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

Certified Revenue Cycle Representative Certification Exam
ss ss ss ss ss




Questions and Verified Answers ss ss ss




100% Guarantee Passss ss




1. HFMA patient financial communications best practices call for annual train-
ss ss ss ss ss ss ss ss ss




ing for all staff EXCEPT: A. Patient access
ss ss ss ss ss ss ss




B. Customer service representatives
ss ss ss




Ans>>C. Nursing ss




D. Staff who engage in patient financial communications discussions
ss ss ss ss ss ss ss ss




2. What is required for the UB-04/837-I, used by Rural Health Clinics to
ss ss ss ss ss ss ss ss ss ss ss




gener- ate payment from Medicare?: Medical necessity documentation
ss ss ss ss ss ss ss ss




B. The CMS 1500 Part B attachment
ss ss ss ss ss




C. Correct Part A and B procedural codes
ss ss ss ss ss ss




Ans>>D. Revenue codes ss ss




3. The most common resolution methods for credit balances include all of the
ss ss ss ss ss ss ss ss ss ss ss




ss following EXCEPT: A. Designate the overpayment for charity care
ss ss ss ss ss ss ss ss

1 ss/
ss12

,B. Determine the correct primary payer and notify incorrect payer of
ss ss ss ss ss ss ss ss ss




overpayment
ss




C. Submit the corrected claim to the payer incorporating credits
ss ss ss ss ss ss ss ss




D. Either send a refund or complete a takeback form as directed by the payer.
ss ss ss ss ss ss ss ss ss ss ss ss ss




4. Net Accounts Receivable is: A. The total bad debt
ss ss ss ss s ss ss ss




B. Total debt owed by an entity
s ss ss ss ss ss




Ans>>C.The amount an entity is reasonably confident of collecting from overall
s ss ss ss ss ss ss ss ss ss ss




accounts receivable
ss ss




E. The total claims amount billed to health plans
ss ss ss ss ss ss ss




5. For routine scenarios, such as patients with insurance coverage or a known
ss ss ss ss ss ss ss ss ss ss ss




ss ability to pay, financial discussions: A. May take place between the patient
ss ss ss ss ss ss ss ss ss ss ss




ss and discharge planning
ss ss




Ans>>B. Should take place between the patient or guarantor and properly
ss ss ss ss ss ss ss ss ss ss




ss trained provider representatives
ss ss




C. Are optional ss




D. Are focused on verifying required third-party payer information
ss ss ss ss ss ss ss




6. Scheduled procedures routinely include: A. Physician's office contact informa-
ss ss ss ss s ss ss ss




s s tion
B. Physician notification that scheduling is complete
ss ss ss ss ss



2 ss/
ss12

, C. The scheduler's name and contact information
ss ss ss ss ss




Ans>>D. Patient preparation instructions
ss ss ss




7. ICD-10-CM and ICD-10-PCS code sets are modifications of: A. DRGs
ss ss ss ss ss ss ss ss ss




B. CPT codes ss




C. ICD 9 codes ss ss




Ans>>D.The international ICD-10 codes as developed by the WHO (World
s ss ss ss ss ss ss ss ss ss




ss Health Organization)
ss




8. The Medicare Bundled Payments for Care Initiative (BCPI) is designed to: A.
ss ss ss ss ss ss ss ss ss ss ss




ss Prevent duplicate billing
ss ss




B. "Stretch" the impact of patient self-pay by squeezing costs down through a
ss ss ss ss ss ss ss ss ss ss ss ss




lump-sum payment to providers ss ss ss




Ans>>C. Align incentives between hospitals, physicians, and non-physician
ss ss ss ss ss ss ss




ss providers in ss s s order to better coordinate patient care
ss ss ss ss ss




D. Drive down physician fees by forcing physicians to share equitably in one payment
ss ss ss ss ss ss ss ss ss ss ss ss




9. Which of the following is required for participation in Medicaid: A. Be free of
ss ss ss ss ss ss ss ss ss ss ss ss ss




ss chronic conditions ss




B. Meet a minimum yearly premium
ss ss ss ss




C. Obtain a supplemental health insurance policy
ss ss ss ss ss



3 ss/
ss12