CRCR REVIEW QUESTIONS WITH
CORRECT ANSWERS
Which2option2is2NOT2a2main2HFMA2Healthcare2Dollars2and2Sense2reve
nue2cycle2initiative?
A)2Patient2Financial2Communications
B)2Medical2Account2Resolution
C)2Price2Transparency
D)2Process2Compliance2-2Ans--D)2Process2Compliance
Approximately2what2______
%2of2billing2information2is2obtained2during2the2registration2process2(Pati
ent2Access).2-2Ans--40%
What2is2the2objective2of2the2HCAHPS2initiative?
A)2To2conduct2evaluations2concerning2patients'2perspective2on2hospital
2care.
B)2To2provide2a2standardization2method2for2evaluating2patients'2perspe
ctive2on2hospital2care.
C)2To2provide2clear2communication2and2good2customer2service,2which2
will2give2the2provider2a2competitive2edge.
D)2To2make2certain2that2during2registration2key2information2is2verified2b
y2means2of2a2picture2ID2and2insurance2card.2-2Ans--
B)2To2provide2a2standardization2method2for2evaluating2patients'2perspe
ctive2on2hospital2care.
Which2option2is2NOT2a2department2that2supports2and2collaborates2with2
the2revenue2cycle?
A)2Finance
B)2Clinical2Services
C)2Information2Technology
D)2Assisted2Living2Services2-2Ans--D)2Assisted2Living2Services
, What2must2a2SNF2have2to2participate2in2the2Medicare2Program?2-2Ans--
A2written2transfer2agreement2with2one2of2more2participating2hospitals2pr
oviding2for2the2transfer2of2patients2between2the2hospital2and2SNF.
In2order2to2qualify2for2Medicare2Coverage2of2Home2Health2Service2a2pa
tient2must2meet222conditions.2-2Ans--
1)2An2MD2must2certify2that2a2patient2is2confined2to2his/
her2residence2(Not2necessarily2bedridden).2Leaving2the2home2would2be
2a2considerable2effort
2)2Hospitals2and2SNFs2may2not2be2considered2a2place2of2residence2for2
purposes2of2home2health2coverage.
Which2options2is2NOT2a2continuum2of2care2provider?
A)2Physician
B)2Skilled2Nursing2Facility2(SNF)
C)2Health2Plan2Contracting
D)2Hospice2-2Ans--C)2Health2Plan2Contracting
Which2of2the2following2are2essential2elements2of2an2effective2complianc
e2program?
A)2Oversight2of2personnel2by2high-level2personnel.
B)2Established2compliance2standards2and2procedures.2
C)2Designation2of2a2compliance2offices2employees2within2the2Billing2de
partment.
D)2Reasonable2methods2to2achieve2compliance2with2standards,2includi
ng2monitoring2systems2and2hotlines.
E)2Automatic2dismissal2of2any2employee2excluded2from2participating2in2
a2federal2healthcare2program.2-2Ans--A,2B,2and2D
A)2Oversight2of2personnel2by2high-level2personnel.
B)2Established2compliance2standards2and2procedures.2
D)2Reasonable2methods2to2achieve2compliance2with2standards,2includi
ng2monitoring2systems2and2hotlines.
What2is2the2OIG?2-2Ans--The2Office2of2the2Inspector2General
CORRECT ANSWERS
Which2option2is2NOT2a2main2HFMA2Healthcare2Dollars2and2Sense2reve
nue2cycle2initiative?
A)2Patient2Financial2Communications
B)2Medical2Account2Resolution
C)2Price2Transparency
D)2Process2Compliance2-2Ans--D)2Process2Compliance
Approximately2what2______
%2of2billing2information2is2obtained2during2the2registration2process2(Pati
ent2Access).2-2Ans--40%
What2is2the2objective2of2the2HCAHPS2initiative?
A)2To2conduct2evaluations2concerning2patients'2perspective2on2hospital
2care.
B)2To2provide2a2standardization2method2for2evaluating2patients'2perspe
ctive2on2hospital2care.
C)2To2provide2clear2communication2and2good2customer2service,2which2
will2give2the2provider2a2competitive2edge.
D)2To2make2certain2that2during2registration2key2information2is2verified2b
y2means2of2a2picture2ID2and2insurance2card.2-2Ans--
B)2To2provide2a2standardization2method2for2evaluating2patients'2perspe
ctive2on2hospital2care.
Which2option2is2NOT2a2department2that2supports2and2collaborates2with2
the2revenue2cycle?
A)2Finance
B)2Clinical2Services
C)2Information2Technology
D)2Assisted2Living2Services2-2Ans--D)2Assisted2Living2Services
, What2must2a2SNF2have2to2participate2in2the2Medicare2Program?2-2Ans--
A2written2transfer2agreement2with2one2of2more2participating2hospitals2pr
oviding2for2the2transfer2of2patients2between2the2hospital2and2SNF.
In2order2to2qualify2for2Medicare2Coverage2of2Home2Health2Service2a2pa
tient2must2meet222conditions.2-2Ans--
1)2An2MD2must2certify2that2a2patient2is2confined2to2his/
her2residence2(Not2necessarily2bedridden).2Leaving2the2home2would2be
2a2considerable2effort
2)2Hospitals2and2SNFs2may2not2be2considered2a2place2of2residence2for2
purposes2of2home2health2coverage.
Which2options2is2NOT2a2continuum2of2care2provider?
A)2Physician
B)2Skilled2Nursing2Facility2(SNF)
C)2Health2Plan2Contracting
D)2Hospice2-2Ans--C)2Health2Plan2Contracting
Which2of2the2following2are2essential2elements2of2an2effective2complianc
e2program?
A)2Oversight2of2personnel2by2high-level2personnel.
B)2Established2compliance2standards2and2procedures.2
C)2Designation2of2a2compliance2offices2employees2within2the2Billing2de
partment.
D)2Reasonable2methods2to2achieve2compliance2with2standards,2includi
ng2monitoring2systems2and2hotlines.
E)2Automatic2dismissal2of2any2employee2excluded2from2participating2in2
a2federal2healthcare2program.2-2Ans--A,2B,2and2D
A)2Oversight2of2personnel2by2high-level2personnel.
B)2Established2compliance2standards2and2procedures.2
D)2Reasonable2methods2to2achieve2compliance2with2standards,2includi
ng2monitoring2systems2and2hotlines.
What2is2the2OIG?2-2Ans--The2Office2of2the2Inspector2General
