Certified Revenue Cycle Representative
(CRCR) Exam Study Guide
Expected Questions and Answers (Verified Answers)
1. The 501(r) regulations require not-for-profit providers 501(c) (3) to do which
of the following activities?
A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for finan- cial
assistance.
C. Implement a financial assistance program for uninsured and underinsured
patients.
D. Discount all charges to self-pay patients to an amount generally billed to all
other patients.
Ans>>: A. Complete a community needs assessment and develop a discount program for patient
balances after insurance payment
2. The accurate capture of charges remains critically important because:
,A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to monitor
resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.
Ans>>: B. Charges remain one of the few consistent indicators available to monitor resource use
3. The ACO investment model will test the use of pre-paid shared savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.
Ans>>: D. Encourage new ACOs to form in rural and underserved areas
4. 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:
A. Have a patient financial responsibilities kit ready for the patient, containing all of
the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere with patient
care or disrupt patient flow.
,D. Decline such request as finance discussions can disrupt patient care and patient
flow.
Ans>>: C. Support that choice, providing that the discussion does not interfere with patient care or
disrupt patient flow
5. Activities completed when the scheduled, pre-registered patient arrives for service
includes:
A. Verifying insurance, activating the record and directing the patient to the
, service area.
B. Scanning the driver's license or other phot identification and directing the patient
to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the service area.
Ans>>: C. Activating the record, obtaining signatures and
6. The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis is
known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
Ans>>: A. Utilization review or
B. Case Management
7. An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the registra- tion
(CRCR) Exam Study Guide
Expected Questions and Answers (Verified Answers)
1. The 501(r) regulations require not-for-profit providers 501(c) (3) to do which
of the following activities?
A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for finan- cial
assistance.
C. Implement a financial assistance program for uninsured and underinsured
patients.
D. Discount all charges to self-pay patients to an amount generally billed to all
other patients.
Ans>>: A. Complete a community needs assessment and develop a discount program for patient
balances after insurance payment
2. The accurate capture of charges remains critically important because:
,A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to monitor
resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.
Ans>>: B. Charges remain one of the few consistent indicators available to monitor resource use
3. The ACO investment model will test the use of pre-paid shared savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.
Ans>>: D. Encourage new ACOs to form in rural and underserved areas
4. 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:
A. Have a patient financial responsibilities kit ready for the patient, containing all of
the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere with patient
care or disrupt patient flow.
,D. Decline such request as finance discussions can disrupt patient care and patient
flow.
Ans>>: C. Support that choice, providing that the discussion does not interfere with patient care or
disrupt patient flow
5. Activities completed when the scheduled, pre-registered patient arrives for service
includes:
A. Verifying insurance, activating the record and directing the patient to the
, service area.
B. Scanning the driver's license or other phot identification and directing the patient
to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the service area.
Ans>>: C. Activating the record, obtaining signatures and
6. The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis is
known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
Ans>>: A. Utilization review or
B. Case Management
7. An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the registra- tion
