CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, || || || || || || ||
Certified Revenue Cycle Representative - CRCR questions || || || || || || ||
with verified detailed answers|| || ||
What are collection agency fees based on? - ✔✔A percentage of dollars collected
|| || || || || || || || || || || ||
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
|| || || || || || || || || || || || || ||
other rule? - ✔✔Birthday
|| || ||
In what type of payment methodology is a lump sum or bundled payment negotiated
|| || || || || || || || || || || || || ||
between the payer and some or all providers? - ✔✔Case rates
|| || || || || || || || || ||
What customer service improvements might improve the patient accounts department? -
|| || || || || || || || || || ||
✔✔Holding staff accountable for customer service during performance reviews || || || || || || || ||
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - ✔✔Inform
|| || || || || || || || || || || || ||
a Medicare beneficiary that Medicare may not pay for the order or service
|| || || || || || || || || || || || ||
What type of account adjustment results from the patient's unwillingness to pay for a self-
|| || || || || || || || || || || || || ||
pay balance? - ✔✔Bad debt adjustment
|| || || || ||
What is the initial hospice benefit? - ✔✔Two 90-day periods and an unlimited number of
|| || || || || || || || || || || || || || ||
subsequent periods ||
When does a hospital add ambulance charges to the Medicare inpatient claim? - ✔✔If the
|| || || || || || || || || || || || || || ||
patient requires ambulance transportation to a skilled nursing facility
|| || || || || || || ||
,How should a provider resolve a late-charge credit posted after an account is billed? -
|| || || || || || || || || || || || || || ||
✔✔Post a late-charge adjustment to the account
|| || || || || ||
an increase in the dollars aged greater than 90 days from date of service indicate what about
|| || || || || || || || || || || || || || || ||
accounts - ✔✔They are not being processed in a timely manner
|| || || || || || || || || || ||
What is an advantage of a preregistration program? - ✔✔It reduces processing times at the
|| || || || || || || || || || || || || || ||
time of service
|| ||
What are the two statutory exclusions from hospice coverage? - ✔✔Medically unnecessary
|| || || || || || || || || || || ||
services and custodial care || || ||
What core financial activities are resolved within patient access? - ✔✔Scheduling,
|| || || || || || || || || || ||
insurance verification, discharge processing, and payment of point-of-service receipts
|| || || || || || || ||
What statement applies to the scheduled outpatient? - ✔✔The services do not involve an
|| || || || || || || || || || || || || ||
overnight stay ||
How is a mis-posted contractual allowance resolved? - ✔✔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? -
|| || || || || || || || || || || || || || || ||
✔✔Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
|| || || || || || || || || || || ||
beneficiary has received what? - ✔✔Medically necessary inpatient hospital services for at
|| || || || || || || || || || || ||
least 3 consecutive days before the skilled nursing care admission
|| || || || || || || || ||
,When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? - ✔✔When
|| || || || || || || || || || || || || || || || ||
the patient is the insured
|| || || ||
What are non-emergency patients who come for service without prior notification to the
|| || || || || || || || || || || || ||
provider called? - ✔✔Unscheduled patients
|| || || ||
If the insurance verification response reports that a subscriber has a single policy, what is
|| || || || || || || || || || || || || || ||
the status of the subscriber's spouse? - ✔✔Neither enrolled not entitled to benefits
|| || || || || || || || || || || ||
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending
|| || || || || || || || || || || || || || ||
Act, establishes what? - ✔✔Disclosure rules for consumer credit sales and consumer loans
|| || || || || || || || || || || ||
What is a principal diagnosis? - ✔✔Primary reason for the patient's admission
|| || || || || || || || || || ||
Collecting patient liability dollars after service leads to what? - ✔✔Lower accounts
|| || || || || || || || || || || ||
receivable levels ||
What is the daily out-of-pocket amount for each lifetime reserve day used? - ✔✔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? - ✔✔Inpatient care
|| || || || || || ||
What code indicates the disposition of the patient at the conclusion of service? - ✔✔Patient
|| || || || || || || || || || || || || || ||
discharge status code || ||
What are hospitals required to do for Medicare credit balance accounts? - ✔✔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? - ✔✔Patient
|| || || || || || || ||
Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the
