CRCR PRACTICE QUESTIONS
The8501(r)8regulations8require8not-for-
profit8providers8501(c)8(3)8to8do8which8of8the8following8activities?
A.8Complete8a8community8needs8assessment8and8develop8a8discount8program8for8patie
nt8balances8after8insurance8payment.
B.8Pursue8extraordinary8collection8activities8with8all8patients8eligible8for8financial8assistan
ce.
C.8Implement8a8financial8assistance8program8for8uninsured8and8underinsured8patients.
D.8Discount8all8charges8to8self-
pay8patients8to8an8amount8generally8billed8to8all8other8patients.8-8answer--
A.8Complete8a8community8needs8assessment8and8develop8a8discount8program8for8patie
nt8balances8after8insurance8payment
The8accurate8capture8of8charges8remains8critically8important8because:
A.8Of8the8potential8of8fraud8and8abuse8charges8from8erroneous8billing.
B.8Charges8remain8one8of8the8few8consistent8indicators8available8to8monitor8resource8us
e.
C.8Charges8are8means8of8measuring8physician8productivity.
D.8Charges8provide8the8data8used8in8activity8based8costing.8-8answer--
B.8Charges8remain8one8of8the8few8consistent8indicators8available8to8monitor8resource8us
e
The8ACO8investment8model8will8test8the8use8of8pre-paid8shared8savings8to:
A.8Invest8in8treatment8protocols8that8reduce8costs8to8Medicare
B.8Attract8physicians8to8participate8in8the8ACO8payment8system.
C.8Raise8quality8ratings8in8designated8hospitals.
D.8Encourage8new8ACOs8to8form8in8rural8and8underserved8areas.8-8answer--
D.8Encourage8new8ACOs8to8form8in8rural8and8underserved8areas
Across8all8care8settings,8if8a8patient8consents8to8a8financial8discussion8during8a8medical8
encounter8to8expedite8discharge,8the8HFMA8best8practice8is8to:
A.8Have8a8patient8financial8responsibilities8kit8ready8for8the8patient,8containing8all8of8the8r
equired8registration8forms8and8instructions.
B.8Make8sure8that8the8attending8staff8can8answer8questions8and8assist8in8obtaining8requi
red8patient8financial8data.
C.8Support8that8choice,8providing8that8the8discussion8does8not8interfere8with8patient8care8
or8disrupt8patient8flow.
D.8Decline8such8request8as8finance8discussions8can8disrupt8patient8care8and8patient8flow
.8-8answer--
,C.8Support8that8choice,8providing8that8the8discussion8does8not8interfere8with8patient8care8
or8disrupt8patient8flow
Activities8completed8when8the8scheduled,8pre-
registered8patient8arrives8for8service8includes:
A.8Verifying8insurance,8activating8the8record8and8directing8the8patient8to8the8service8area
.
B.8Scanning8the8driver's8license8or8other8phot8identification8and8directing8the8patient8to8th
e8financial8counselor.
C.8Activating8the8record,8obtaining8signatures8and8finalizing8financial8issues.
D.8Registering8the8patient8and8directing8the8patient8to8the8service8area.8-8answer--
C.8Activating8the8record,8obtaining8signatures8and
The8activity8which8results8in8the8accurate8recording8of8patient8bed8and8level8of8care8asse
ssment,8patient8transfer8and8patient8discharge8status8on8a8real-time8basis8is8known8as:
A.8Utilization8review
B.8Case8Management8
C.8Census8Management
D.8Patient8through-put8-8answer--A.8Utilization8review
or8
B.8Case8Management
An8advantage8of8a8pre-registration8program8is:
A.8The8markets8value8of8such8a8program
B.8The8ability8to8eliminate8no-show8appointments.
C.8The8opportunity8to8reduce8processing8times8at8the8time8of8service.
D.8The8opportunity8to8reduce8corporate8compliance8failures8within8the8registration8proce
ss.8-8answer--C.8The8opportunity8to8reduce8processing8times8at8the8time8of8service.
The8Affordable8Care8Act8legislated8the8development8of8Health8Insurance8Exchanges,8wh
ere8individuals8and8small8businesses8can:
A.8Obtain8price8estimates8for8medical8services
B.8Negotiate8the8price8of8medical8services8with8providers
C.8Purchase8qualified8health8benefit8plans8regardless8of8insured's8health8status
D.8Meet8federal8mandates8for8insurance8coverage8and8obtain8the8corresponding8tax8ded
uction8-8answer--
C.8Purchase8qualified8health8benefit8plans8regardless8of8insured's8health8status.
All8of8the8following8are8conditions8that8disqualify8a8procedure8or8service8from8being8paid8f
or8by8Medicare8EXCEPT:
A.8Offered8in8an8outpatient8setting
B.8Medically8unnecessary
C.8Not8delivered8in8a8Medicare8licensed8care8setting.
