CRIS TEST QUESTIONS AND ANSWERS
ALREADY PASSED
Question: What is the main focus of the CRIS (Certified Revenue Integrity Specialist) exam?
Answer: The CRIS exam focuses on ensuring the accuracy and compliance of revenue cycle
processes in healthcare settings, including billing, coding, and...
claims are submitted correctly, meet payer guidelines, and reduce the risk of denials and audits
by adhering to specific payer policies.
Question: What role does documentation play in revenue integrity?
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,Answer: ✔✔ Documentation plays a crucial role in revenue integrity by providing the necessary
evidence to support coding and billing practices, ensuring that claims are accurate and justifiable
for reimbursement.
Question: How can revenue integrity professionals use data analytics to improve processes?
Answer: ✔✔ Data analytics can identify trends, detect errors, and highlight areas for
improvement by analyzing billing patterns, denial rates, and coding accuracy, leading to more
efficient revenue cycle management.
Question: What is the significance of charge capture in the revenue cycle?
Answer: ✔✔ Charge capture is crucial for ensuring that all services provided are accurately
recorded and billed, preventing revenue loss due to missed or underreported charges.
Question: How do compliance regulations impact revenue integrity practices?
Answer: ✔✔ Compliance regulations impact revenue integrity practices by setting standards that
must be followed to avoid legal issues, financial penalties, and audit findings, ensuring that
billing and coding practices are ethical and accurate.
Question: What strategies can be employed to reduce claim denials?
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,Answer: ✔✔ Strategies to reduce claim denials include improving documentation accuracy,
training staff on coding guidelines, conducting regular audits, and implementing robust
verification processes to ensure claims meet payer requirements.
Question: What is the importance of auditing in revenue integrity?
Answer: ✔✔ Auditing is important in revenue integrity as it helps identify discrepancies, ensure
compliance with regulations, assess the accuracy of coding and billing practices, and implement
corrective actions to improve revenue cycle processes.
Question: How does effective communication with clinical staff support revenue integrity?
Answer: ✔✔ Effective communication with clinical staff supports revenue integrity by ensuring
that clinical documentation accurately reflects the services provided, which helps in proper
coding and billing, and reduces discrepancies and denials.
Question: What are the benefits of implementing automated systems in revenue cycle
management?
Answer: ✔✔ Automated systems can streamline processes, reduce manual errors, improve
efficiency, and enhance accuracy in billing, coding, and claim management by integrating data
and automating routine tasks.
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, Question: How can revenue integrity professionals stay updated with changes in coding and
billing regulations?
Answer: ✔✔ Revenue integrity professionals can stay updated by participating in industry
training, subscribing to relevant publications, attending conferences, and engaging in continuous
education to keep abreast of regulatory changes and best practices.
Question: What is the role of a revenue integrity team in preventing fraud and abuse?
Answer: ✔✔ The revenue integrity team plays a role in preventing fraud and abuse by
implementing controls, monitoring billing practices, conducting audits, and ensuring compliance
with legal and ethical standards to protect against fraudulent activities.
Who owns the medical record?
A. The patient
B. The physician
C. The health care facility
D. The federal government under HIPAA ✔✔C. The health care facility
The tool most often used to gather a complete medical record is the:
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