HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)/NEWEST UPDATE

Page | 1



HFMA CRCR EXAM LATEST EXAM
170+ QUESTIONS AND CORRECT
ANSWERS(VERIFIED
ANSWERS)/NEWEST UPDATE✓
Question: What are collection agency fees based on?
Answer:
A percentage of dollars collected


Question: Self-funded benefit plans may choose to coordinate benefits using
the gender rule or what other rule?
Answer:
Birthday


Question: 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: What customer service improvements might improve the patient
accounts department?
Answer:
Holding staff accountable for customer service during performance reviews


Question: What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do?

, Page | 2

Answer:
Inform a Medicare beneficiary that Medicare may not pay for the order or
service


Question: What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance?
Answer:
Bad debt adjustment


Question: What is the initial hospice benefit?
Answer:
Two 90-day periods and an unlimited number of subsequent periods


Question: 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: 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: an increase in the dollars aged greater than 90 days from date of
service indicate what about accounts
Answer:
They are not being processed in a timely manner

, Page | 3



Question: What is an advantage of a preregistration program?
Answer:
It reduces processing times at the time of service


Question: What are the two statutory exclusions from hospice coverage?
Answer:
Medically unnecessary services and custodial care


Question: What core financial activities are resolved within patient access?
Answer:
Scheduling, insurance verification, discharge processing, and payment of
point-of-service receipts


Question: What statement applies to the scheduled outpatient?
Answer:
The services do not involve an overnight stay


Question: 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: What type of patient status is used to evaluate the patient's need
for inpatient care?
Answer:
Observation

, Page | 4



Question: Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what?
Answer:
Medically necessary inpatient hospital services for at least 3 consecutive days
before the skilled nursing care admission


Question: When is the word "SAME" entered on the CMS 1500 billing form in
Field 0$?
Answer:
When the patient is the insured


Question: What are non-emergency patients who come for service without
prior notification to the provider called?
Answer:
Unscheduled patients


Question: If the insurance verification response reports that a subscriber has a
single policy, what is the status of the subscriber's spouse?
Answer:
Neither enrolled not entitled to benefits


Question: Regulation Z of the Consumer Credit Protection Act, also known as
the Truth in Lending Act, establishes what?
Answer:
Disclosure rules for consumer credit sales and consumer loans