D.8Services8and8procedures8that8are8custodial8in8nature8-8answer--
C.8Not8delivered8in8a8Medicare8licensed8care8setting
, All8of8the8following8are8reference8resources8used8to8help8guide8in8the8application8for8busi
ness8ethics8EXCEPT:
A.8Consumer8satisfaction8reports
B.8Mission8&8Value8Statements
C.8Code8of8Ethics8/8Code8of8Conduct
D.8Compliance8Office8&8Policies8-8answer--A.8Consumer8satisfaction8reports
All8of8the8following8are8steps8in8safeguarding8collections8EXCEPT:
A.8Placing8collections8in8a8lock-box8for8posting8review8the8next8business8day.
B.8Posting8the8payment8to8the8patient's8account8
C.8Completing8balancing8activities
D.8Issuing8receipts8-8answer--A.8Placing8collections8in8a8lock-
box8for8posting8review8the8next8business8day
All8of8the8following8are8steps8in8verifying8insurance8EXCEPT:
A.8Sequencing8plans8involved8in8a8coordination8of8benefits8(COB)8situation.
B.8The8patient8signing8the8statement8of8financial8responsibility.
C.8Identifying8and8documenting8the8patient's8health8plan8benefits
D.8Confirming8the8patient's8eligibility8for8benefits8-8answer--
B.8The8patient8signing8the8statement8of8financial8responsibility
All8of8the8following8information8is8used8to8identify8a8patient8EXCEPT:
A.8Date8of8Birth
B.8Gender
C.8Social8Security8Number
D.8Address8-8answer--D.8Address
All8of8the8following8information8should8be8reviewed8as8part8of8schedule8finalization8EXCE
PT:
A.8The8estimated8patient8financial8obligations
B.8The8service8to8be8provided
C.8The8arrival8time8and8procedure8time
D.8The8patient's8preparation8instructions8-8answer--
A.8The8estimated8patient8financial8obligations
Ambulance8services8are8billed8directly8to8the8health8plan8for8:
A.8All8pre-admission8emergency8transports
B.8Transport8deemed8medically8necessary8by8the8attending8paramedic-ambulance8crew
C.8Services8provided8before8a8patient8is8admitted8and8for8ambulance8rides8arranged8to8p
ick8up8the8patient8from8the8hospital8after8discharge8to8take8him/
her8home8or8to8another8facility
D.8The8portion8of8the8bill8outside8of8the8patient's8self-pay8-8answer--
C.8Services8provided8before8a8patient8is8admitted8and8for8ambulance8rides8arranged8to8p
ick8up8the8patient8from8the8hospital8after8discharge8to8take8him/
her8home8or8the8another8facility
The8501(r)8regulations8require8not-for-
profit8providers8501(c)8(3)8to8do8which8of8the8following8activities?
A.8Complete8a8community8needs8assessment8and8develop8a8discount8program8for8patie
nt8balances8after8insurance8payment.
B.8Pursue8extraordinary8collection8activities8with8all8patients8eligible8for8financial8assistan
ce.
C.8Implement8a8financial8assistance8program8for8uninsured8and8underinsured8patients.
D.8Discount8all8charges8to8self-
pay8patients8to8an8amount8generally8billed8to8all8other8patients.8-8answer--
A.8Complete8a8community8needs8assessment8and8develop8a8discount8program8for8patie
nt8balances8after8insurance8payment
The8accurate8capture8of8charges8remains8critically8important8because:
A.8Of8the8potential8of8fraud8and8abuse8charges8from8erroneous8billing.
B.8Charges8remain8one8of8the8few8consistent8indicators8available8to8monitor8resource8us
e.
C.8Charges8are8means8of8measuring8physician8productivity.
D.8Charges8provide8the8data8used8in8activity8based8costing.8-8answer--
B.8Charges8remain8one8of8the8few8consistent8indicators8available8to8monitor8resource8us
e
The8ACO8investment8model8will8test8the8use8of8pre-paid8shared8savings8to:
A.8Invest8in8treatment8protocols8that8reduce8costs8to8Medicare
B.8Attract8physicians8to8participate8in8the8ACO8payment8system.
C.8Raise8quality8ratings8in8designated8hospitals.
D.8Encourage8new8ACOs8to8form8in8rural8and8underserved8areas.8-8answer--
D.8Encourage8new8ACOs8to8form8in8rural8and8underserved8areas
Across8all8care8settings,8if8a8patient8consents8to8a8financial8discussion8during8a8medical8
encounter8to8expedite8discharge,8the8HFMA8best8practice8is8to:
A.8Have8a8patient8financial8responsibilities8kit8ready8for8the8patient,8containing8all8of8the8r
equired8registration8forms8and8instructions.
B.8Make8sure8that8the8attending8staff8can8answer8questions8and8assist8in8obtaining8requi
red8patient8financial8data.
C.8Support8that8choice,8providing8that8the8discussion8does8not8interfere8with8patient8care8
or8disrupt8patient8flow.
