Certified Revenue Cycle Representative Certification Exam Questions and Verified Answers 100% Guarantee Pass

Certified Revenue Cycle Representative Certification Exam
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Questions and Verified Answers ss ss ss




100% Guarantee Pass ss ss




1. The disadvantages of outsourcing include all of the following EXCEPT:
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a) The impact of customer service or patient relations
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b) The impact of loss of direct control of accounts receivable services
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c) Increased costs due to vendor ineffectiveness
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d) Reduced internal staffing costs and a reliance on outsourced staff
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Ans>> Reduced internal staffing costs and a reliance on outsourced staff
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2. The Medicare fee-for service appeal process for both beneficiaries
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ss and providers
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includes all of the following levels EXCEPT:
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a) Medical necessity review by an independent physician's panel
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b) Judicial review by a federal district court
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c) Redetermination by the company that handles claims for Medicare ss ss ss ss ss ss ss ss




d) Review by the Medicare Appeals Council (Appeals Council)
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Ans>> Judicial review by a federal district court
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,3. Business ethics, or organizational ethics represent:
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a) The principles and standards by which organizations operate
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b) Regulations that must be followed by law ss ss ss ss ss ss




c) Definitions of appropriate customer service ss ss ss ss




d) The code of acceptable conduct
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Ans>> The principles and standards by which organizations operate
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4. A portion of the accounts receivable inventory which has NOT qualified
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ss for s s billing
includes:
a) Charitable pledges ss




b) Accounts created during pre-registration but not activated
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c) Accounts coded but held within the suspense period
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d) Accounts assigned to a pre-collection agency
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Ans>> Charitable pledges
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5. Local Coverage Determinations (LCD) and National Coverage
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ss Determina- tions (NCD) are ss ss ss




Medicare established guideline(s) used to determine:
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a) Medicare and Medicaid provider eligibility
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b) Medicare outpatient reimbursement rates
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c) Which diagnoses, signs, or symptoms are reimbursable
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d) What Medicare reimburses and what should be referred to Medicaid
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,Ans>> Which diagnoses, signs, or symptoms are reimbursable
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6. Days in A/R is calculated based on the value of:
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a) The total accounts receivable on a specific date
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b) Total anticipated revenue minus expenses
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, c) The time it takes to collect anticipated revenue
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d) Total cash received to date
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Ans>> The time it takes to collect anticipated revenue
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7. Patients are contacting hospitals to proactively inquire about costs and fees
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agreeing to service. The problem for hospitals in providing such information
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ss is:
a) That hospitals don't want to establish a price without knowing
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ss if the patient has insurance and how much reimbursement can be
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ss expected
b) The fact that charge master lists the total charge, not net
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ss charges that reflect charges after a payer's contractual
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ss adjustment
c) That hospitals don't want to be put in the position of
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ss "guaranteeing" price without having room for additional ss ss ss ss ss ss




ss charges that may arise in the course of treatment
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d) Their reluctance to share proprietary information
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Ans>> The fact that charge master lists the total charge, not net charges
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that reflect charges after a payer's contractual adjustment
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8. Across all care settings, if a patient consents to a financial
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encounter to expedite discharge, the HFMA best practice is to:
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