CRCR Certification Exam Questions and Answers 2023
(Verified Answers)
1.Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by ANS The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
2.Which of the following is required for participation in Medicaid ANS Meet In- come and Assets Requirements
3.In choosing a setting for patient financial discussions, organizations should first and foremost ANS Respect the patients privacy
4.A nightly room charge will be incorrect if the patient's ANS Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5.The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can ANS Purchase qualified health benefit plans regardless of insured's
health status
6.A portion of the accounts receivable inventory which has NOT qualified for billing includes ANS Charitable pledges
7.What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? ANS Revenue codes
8.This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system. This directive is called ANS Patient bill of rights
9.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 ANS Case management
10.Which statement is an EMTALA (Emergency Medical Treatment and Ac- tive Labor Act) violation? ANS Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the on-duty physician .HIPAA had adopted Employer Identification Numbers (EIN) to be used
in standard transactions to identify the employer of an individual described
in a transaction EIN's are
assigned by ANS The Internal Revenue Service
12.Checks received through mail, cash received through mail, and lock box are all examples of ANS Control points for cash posting
13.What are some core elements if a board-approved financial assistance policy? ANS Eligibility, application process, and nonpayment collection activities .A recurring/series registration is characterized by ANS The creation
of one registration record for multiple days of service
15.With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion of Medicaid in some states, it is more important than ever for hospitals to ANS Assist patients in understanding
their insurance coverage and their financial obligation
16.The purpose of a financial report is to ANS Present financial information to decision makers
17.Patient financial communications best practices produce
communica- tions that are ANS Consistent, clear and transparent
18.Medicare has established guidelines called the Local Coverage
Determi- nations (LCD) and National Coverage Determinations (NCD) that
establish ANS - What services or healthcare items are covered under
Medicare
19.Any provider that has filed a timely cost report may appeal an adverse final decision received from the Medicare Administrative Contractor
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