D.8Decline8such8request8as8finance8discussions8can8disrupt8patient8care8and8patient8flow
.8-8answer--
,C.8Support8that8choice,8providing8that8the8discussion8does8not8interfere8with8patient8care8
or8disrupt8patient8flow
Activities8completed8when8the8scheduled,8pre-
registered8patient8arrives8for8service8includes:
A.8Verifying8insurance,8activating8the8record8and8directing8the8patient8to8the8service8area
.
B.8Scanning8the8driver's8license8or8other8phot8identification8and8directing8the8patient8to8th
e8financial8counselor.
C.8Activating8the8record,8obtaining8signatures8and8finalizing8financial8issues.
D.8Registering8the8patient8and8directing8the8patient8to8the8service8area.8-8answer--
C.8Activating8the8record,8obtaining8signatures8and
The8activity8which8results8in8the8accurate8recording8of8patient8bed8and8level8of8care8asse
ssment,8patient8transfer8and8patient8discharge8status8on8a8real-time8basis8is8known8as:
A.8Utilization8review
B.8Case8Management8
C.8Census8Management
D.8Patient8through-put8-8answer--A.8Utilization8review
or8
B.8Case8Management
An8advantage8of8a8pre-registration8program8is:
A.8The8markets8value8of8such8a8program
B.8The8ability8to8eliminate8no-show8appointments.
C.8The8opportunity8to8reduce8processing8times8at8the8time8of8service.
D.8The8opportunity8to8reduce8corporate8compliance8failures8within8the8registration8proce
ss.8-8answer--C.8The8opportunity8to8reduce8processing8times8at8the8time8of8service.
The8Affordable8Care8Act8legislated8the8development8of8Health8Insurance8Exchanges,8wh
ere8individuals8and8small8businesses8can:
A.8Obtain8price8estimates8for8medical8services
B.8Negotiate8the8price8of8medical8services8with8providers
C.8Purchase8qualified8health8benefit8plans8regardless8of8insured's8health8status
D.8Meet8federal8mandates8for8insurance8coverage8and8obtain8the8corresponding8tax8ded
uction8-8answer--
C.8Purchase8qualified8health8benefit8plans8regardless8of8insured's8health8status.
All8of8the8following8are8conditions8that8disqualify8a8procedure8or8service8from8being8paid8f
or8by8Medicare8EXCEPT:
A.8Offered8in8an8outpatient8setting
B.8Medically8unnecessary
C.8Not8delivered8in8a8Medicare8licensed8care8setting.
D.8Services8and8procedures8that8are8custodial8in8nature8-8answer--
C.8Not8delivered8in8a8Medicare8licensed8care8setting
, All8of8the8following8are8reference8resources8used8to8help8guide8in8the8application8for8busi
ness8ethics8EXCEPT:
A.8Consumer8satisfaction8reports
B.8Mission8&8Value8Statements
C.8Code8of8Ethics8/8Code8of8Conduct
D.8Compliance8Office8&8Policies8-8answer--A.8Consumer8satisfaction8reports
All8of8the8following8are8steps8in8safeguarding8collections8EXCEPT:
A.8Placing8collections8in8a8lock-box8for8posting8review8the8next8business8day.
B.8Posting8the8payment8to8the8patient's8account8
C.8Completing8balancing8activities
D.8Issuing8receipts8-8answer--A.8Placing8collections8in8a8lock-
box8for8posting8review8the8next8business8day
All8of8the8following8are8steps8in8verifying8insurance8EXCEPT:
A.8Sequencing8plans8involved8in8a8coordination8of8benefits8(COB)8situation.
B.8The8patient8signing8the8statement8of8financial8responsibility.
C.8Identifying8and8documenting8the8patient's8health8plan8benefits
D.8Confirming8the8patient's8eligibility8for8benefits8-8answer--
B.8The8patient8signing8the8statement8of8financial8responsibility
All8of8the8following8information8is8used8to8identify8a8patient8EXCEPT:
A.8Date8of8Birth
B.8Gender
C.8Social8Security8Number
D.8Address8-8answer--D.8Address
All8of8the8following8information8should8be8reviewed8as8part8of8schedule8finalization8EXCE
PT:
A.8The8estimated8patient8financial8obligations
B.8The8service8to8be8provided
C.8The8arrival8time8and8procedure8time
D.8The8patient's8preparation8instructions8-8answer--
A.8The8estimated8patient8financial8obligations
Ambulance8services8are8billed8directly8to8the8health8plan8for8:
A.8All8pre-admission8emergency8transports
B.8Transport8deemed8medically8necessary8by8the8attending8paramedic-ambulance8crew
C.8Services8provided8before8a8patient8is8admitted8and8for8ambulance8rides8arranged8to8p
ick8up8the8patient8from8the8hospital8after8discharge8to8take8him/
her8home8or8to8another8facility
D.8The8portion8of8the8bill8outside8of8the8patient's8self-pay8-8answer--
C.8Services8provided8before8a8patient8is8admitted8and8for8ambulance8rides8arranged8to8p
ick8up8the8patient8from8the8hospital8after8discharge8to8take8him/
her8home8or8the8another8facility
