CRCR Certification HFMA TEST BANK EXAM 2026 Latest
Verified Questions and Answers Guaranteed Pass
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by: - ANSWER✅ d) The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
Which of the following is required for participation in Medicaid? - ANSWER✅ a) Meet
income and assets requirements
In choosing a setting for pt financial discussions, organizations should first and foremost -
ANSWER✅ c) Respect the pts privacy
A nightly room charge will be incorrect if the patient's - ANSWER✅ d) Transfer from ICU
(intensive care unit) to the Medical/Surgical floor is not reflected in the registration system
What type of account adjustment results from the patient's unwillingness to pay a self-pay
balance? - ANSWER✅ b) Bad debt adjustment
All of the following are conditions that disqualify a procedure or service from being paid for
by Medicare EXCEPT - ANSWER✅ d) Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT - ANSWER✅ a)
Contracted Rebating
,Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by: - ANSWER✅ d) The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion
of Medicaid in some states, it is more important than ever for hospitals to - ANSWER✅ d)
Assist patients in understanding their insurance coverage and their financial obligation
HFMA best practices call for patient financial discussions to be reinforced - ANSWER✅ b)
By copying the provider's attorney on a written statement of conversation
A Medicare Part A benefit period begins: - ANSWER✅ a) With admission as an inpatient
If further treatment can only be provided in a hospital setting, the patient's condition cannot
be evaluated and/or treated within 24 hours, or if there is not an anticipation of
improvement in the patient's condition with 24 hours, the patient - ANSWER✅ b) Will be
admitted as an inpatient
It is important to have high registration quality standards because - ANSWER✅ d)
Inaccurate or incomplete patient data will delay payment or cause denials
Medicare will only pay for tests and services that - ANSWER✅ d) Medicare determines are
"reasonable and necessary"
,Room and bed charges are typically posted - ANSWER✅ d) From the midnight census
The process of creating the pre=registration record ensures - ANSWER✅ c) Accurate
billing
Once the EMTALA requirements are satisfied - ANSWER✅ c) The remaining registration
processing is initiated at the bedside or in a registration area
This directive was developed to promote and ensure healthcare quality and value and also to
protect consumers and workers in the healthcare system. This directive is called -
ANSWER✅ d) Patient bill of rights
A scheduled inpatient represents an opportunity for the provider to do which of the
following? - ANSWER✅ c) Complete registration and insurance approval before service
The first and most critical step in registering a patient, whether scheduled or unscheduled,
is - ANSWER✅ c) Verifying the patient's identification
The legal authority to request and analyze provider clam documentation to ensure that IPPS
services were reasonable and necessary is given to - ANSWER✅ b) The Office of the U.S.
Inspector General (OIG)
, An advantage of a pre-registration program is - ANSWER✅ c) The opportunity to reduce
the corporate compliance failures within the registration process
Claims with dates of service received later than one calendar year beyond the date of
service, will be - ANSWER✅ a) Denied by Medicare
This concept encompasses all activities required to send a request for payment to a third-
party health plan for payment of benefits - ANSWER✅ c) Claims processing
The ACO investment model will test the use of pre-paid shared savings to - ANSWER✅ b)
Encourage new ACOs to form in rural and underserved areas
Chapter 13 Bankruptcy, debtor rehabilitation, is a court proceeding - ANSWER✅ d) That
reorganizes a debtor's holdings and instructs creditors to look to the debtor's future
earnings for payment
HFMA's patient financial communication best practices specify that patients should be told
about the types of services provided and - ANSWER✅ c) The service providers that
typically participate in the service, e.g., radiologists, pathologists, etc.
