CRCR Certification Exam with Verified Answers
1. Overall aggregate payments made to a hospice are
subject to a computed "cap amount" calculated by
2. Which of the following is required for participation in
Medicaid
3. In choosing a setting for patient financial discus-
sions, organizations sh...
CRCR Certification Exam with Verified Answers
1. Overall aggregate payments made to a hospice are The Medicare Ad-
subject to a computed "cap amount" calculated by ministrative Con-
tractor (MAC) at
the end of the hos-
pice cap period
2. Which of the following is required for participation in Meet Income and
Medicaid Assets Require-
ments
3. In choosing a setting for patient financial discus- Respect the pa-
sions, organizations should first and foremost tients privacy
4. A nightly room charge will be incorrect if the patient's Transfer from ICU
(intensive care
unit) to the Med-
ical/Surgical
floor is not reflect-
ed in the registra-
tion system
5. The Affordable Care Act legislated the development Purchase quali-
of Health Insurance Exchanges, where individuals fied health bene-
and small businesses can fit plans regard-
less of insured's
health status
6. A portion of the accounts receivable inventory which Charitable
has NOT qualified for billing includes: pledges
7. What is required for the UB-04/837-I, used by Rural Revenue codes
Health Clinics to generate payment from Medicare?
8. This directive was developed to promote and ensure Patient bill of
healthcare quality and value and also to protect con- rights
sumers and workers in the healthcare system. This
directive is called
9. The activity which results in the accurate recording Case manage-
of patient bed and level of care assessment, patient ment
, transfer and patient discharge status on a real-time
basis is known as
10. Which statement is an EMTALA (Emergency Medical Registration staff
Treatment and Active Labor Act) violation? may routinely con-
tact managed are
plans for prior
authorizations be-
fore the patient
is seen by the
on-duty physician
11. HIPAA had adopted Employer Identification Numbers The Internal Rev-
(EIN) to be used in standard transactions to identify enue Service
the employer of an individual described in a transac-
tion EIN's are
assigned by
12. Checks received through mail, cash received through Control points for
mail, and lock box are all examples of cash posting
13. What are some core elements if a board-approved Eligibility, applica-
financial assistance policy? tion process, and
nonpayment col-
lection activities
14. A recurring/series registration is characterized by The creation of
one registration
record for multiple
days of service
15. With the advent of the Affordable Care Act Health Assist patients
Insurance Marketplaces and the expansion of Medic- in understanding
aid in some states, it is more important than ever for their insurance
hospitals to coverage and their
financial obliga-
tion
16. The purpose of a financial report is to:
, Present financial
information to de-
cision makers
17. Patient financial communications best practices pro- Consistent, clear
duce communications that are and transparent
18. Medicare has established guidelines called the Local What services or
Coverage Determinations (LCD) and National Cover- healthcare items
age Determinations (NCD) that establish are covered under
Medicare
19. Any provider that has filed a timely cost report may The Provider Re-
appeal an adverse final decision received from the imbursement Re-
Medicare Administrative Contractor (MAC). This ap- view Board
peal may be filed with
20. Concurrent review and discharge planning Occurs during ser-
vice
21. Duplicate payments occur: When providers
re-bill claims
based on nonpay-
ment from the ini-
tial bill submission
22. An individual enrolled in Medicare who is dissatisfied A beneficiary ap-
with the government's claim determination is entitled peal
to reconsideration of the decision. This type of appeal
is known as
23. Insurance verification results in which of the follow- The accurate
ing identification of
the patient's eligi-
bility and benefits
24. The Medicare fee-for service appeal process for both Judicial review by
beneficiaries and providers includes all of the follow- a federal district
ing levels EXCEPT: court
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