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CRCR Practice Questions and answers rated A+ 2024/2025
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CRCR Practice QuestionsThe 501(r) rules require not-for-profit carriers 501(c) (3) to do which of the following sports?
A. Complete a network wishes assessment and expand a discount software for affected
person balances after coverage payment.
B. Pursue tremendous collection sports with all patients eligible for financial assistance.
C. Implement a economic assistance application for uninsured and underinsured sufferers.
D. Discount all expenses to self-pay sufferers to an quantity generally billed to all other
patients. - ANSA. Complete a network desires assessment and increase a discount software
for patient balances after insurance payment
The correct capture of costs remains critically critical because:
A. Of the potential of fraud and abuse expenses from erroneous billing.
B. Charges continue to be one of the few steady indicators available to monitor aid use.
C. Charges are approach of measuring doctor productiveness.
D. Charges provide the data used in hobby based costing. - ANSB. Charges continue to be
one of the few constant indicators to be had to screen useful resource use
The ACO investment version will test using pre-paid shared financial savings to:
A. Invest in remedy protocols that reduce expenses to Medicare
B. Attract physicians to take part in the ACO price machine.
C. Raise excellent rankings in special hospitals.
D. Encourage new ACOs to form in rural and underserved regions. - ANSD. Encourage new
ACOs to form in rural and underserved regions
Across all care settings, if a affected person sees eye to eye to a monetary dialogue at some
point of a clinical stumble upon to expedite discharge, the HFMA exceptional exercise is to:
A. Have a affected person monetary responsibilities package prepared for the patient,
containing all the required registration bureaucracy and commands.
B. Make sure that the attending staff can solution questions and help in acquiring required
patient financial facts.
C. Support that choice, imparting that the dialogue does now not intrude with patient care or
disrupt patient flow.
D. Decline such request as finance discussions can disrupt affected person care and patient
waft. - ANSC. Support that choice, supplying that the dialogue does no longer intervene with
patient care or disrupt affected person glide
Activities finished whilst the scheduled, pre-registered affected person arrives for carrier
consists of:
A. Verifying coverage, activating the record and directing the patient to the service area.
B. Scanning the motive force's license or different phot identification and directing the patient
to the financial counselor.
C. Activating the file, obtaining signatures and finalizing monetary problems.
D. Registering the patient and directing the patient to the carrier area. - ANSC. Activating the
record, acquiring signatures and
,The hobby which ends in the accurate recording of patient bed and degree of care
evaluation, affected person transfer and patient discharge repute on a actual-time foundation
is called:
A. Utilization overview
B. Case Management
C. Census Management
D. Patient via-positioned - ANSA. Utilization review
or
B. Case Management
An benefit of a pre-registration software is:
A. The markets cost of this kind of application
B. The ability to take away no-show appointments.
C. The opportunity to lessen processing instances on the time of carrier.
D. The possibility to reduce corporate compliance screw ups within the registration method. -
ANSC. The possibility to reduce processing instances on the time of service.
The Affordable Care Act legislated the improvement of Health Insurance Exchanges, in
which individuals and small groups can:
A. Obtain fee estimates for scientific services
B. Negotiate the price of medical services with companies
C. Purchase qualified health benefit plans regardless of insured's fitness reputation
D. Meet federal mandates for insurance insurance and obtain the corresponding tax
deduction - ANSC. Purchase qualified fitness gain plans regardless of insured's fitness
popularity.
All of the following are conditions that disqualify a process or provider from being paid for by
Medicare EXCEPT:
A. Offered in an outpatient putting
B. Medically needless
C. Not introduced in a Medicare certified care placing.
D. Services and processes which might be custodial in nature - ANSC. Not added in a
Medicare certified care placing
All of the following are reference assets used to help manual in the software for enterprise
ethics EXCEPT:
A. Consumer pride reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies - ANSA. Consumer delight reviews
All of the following are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting assessment the next enterprise day.
B. Posting the payment to the patient's account
C. Completing balancing sports
D. Issuing receipts - ANSA. Placing collections in a lock-container for posting assessment
the next enterprise day
, All of the subsequent are steps in verifying coverage EXCEPT:
A. Sequencing plans involved in a coordination of benefits (COB) state of affairs.
B. The affected person signing the announcement of financial duty.
C. Identifying and documenting the patient's health plan benefits
D. Confirming the patient's eligibility for benefits - ANSB. The affected person signing the
statement of financial obligation
All of the following statistics is used to perceive a patient EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address - ANSD. Address
All of the following facts should be reviewed as part of schedule finalization EXCEPT:
A. The anticipated patient economic duties
B. The provider to be supplied
C. The arrival time and system time
D. The patient's coaching commands - ANSA. The anticipated patient economic
responsibilities
Ambulance services are billed directly to the health plan for :
A. All pre-admission emergency transports
B. Transport deemed medically important by means of the attending paramedic-ambulance
team
C. Services supplied earlier than a patient is admitted and for ambulance rides organized to
choose up the patient from the sanatorium after discharge to take him/her home or to every
other facility
D. The portion of the invoice outside of the affected person's self-pay - ANSC. Services
supplied before a patient is admitted and for ambulance rides organized to pick up the
affected person from the health center after discharge to take him/her domestic or the any
other facility
Any healthcare insurance plan that offers or ensures complete fitness renovation and
remedy offerings for an enrolled group of people on a monthly rate is called a:
A. HMO
B. PPO
C. MSO
D. GPO - ANSA. HMO
Any issuer that has filed a well timed cost file can also enchantment an unfavorable very last
selection received from the Medicare Administrative Contractor (MAC). This appeal can be
filed with:
A. The Provider Reimbursement Review Board
B. The Department of Health and Human Services Provider Relations Division
C. A court appointed federal mediator
D. The Office of the Inspector General - ANSA. The Provider Reimbursement Review Board
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