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CRCR EXAM MULTIPLE CHOICE, CRCR
EXAM PREP, CERTIFIED REVENUE CYCLE
REPRESENTATIVE - CRCR
What statement applies to the scheduled outpatient? - correct-answer -The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - correct-answer -Comparing
the contract reimbursement rates with the contract on the admittance advice to
identify the correct amount
What type of patient status is used to evaluate the patient's need for inpatient
care? - correct-answer -Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - correct-answer -Medically necessary
inpatient hospital services for at least 3 consecutive days before the skilled nursing
care admission
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When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
correct-answer -When the patient is the insured
What are non-emergency patients who come for service without prior notification
to the provider called? - correct-answer -Unscheduled patients
If the insurance verification response reports that a subscriber has a single policy,
what is the status of the subscriber's spouse? - correct-answer -Neither enrolled
not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in
Lending Act, establishes what? - correct-answer -Disclosure rules for consumer
credit sales and consumer loans
What is a principal diagnosis? - correct-answer -Primary reason for the patient's
admission
Collecting patient liability dollars after service leads to what? - correct-answer -
Lower accounts receivable levels
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What is the daily out-of-pocket amount for each lifetime reserve day used? -
correct-answer -50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic (RHC) is
not billable as an RHC services? - correct-answer -Inpatient care
What code indicates the disposition of the patient at the conclusion of service? -
correct-answer -Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? - correct-
answer -They result in lost reimbursement and additional cost to collect
When an undue delay of payment results from a dispute between the patient and
the third party payer, who is responsible for payment? - correct-answer -Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - correct-answer -A valid CPT
or HCPCS code
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With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - correct-answer -Access their
information and perform functions on-line
What date is required on all CMS 1500 claim forms? - correct-answer -onset date
of current illness
What does scheduling allow provider staff to do - correct-answer -Review
appropriateness of the service request
What code is used to report the provider's most common semiprivate room rate?
- correct-answer -Condition code
Regulations and requirements for coding accountable care organizations, which
allows providers to begin creating these organizations, were finalized in: - correct-
answer -2012
What is a primary responsibility of the Recover Audit Contractor? - correct-answer
-To correctly identify proper payments for Medicare Part A & B claims
CRCR EXAM MULTIPLE CHOICE, CRCR
EXAM PREP, CERTIFIED REVENUE CYCLE
REPRESENTATIVE - CRCR
What statement applies to the scheduled outpatient? - correct-answer -The
services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - correct-answer -Comparing
the contract reimbursement rates with the contract on the admittance advice to
identify the correct amount
What type of patient status is used to evaluate the patient's need for inpatient
care? - correct-answer -Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require
that the beneficiary has received what? - correct-answer -Medically necessary
inpatient hospital services for at least 3 consecutive days before the skilled nursing
care admission
,2|Page
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? -
correct-answer -When the patient is the insured
What are non-emergency patients who come for service without prior notification
to the provider called? - correct-answer -Unscheduled patients
If the insurance verification response reports that a subscriber has a single policy,
what is the status of the subscriber's spouse? - correct-answer -Neither enrolled
not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in
Lending Act, establishes what? - correct-answer -Disclosure rules for consumer
credit sales and consumer loans
What is a principal diagnosis? - correct-answer -Primary reason for the patient's
admission
Collecting patient liability dollars after service leads to what? - correct-answer -
Lower accounts receivable levels
,3|Page
What is the daily out-of-pocket amount for each lifetime reserve day used? -
correct-answer -50% of the current deductible amount
What service provided to a Medicare beneficiary in a rural health clinic (RHC) is
not billable as an RHC services? - correct-answer -Inpatient care
What code indicates the disposition of the patient at the conclusion of service? -
correct-answer -Patient discharge status code
What are hospitals required to do for Medicare credit balance accounts? - correct-
answer -They result in lost reimbursement and additional cost to collect
When an undue delay of payment results from a dispute between the patient and
the third party payer, who is responsible for payment? - correct-answer -Patient
Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - correct-answer -A valid CPT
or HCPCS code
, 4|Page
With advances in internet security and encryption, revenue-cycle processes are
expanding to allow patients to do what? - correct-answer -Access their
information and perform functions on-line
What date is required on all CMS 1500 claim forms? - correct-answer -onset date
of current illness
What does scheduling allow provider staff to do - correct-answer -Review
appropriateness of the service request
What code is used to report the provider's most common semiprivate room rate?
- correct-answer -Condition code
Regulations and requirements for coding accountable care organizations, which
allows providers to begin creating these organizations, were finalized in: - correct-
answer -2012
What is a primary responsibility of the Recover Audit Contractor? - correct-answer
-To correctly identify proper payments for Medicare Part A & B claims
