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CRCR Exam Multiple Choice, CRCR Exam Prep, Certified Revenue Cycle Representative – CRCR Exam Guide

1. code of conduct ANS hospital establish compliance standards 2. Purpose of OIG work plan ANS communicate issues that will be reviewed during the year for compliance with Medicare regulations 3. Medicare pt. admitted on Friday, what services fall within the three day window rule ANS Dx s...

1. This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system: Patient Centric Revenue Cycle 2. this is the period in which scheduling and pre-access takes place, includ-...

1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In- come and Assets Requirements

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 pro- gram for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eli...

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 pro- gram for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eli...

Important revenue cycle activities in the pre-service stage include; - ANSWER-Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; - ANSWER-The amount th...

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...

Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative? A) Patient Financial Communications B) Medical Account Resolution C) Price Transparency D) Process Compliance - Correct answer-D) Process Compliance Approximately what ______% of billing information is obtai...

Patient Centric Revenue Cycle - Correct answer-This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service - Correct answer-this is the period in which schedul...

Net Days in AR - Correct answer-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging - Correct answer-Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outs...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - Correct answer-The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - Correct answer-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - Correct answer-Meet Income and...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? Ans The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if...