CRCR Exam Prep, Multiple Choice,
Certified Revenue Cycle
Representative (2024) - Materials
from HFMA
In what situation(s) should a provider NOT use a modifier? - Answer -
CPT already indicates 2-4 lesions
- CPT indicates multiple extremities
What are other names for Three-Day Payment Window? - Answer ALL
OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or 24-
hour rule
What happens during the post-service stage? - Answer Final coding,
preparation and submission of claims, payment processing, balance
billing and resolution.
- Be consistent in key aspects of account resolution
- Follow best practices for communication - Answer Best practices
created by the Medical Debt Task Force
Which option is NOT a main HFMA Healthcare Dollars & Sense®
revenue cycle initiative? - Answer Process Compliance
Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility - Answer B. Health Plan Contracting
,CRCR Exam Prep, Multiple Choice,
Certified Revenue Cycle
Representative (2024) - Materials
from HFMA
What is "implied certification"? - Answer When it is implied that a
provider met all compliance standards before submitting a claim
Which of the following are essential elements of an effective
compliance program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing
Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in
a federal healthcare program.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines. - Answer A. Established compliance
standards and procedures.
, CRCR Exam Prep, Multiple Choice,
Certified Revenue Cycle
Representative (2024) - Materials
from HFMA
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
When was Health Information Technology for Economic and Clinical
Health (HITECH) Act signed into law? - Answer FEB 17, 2009
When did HITECH Act become effective? - Answer 2013
Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year.
Identify which option is NOT a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
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