CRCR CERTIFICATION GUIDE TEST BANK 2025: 200+
QUESTIONS AND 100% VERFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!
A four digit number code established by the National Uniform Billing Committee
(NUBC)
that categorizes/classifies a line item in the charge master is known as
a) HCPCs codes
b) ICD-10 Procedural codes
c) CPT codes
d) Revenue codes
- answer-Revenue codes
A healthcare professional who is recognized to have expertise in a specialty of
medicine or surgery
- answer-Third-party reimbursement
A large number of credit balances are not the result of over payments but of
- answer-Posting errors in the patient's accounting system
A recurring series registration is characterized by
- answer-The creation of one registration record for multiple days of service
A restriction on payments for charges directly resulting from a pre-existing health
conditions
- answer-Self insured
A scheduled inpatient represents an opportunity for the provider to do which of the
following?
a) Refer the patient to another location with the health system
b) Comply with EMTALA (Emergency Medical Treatment and Labor Act)
requirements before service
c) Complete registration and insurance approval before service
d) Register the patient after he or she is placed in a bed on that service
unit.
- answer-Complete registration and insurance approval before service
,According to the department of health and human services guidelines what is not
considered income
- answer-Sale of property house or car
According to the department of health and human services guidelines what is not
considered income
- answer-Sale of property, house, or car
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge the HFMA best practices is to
- answer-Support that choice providing that the discussion does not interfere with
patient care or disrupt patient flow
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare except
- answer-Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting except
- answer-Contracted rebating
All of the following are potential causes of credit balances except
- answer-A patient's choice to build up a credit against future medical bills
All of the following are steps in safeguarding collections except
- answer-Issuing receipts
All of the following information should be reviewed as part of scheduled
finalization except
- answer-The results of any and all test
Ambulance services are billed directly to the health plan for
- answer-The portion of the bill outside of the patient self-pay...... services
provided before a patient is admitted and for ambulance rides arrange to pick up
the patient from the hospital after discharge to take him/her home or to another
facility
An advantage of a pre-registration program is
- answer-The opportunity to reduce the corporate compliance failures within
registration process
, An employer a union or an association that contracts with an insurance company
for the healthcare plan it offers to eligible employees
- answer-Sub specialist
An individual enrolled in Medicare Who is dissatisfied with the governments claim
determination is entitled to reconsideration of the decision this type of appeal is
known as
- answer-A beneficiary appeal
An insurance company that provides for the delivery or payment of healthcare
services
- answer-Indemnity insurance
An originating site is
- answer-The location of the patient at the time the service is provided
And originating site is
- answer-The location of the patient at the time the service is provided
Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as
- answer-HMO
Any provider that has build a timely cost report may appeal and adverse final
decision received from the Medicare administrative contractor this appeal may be
filled with
- answer-The provider reimbursement review board
Appropriate training for patient's financial counseling staff must cover all the
following except
- answer-Documenting the conversation in the medical records
At the end of each shift what must happen to cash checks and credit card
transaction documents
- answer-They must be balanced
At the end of each shift, what must happen to cash, checks, and credit card
transaction documents?
- answer-They must be balanced
QUESTIONS AND 100% VERFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!
A four digit number code established by the National Uniform Billing Committee
(NUBC)
that categorizes/classifies a line item in the charge master is known as
a) HCPCs codes
b) ICD-10 Procedural codes
c) CPT codes
d) Revenue codes
- answer-Revenue codes
A healthcare professional who is recognized to have expertise in a specialty of
medicine or surgery
- answer-Third-party reimbursement
A large number of credit balances are not the result of over payments but of
- answer-Posting errors in the patient's accounting system
A recurring series registration is characterized by
- answer-The creation of one registration record for multiple days of service
A restriction on payments for charges directly resulting from a pre-existing health
conditions
- answer-Self insured
A scheduled inpatient represents an opportunity for the provider to do which of the
following?
a) Refer the patient to another location with the health system
b) Comply with EMTALA (Emergency Medical Treatment and Labor Act)
requirements before service
c) Complete registration and insurance approval before service
d) Register the patient after he or she is placed in a bed on that service
unit.
- answer-Complete registration and insurance approval before service
,According to the department of health and human services guidelines what is not
considered income
- answer-Sale of property house or car
According to the department of health and human services guidelines what is not
considered income
- answer-Sale of property, house, or car
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge the HFMA best practices is to
- answer-Support that choice providing that the discussion does not interfere with
patient care or disrupt patient flow
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare except
- answer-Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting except
- answer-Contracted rebating
All of the following are potential causes of credit balances except
- answer-A patient's choice to build up a credit against future medical bills
All of the following are steps in safeguarding collections except
- answer-Issuing receipts
All of the following information should be reviewed as part of scheduled
finalization except
- answer-The results of any and all test
Ambulance services are billed directly to the health plan for
- answer-The portion of the bill outside of the patient self-pay...... services
provided before a patient is admitted and for ambulance rides arrange to pick up
the patient from the hospital after discharge to take him/her home or to another
facility
An advantage of a pre-registration program is
- answer-The opportunity to reduce the corporate compliance failures within
registration process
, An employer a union or an association that contracts with an insurance company
for the healthcare plan it offers to eligible employees
- answer-Sub specialist
An individual enrolled in Medicare Who is dissatisfied with the governments claim
determination is entitled to reconsideration of the decision this type of appeal is
known as
- answer-A beneficiary appeal
An insurance company that provides for the delivery or payment of healthcare
services
- answer-Indemnity insurance
An originating site is
- answer-The location of the patient at the time the service is provided
And originating site is
- answer-The location of the patient at the time the service is provided
Any healthcare insurance plan that provides or ensures comprehensive health
maintenance and treatment services for an enrolled group of persons based on a
monthly fee is known as
- answer-HMO
Any provider that has build a timely cost report may appeal and adverse final
decision received from the Medicare administrative contractor this appeal may be
filled with
- answer-The provider reimbursement review board
Appropriate training for patient's financial counseling staff must cover all the
following except
- answer-Documenting the conversation in the medical records
At the end of each shift what must happen to cash checks and credit card
transaction documents
- answer-They must be balanced
At the end of each shift, what must happen to cash, checks, and credit card
transaction documents?
- answer-They must be balanced
