CRCR Certification Exam with Verified Answers
1. The Medicare
Administrative
Contractor
(MAC) at the end
of the hospice
cap period
2. Meet Income and
Assets Require-
ments
3. Respect the pa-
tients privacy
4. Transfer from
ICU (intensive
care unit) to the
Medical/Surgical
floor is n...
CRCR Certification Exam with Verified Answers
1. The Medicare Overall aggregate payments made to a hospice are sub-
Administrative ject to a computed "cap amount" calculated by
Contractor
(MAC) at the end
of the hospice
cap period
2. Meet Income and Which of the following is required for participation in Med-
Assets Require- icaid
ments
3. Respect the pa- In choosing a setting for patient financial discussions,
tients privacy organizations should first and foremost
4. Transfer from A nightly room charge will be incorrect if the patient's
ICU (intensive
care unit) to the
Medical/Surgical
floor is not re-
flected in the reg-
istration system
5. Purchase quali- The Affordable Care Act legislated the development
fied health bene- of Health Insurance Exchanges, where individuals and
fit plans regard- small businesses can
less of insured's
health status
6. Charitable A portion of the accounts receivable inventory which has
pledges NOT qualified for billing includes:
7. Revenue codes What is required for the UB-04/837-I, used by Rural
Health Clinics to generate payment from Medicare?
8. Patient bill of This directive was developed to promote and ensure
rights healthcare quality and value and also to protect con-
sumers and workers in the healthcare system. This direc-
tive is called
9.
, CRCR Certification Exam with Verified Answers
Case manage- The activity which results in the accurate recording of
ment patient bed and level of care assessment, patient transfer
and patient discharge status on a real-time basis is known
as
10. Registration Which statement is an EMTALA (Emergency Medical
staff may Treatment and Active Labor Act) violation?
routinely
contact
managed are
plans for prior
authorizations
before the
patient is seen
by the on-duty
physician
11. The Internal Rev- HIPAA had adopted Employer Identification Numbers
enue Service (EIN) to be used in standard transactions to identify the
employer of an individual described in a transaction EIN's
are
assigned by
12. Control points Checks received through mail, cash received through
for cash posting mail, and lock box are all examples of
13. Eligibility, appli- What are some core elements if a board-approved finan-
cation process, cial assistance policy?
and nonpayment
collection activi-
ties
14. The creation of A recurring/series registration is characterized by
one registration
record for multi-
ple days of ser-
vice
15. Assist patients With the advent of the Affordable Care Act Health In-
in understand- surance Marketplaces and the expansion of Medicaid in
, CRCR Certification Exam with Verified Answers
ing their insur- some states, it is more important than ever for hospitals
ance coverage to
and their finan-
cial obligation
16. Present financial The purpose of a financial report is to:
information to
decision makers
17. Consistent, clear Patient financial communications best practices produce
and transparent communications that are
18. What services or Medicare has established guidelines called the Local
healthcare items Coverage Determinations (LCD) and National Coverage
are covered un- Determinations (NCD) that establish
der Medicare
19. The Provider Re- Any provider that has filed a timely cost report may appeal
imbursement Re- an adverse final decision received from the Medicare Ad-
view Board ministrative Contractor (MAC). This appeal may be filed
with
20. Occurs during Concurrent review and discharge planning
service
21. When providers Duplicate payments occur:
re-bill claims
based on non-
payment from
the initial bill
submission
22. A beneficiary ap- An individual enrolled in Medicare who is dissatisfied
peal with the government's claim determination is entitled to
reconsideration of the decision. This type of appeal is
known as
23. The accurate Insurance verification results in which of the following
identification of
the patient's eli-
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MERCYTRISHIA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.62. You're not tied to anything after your purchase.
