CRCR Certification
- questions and answers-
"Hard-coded" is the term used to refer to - questions and answers-Codes for services,
procedures, and drugs automatically assigned by the charge master
A balance sheet is - questions and answers-A statement of assets, liabilities, and capital for an
organization at a specified point in time
A claim for reimbursement submitted to a third-party payer that has all the information and
documentation required for the payer to make a decision on it is known as - questions and
answers-A clean claim
A claim is denied for the following reasons, EXCEPT: - questions and answers-The submitted
claim does not have the physicians signature
A comprehensive "Compliance Program" is defined as - questions and answers-Systematic
procedures to ensure that the provisions of regulations imposed by a government agency are
being met
A decision on whether a patient should be admitted as an inpatient or become about patient
observation patient requires medical judgments based on all of the following EXCEPT -
questions and answers-The patient's home care coverage
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 - questions and
answers-Revenue codes
A large number of credit balances are not the result of overpayments but of - questions and
answers-Posting errors in the patient accounting system
A Medicare Part A benefit period begins: - questions and answers-With admission as an
inpatient
A nightly room charge will be incorrect if the patient's - questions and answers-Transfer from
ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes -
questions and answers-Charitable pledges
,A portion of the accounts receivable inventory which has NOT qualified for billing includes: -
questions and answers-Charitable pledges
A recurring/series registration is characterized by - questions and answers-The creation of one
registration record for multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? -
questions and answers-Complete registration and insurance approval before service
A typical routine patient financial discussion would include - questions and answers-Explaining
the benefits identified through verifying the patients insurance
Account Receivable (A/R) Aging reports - questions and answers-Divide accounts receivable
into 30, 60, 90 ,120 days past due categories
Across all care settings, if a patient consents to a financial discussion during a medical
encounter - questions and answers-Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial discussion during a medical
encounter to expedite discharge, the HFMA best practice is to: - questions and
answers-Support that choice, providing that the discussion does not interfere with patient care
or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to -
questions and answers-All emergency and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by
Medicare EXCEPT - questions and answers-Services and procedures that are custodial in
nature
All of the following are forms of hospital payment contracting EXCEPT - questions and
answers-Contracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT -
questions and answers-Address
All of the following are potential causes of credit balances EXCEPT - questions and answers-A
patient's choice to build up a credit against future medical bills
All of the following are reference resources used to help guide in the application of business
ethics EXCEPT - questions and answers-Consumer satisfaction reports
, All of the following are steps in safeguarding collections EXCEPT - questions and
answers-Issuing receipts
All of the following are steps in verifying insurance EXCEPT - questions and answers-The
patient signing the statement of financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: -
questions and answers-The results of any and all test
Ambulance services are billed directly to the health plan for - questions and answers-Services
provided before a patient is admitted and for ambulance rides arranged to pick up the patient
from the hospital after discharge to take him/her home or to another facility
Ambulance services are billed directly to the health plan for - questions and answers-The
portion of the bill outside of the patient's self-pay
An advantage of a pre-registration program is - questions and answers-The opportunity to
reduce the corporate compliance failures within the registration process
An individual enrolled in Medicare who is dissatisfied with the government's claim determination
is entitled to reconsideration of the decision. This type of appeal is known as - questions and
answers-A beneficiary appeal
An originating site is - questions and answers-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 a -
questions and answers-HMO
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 a -
questions and answers-HMO
Any provider that has filed a timely cost report may appeal an adverse final decision received
from the Medicare Administrative Contractor (MAC). This appeal may be filed with - questions
and answers-The Provider Reimbursement Review Board
Applying the contracted payment amount to the amount of total charges yields - questions and
answers-A pricing agreement
Appropriate training for patient financial counseling staff must cover all of the following EXCEPT:
- questions and answers-Documenting the conversation in the medical records
- questions and answers-
"Hard-coded" is the term used to refer to - questions and answers-Codes for services,
procedures, and drugs automatically assigned by the charge master
A balance sheet is - questions and answers-A statement of assets, liabilities, and capital for an
organization at a specified point in time
A claim for reimbursement submitted to a third-party payer that has all the information and
documentation required for the payer to make a decision on it is known as - questions and
answers-A clean claim
A claim is denied for the following reasons, EXCEPT: - questions and answers-The submitted
claim does not have the physicians signature
A comprehensive "Compliance Program" is defined as - questions and answers-Systematic
procedures to ensure that the provisions of regulations imposed by a government agency are
being met
A decision on whether a patient should be admitted as an inpatient or become about patient
observation patient requires medical judgments based on all of the following EXCEPT -
questions and answers-The patient's home care coverage
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 - questions and
answers-Revenue codes
A large number of credit balances are not the result of overpayments but of - questions and
answers-Posting errors in the patient accounting system
A Medicare Part A benefit period begins: - questions and answers-With admission as an
inpatient
A nightly room charge will be incorrect if the patient's - questions and answers-Transfer from
ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
A portion of the accounts receivable inventory which has NOT qualified for billing includes -
questions and answers-Charitable pledges
,A portion of the accounts receivable inventory which has NOT qualified for billing includes: -
questions and answers-Charitable pledges
A recurring/series registration is characterized by - questions and answers-The creation of one
registration record for multiple days of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? -
questions and answers-Complete registration and insurance approval before service
A typical routine patient financial discussion would include - questions and answers-Explaining
the benefits identified through verifying the patients insurance
Account Receivable (A/R) Aging reports - questions and answers-Divide accounts receivable
into 30, 60, 90 ,120 days past due categories
Across all care settings, if a patient consents to a financial discussion during a medical
encounter - questions and answers-Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial discussion during a medical
encounter to expedite discharge, the HFMA best practice is to: - questions and
answers-Support that choice, providing that the discussion does not interfere with patient care
or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to -
questions and answers-All emergency and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by
Medicare EXCEPT - questions and answers-Services and procedures that are custodial in
nature
All of the following are forms of hospital payment contracting EXCEPT - questions and
answers-Contracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT -
questions and answers-Address
All of the following are potential causes of credit balances EXCEPT - questions and answers-A
patient's choice to build up a credit against future medical bills
All of the following are reference resources used to help guide in the application of business
ethics EXCEPT - questions and answers-Consumer satisfaction reports
, All of the following are steps in safeguarding collections EXCEPT - questions and
answers-Issuing receipts
All of the following are steps in verifying insurance EXCEPT - questions and answers-The
patient signing the statement of financial responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: -
questions and answers-The results of any and all test
Ambulance services are billed directly to the health plan for - questions and answers-Services
provided before a patient is admitted and for ambulance rides arranged to pick up the patient
from the hospital after discharge to take him/her home or to another facility
Ambulance services are billed directly to the health plan for - questions and answers-The
portion of the bill outside of the patient's self-pay
An advantage of a pre-registration program is - questions and answers-The opportunity to
reduce the corporate compliance failures within the registration process
An individual enrolled in Medicare who is dissatisfied with the government's claim determination
is entitled to reconsideration of the decision. This type of appeal is known as - questions and
answers-A beneficiary appeal
An originating site is - questions and answers-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 a -
questions and answers-HMO
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 a -
questions and answers-HMO
Any provider that has filed a timely cost report may appeal an adverse final decision received
from the Medicare Administrative Contractor (MAC). This appeal may be filed with - questions
and answers-The Provider Reimbursement Review Board
Applying the contracted payment amount to the amount of total charges yields - questions and
answers-A pricing agreement
Appropriate training for patient financial counseling staff must cover all of the following EXCEPT:
- questions and answers-Documenting the conversation in the medical records
