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CRCR FINAL EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!!|GUARANTEED PASS |LATEST UPDATE$20.49
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CRCR FINAL EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!!|GUARANTEED PASS |LATEST UPDATE
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Course
CRCR
Institution
CRCR
CRCR FINAL EXAM AND PRACTICE EXAM
2024 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND
NEW VERSION!!!|GUARANTEED PASS
|LATEST UPDATE
CRCR FINAL EXAM AND PRACTICE EXAM
2024 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND
NEW VERSION!!!|GUARANTEED PASS
|LATEST UPDATE
Patients should be informed that costs presented in a price estimate may
a) Vary from estimates, depending on the actual services performed
b) Be guaranteed if the patient satisfies all patient financial responsibilities at the time
of registration
c) Be lower as price estimates use the highest market price
d) Only determine the percentage of the total that the patient is responsible for and not
the actual cost
A
Ambulance services are billed directly to the health plan for
a) All pre-admission emergency transports
b) Transport deemed medically necessary by the attending paramedic-ambulance crew
c) Services provided before a patient is admitted and for ambulance
rides arranged to pick up the patient from the hospital after discharge
to take him/her home or to another facility
d) The portion of the bill outside of the patient's self-pay
C
In Chapter 7 straight bankruptcy filling
a) The court establishes a creditor payment schedule with the longest outstanding claims
paid first
b) The court liquidates the debtor's nonexempt property, pays creditors,
and discharges the debtor from the debt
c) The court vacates all claims against a debtor with the understanding that the debtor
may not apply for credit without court supervision
d) The court liquidates the debtor's nonexempt property, pays creditors, and begins to
pay off the largest claims first. All claims are paid some portions of the amount owed.
B
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,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
a) Utilization review
b) Case management
c) Census management
d) Patient through-put
B
Which of the following is required for participation in Medicaid
a) Obtain a supplemental health insurance policy
b) Meet income and assets requirements
c) Meet a minimum yearly premium
d) Be free of chronic conditions
B
When primary payment is received, the actual reimbursement
a) Is compared to the expected reimbursement
b) Is recorded by Patient Accounting and the patient's account is the closed
c) Is compared to the expected reimbursement, the remaining
contractual adjustments are posted, and secondary claims are
submitted
d) Trigger that the secondary claims can then be prepared.
C
Days in A/R is calculated based on the value of
a) Total cash received to date
b) The time it takes to collect anticipated revenue
c) The total accounts receivable on a specific date
d) Total anticipated revenue minus expenses
C
All of the following are forms of hospital payment contracting EXCEPT
a) Per diem payment
b) Bundled Payment
c) Fixed Contracting
d) Contracted Rebating
D
The standard claim form used for billing by hospitals, nursing facilities, and other in-
patient
services is called the
a) UB-04
2|Page
,b) 1500
c) COST REPORT
d) REMITTANCE NOTICE
A
To maximize the value derived from customer complaints, all consumer complaints should
be
a) Responded to within two business days
b) Tracked and shared to improve the customer experience
c) Handled by a specially trained "service recovery" team
d) Brought immediately to management's attention
A
The HCAHPS (hospital consumer assessment of healthcare providers and systems)
initiative
was launched to
a) Gather national date on overall trust in the nation's health care system
b) Create a national database on physician quality
c) Provide a standardized method for evaluating patient's perspective on
hospital care. ?
d) Provide data for building shared savings reimbursement for quality procedures.
C
Health Plan Contracting Departments do all of the following EXCEPT
a) Establish a global reimbursement rate to use with all third-party payer
b) Review all managed care contracts for accuracy for loading contract terms into the
patient accounting system
c) Review payment schemes to ensure that the health plan and provider understand how
reimbursements must be calculated
d) Review contracts to ensure the appeals process for denied claims is clearly specified
A
The benefit of Medicare Advantage Plan is
a) It is a less costly plan compared to traditional Medicare
b) Patients may retain a primary care physician and see another physician for a second
opinion at no charge
c) Patients generally have their Medicare-coverage healthcare through
the plan and do not need to worry about "part a" or "part b" benefits
d) Patients receive significant discounting on services contracted by the federal
government
C
Once the EMTALA requirements are satisfied
a) Third-party payer info should be collected from the pt and the payer
3|Page
, should be notified of the ED visit
b) An initial registration record is completed so that the proper coding can be initiated
c) The pt then assumes full liability for services unless a third-party payer is notified or
the pt applies for financial assistance within the first 48 hours
d) The remaining registration processing is initiated either at the bedside or In a
registration area
A
The soft cost of a dissatisfied customer is
a) The "cost" of staff providing extra attention in trying to perform service recovery
b) The customer passing on info about their negative experience to
potential pts or through social media channels
c) Potentially negative treatment outcomes leading to expanding length-of-stay
d) Lowered quality outcomes for the dissatisfied pt
B
Concurrent review and discharge planning
a) Occurs during service
b) Is performed by the health plan during the time of service
c) Is a significant part of quality and is performed by the clinical treatment team
d) Is performed at discharge with the pt
A
In a self-insured (or self-funded) plan, the costs of medical care are
a) Borne by the employer on a pay-as-you-go basis
b) Backed-up by stop-loss insurance against a catastrophic claim
c) Mandated by the Affordable Care Act for small businesses unable to obtain commercial
coverage
d) Created by a combination of employer and employee contributions
A
In choosing a setting for pt financial discussions, organizations should first and foremost
a) Have processes in place to document the discussions
b) Assess locations for convenience, professionalism, and comfort
c) Respect the pts privacy
d) Ensure all staff involved are properly trained and the pt financial education is included
in all discussions
C
All of the following are steps in safeguarding collections EXCEPT
a) Placing collections in a lock-box for posting review the next business day
b) Posting the payment to the pts account
c) Completing balance activities
d) Issuing receipts
4|Page
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