the statement of financial responsibility.
C. Identifying and documenting the patient's health plan benefits
D. Confirming the patient's eligibility for benefits
13. D. Address: All of the following information is used to identify a patient EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address
14. A. The estimated patient financial obligations: All of the following information
should be reviewed as part of schedule finalization EXCEPT:
A. The estimated patient financial obligations
B. The service to be provided
C. The arrival time and procedure time
D. The patient's preparation instructions
15. C. Services provided before a patient is admitted and for ambulance rides
arranged to pick up the patient from the hospital after discharge to take
him/her home or the another facility: Ambulance services are billed directly to
the health plan for :
A. All pre-admission emergency transports
B. Transport deemed medically necessary by the attending paramedic-ambulance
crew
C. Services provided before a patient is admitted and for ambulance rides arranged
to pick up the patient from the hospital after discharge to take him/her home or to
another facility
D. The portion of the bill outside of the patient's self-pay
1. A. Complete a community needs assessment and develop a discount pro-
gram for patient balances after insurance payment: The 501(r) regulations re-
quire 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 pa-
tients.
D. Discount all charges to self-pay patients to an amount generally billed to all other
patients.
2. B. Charges remain one of the few consistent indicators available to mon-
itor resource use: The accurate capture of charges remains critically important
because:
A. Of the potential of fraud and abuse charges from erroneous billing.
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.
3. D. Encourage new ACOs to form in rural and underserved areas: 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 ACOs to form in rural and underserved areas.
4. C. Support that choice, providing that the discussion does not interfere with
patient care or disrupt patient flow: 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.
D. Decline such request as finance discussions can disrupt patient care and patient
flow.
5. C. Activating the record, obtaining signatures and: Activities completed when
the scheduled, pre-registered patient arrives for service includes:
, CRCR Practice Questions
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 counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the service area.
6. A. Utilization review
or
B. Case Management: 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
7. C. The opportunity to reduce processing times at the time of service.: 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.
8. C. Purchase qualified health benefit plans regardless of insured's health
status.: 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
9. C. Not delivered in a Medicare licensed care setting: 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.
D. Services and procedures that are custodial in nature
10. A. Consumer satisfaction reports: All of the following are reference resources
used to help guide in the application for business ethics EXCEPT:
, CRCR Practice Questions
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
11. A. Placing collections in a lock-box for posting review the next business
day: All of the following are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting review the next business day.
B. Posting the payment to the patient's account
C. Completing balancing activities
D. Issuing receipts
12. B. The patient signing the statement of financial responsibility: All of the
following are steps in verifying insurance EXCEPT:
A. Sequencing plans involved in a coordination of benefits (COB) situation.
B. The patient signing the statement of financial responsibility.
C. Identifying and documenting the patient's health plan benefits
D. Confirming the patient's eligibility for benefits
13. D. Address: All of the following information is used to identify a patient EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address
14. A. The estimated patient financial obligations: All of the following information
should be reviewed as part of schedule finalization EXCEPT:
A. The estimated patient financial obligations
B. The service to be provided
C. The arrival time and procedure time
D. The patient's preparation instructions
15. C. Services provided before a patient is admitted and for ambulance rides
arranged to pick up the patient from the hospital after discharge to take
him/her home or the another facility: Ambulance services are billed directly to
the health plan for :
A. All pre-admission emergency transports
B. Transport deemed medically necessary by the attending paramedic-ambulance
crew
C. Services provided before a patient is admitted and for ambulance rides arranged
to pick up the patient from the hospital after discharge to take him/her home or to
another facility
D. The portion of the bill outside of the patient's self-pay