The important Message from Medicare provides beneficiaries information concerning their -
ANSWER✅ c) Right to appeal a discharge decision if the patient disagrees with the plan
All of the following are potential causes of credit balances EXCEPT - ANSWER✅ d) A
patient's choice to build up a credit against future medical bills
Verified Questions and Answers Guaranteed Pass
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by: - ANSWER✅ d) The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
Which of the following is required for participation in Medicaid? - ANSWER✅ a) Meet
income and assets requirements
In choosing a setting for pt financial discussions, organizations should first and foremost -
ANSWER✅ c) Respect the pts privacy
A nightly room charge will be incorrect if the patient's - ANSWER✅ d) Transfer from ICU
(intensive care unit) to the Medical/Surgical floor is not reflected in the registration system
What type of account adjustment results from the patient's unwillingness to pay a self-pay
balance? - ANSWER✅ b) Bad debt adjustment
All of the following are conditions that disqualify a procedure or service from being paid for
by Medicare EXCEPT - ANSWER✅ d) Services and procedures that are custodial in nature
All of the following are forms of hospital payment contracting EXCEPT - ANSWER✅ a)
Contracted Rebating
,Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by: - ANSWER✅ d) The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion
of Medicaid in some states, it is more important than ever for hospitals to - ANSWER✅ d)
Assist patients in understanding their insurance coverage and their financial obligation
HFMA best practices call for patient financial discussions to be reinforced - ANSWER✅ b)
By copying the provider's attorney on a written statement of conversation
A Medicare Part A benefit period begins: - ANSWER✅ a) With admission as an inpatient
If further treatment can only be provided in a hospital setting, the patient's condition cannot
be evaluated and/or treated within 24 hours, or if there is not an anticipation of
improvement in the patient's condition with 24 hours, the patient - ANSWER✅ b) Will be
admitted as an inpatient
It is important to have high registration quality standards because - ANSWER✅ d)
Inaccurate or incomplete patient data will delay payment or cause denials
Medicare will only pay for tests and services that - ANSWER✅ d) Medicare determines are
"reasonable and necessary"
,Room and bed charges are typically posted - ANSWER✅ d) From the midnight census
The process of creating the pre=registration record ensures - ANSWER✅ c) Accurate
billing
Once the EMTALA requirements are satisfied - ANSWER✅ c) The remaining registration
processing is initiated at the bedside or in a registration area
This directive was developed to promote and ensure healthcare quality and value and also to
protect consumers and workers in the healthcare system. This directive is called -
ANSWER✅ d) Patient bill of rights
A scheduled inpatient represents an opportunity for the provider to do which of the
following? - ANSWER✅ c) Complete registration and insurance approval before service
The first and most critical step in registering a patient, whether scheduled or unscheduled,
is - ANSWER✅ c) Verifying the patient's identification
The legal authority to request and analyze provider clam documentation to ensure that IPPS
services were reasonable and necessary is given to - ANSWER✅ b) The Office of the U.S.
Inspector General (OIG)
, An advantage of a pre-registration program is - ANSWER✅ c) The opportunity to reduce
the corporate compliance failures within the registration process
Claims with dates of service received later than one calendar year beyond the date of
service, will be - ANSWER✅ a) Denied by Medicare
This concept encompasses all activities required to send a request for payment to a third-
party health plan for payment of benefits - ANSWER✅ c) Claims processing
The ACO investment model will test the use of pre-paid shared savings to - ANSWER✅ b)
Encourage new ACOs to form in rural and underserved areas
Chapter 13 Bankruptcy, debtor rehabilitation, is a court proceeding - ANSWER✅ d) That
reorganizes a debtor's holdings and instructs creditors to look to the debtor's future
earnings for payment
HFMA's patient financial communication best practices specify that patients should be told
about the types of services provided and - ANSWER✅ c) The service providers that
typically participate in the service, e.g., radiologists, pathologists, etc.
The important Message from Medicare provides beneficiaries information concerning their -
ANSWER✅ c) Right to appeal a discharge decision if the patient disagrees with the plan
All of the following are potential causes of credit balances EXCEPT - ANSWER✅ d) A
patient's choice to build up a credit against future medical bills
