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CRCR Certification Exam with Verified Answers
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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...

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  • September 8, 2024
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  • 2024/2025
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  • crcr certification exam with verified answe

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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-

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