|| || || || || || || || || || || || || || || ||
information provided on the order must include: - ✔✔A valid CPT or HCPCS code
|| || || || || || || || || || || || ||
With advances in internet security and encryption, revenue-cycle processes are expanding
|| || || || || || || || || || ||
to allow patients to do what? - ✔✔Access their information and perform functions on-line
|| || || || || || || || || || || || ||
What date is required on all CMS 1500 claim forms? - ✔✔onset date of current illness
|| || || || || || || || || || || || || || ||
What does scheduling allow provider staff to do - ✔✔Review appropriateness of the service
|| || || || || || || || || || || || || ||
request
What code is used to report the provider's most common semiprivate room rate? -
|| || || || || || || || || || || || || ||
✔✔Condition code ||
Regulations and requirements for coding accountable care organizations, which allows
|| || || || || || || || || ||
providers to begin creating these organizations, were finalized in: - ✔✔2012
|| || || || || || || || || ||
What is a primary responsibility of the Recover Audit Contractor? - ✔✔To correctly identify
|| || || || || || || || || || || || || ||
proper payments for Medicare Part A & B claims
|| || || || || || || ||
How must providers handle credit balances? - ✔✔Comply with state statutes concerning
|| || || || || || || || || || || ||
reporting credit balance || ||
Certified Revenue Cycle Representative - CRCR questions || || || || || || ||
with verified detailed answers|| || ||
What are collection agency fees based on? - ✔✔A percentage of dollars collected
|| || || || || || || || || || || ||
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
|| || || || || || || || || || || || || ||
other rule? - ✔✔Birthday
|| || ||
In what type of payment methodology is a lump sum or bundled payment negotiated
|| || || || || || || || || || || || || ||
between the payer and some or all providers? - ✔✔Case rates
|| || || || || || || || || ||
What customer service improvements might improve the patient accounts department? -
|| || || || || || || || || || ||
✔✔Holding staff accountable for customer service during performance reviews || || || || || || || ||
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - ✔✔Inform
|| || || || || || || || || || || || ||
a Medicare beneficiary that Medicare may not pay for the order or service
|| || || || || || || || || || || || ||
What type of account adjustment results from the patient's unwillingness to pay for a self-
|| || || || || || || || || || || || || ||
pay balance? - ✔✔Bad debt adjustment
|| || || || ||
What is the initial hospice benefit? - ✔✔Two 90-day periods and an unlimited number of
|| || || || || || || || || || || || || || ||
subsequent periods ||
When does a hospital add ambulance charges to the Medicare inpatient claim? - ✔✔If the
|| || || || || || || || || || || || || || ||
patient requires ambulance transportation to a skilled nursing facility
|| || || || || || || ||
,How should a provider resolve a late-charge credit posted after an account is billed? -
|| || || || || || || || || || || || || || ||
✔✔Post a late-charge adjustment to the account
|| || || || || ||
an increase in the dollars aged greater than 90 days from date of service indicate what about
|| || || || || || || || || || || || || || || ||
accounts - ✔✔They are not being processed in a timely manner
|| || || || || || || || || || ||
What is an advantage of a preregistration program? - ✔✔It reduces processing times at the
|| || || || || || || || || || || || || || ||
time of service
|| ||
What are the two statutory exclusions from hospice coverage? - ✔✔Medically unnecessary
|| || || || || || || || || || || ||
services and custodial care || || ||
What core financial activities are resolved within patient access? - ✔✔Scheduling,
|| || || || || || || || || || ||
insurance verification, discharge processing, and payment of point-of-service receipts
|| || || || || || || ||
What statement applies to the scheduled outpatient? - ✔✔The services do not involve an
|| || || || || || || || || || || || || ||
overnight stay ||
How is a mis-posted contractual allowance resolved? - ✔✔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? -
|| || || || || || || || || || || || || || || ||
✔✔Observation
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
|| || || || || || || || || || || ||
beneficiary has received what? - ✔✔Medically necessary inpatient hospital services for at
|| || || || || || || || || || || ||
least 3 consecutive days before the skilled nursing care admission
|| || || || || || || || ||
,When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? - ✔✔When
|| || || || || || || || || || || || || || || || ||
the patient is the insured
|| || || ||
What are non-emergency patients who come for service without prior notification to the
|| || || || || || || || || || || || ||
provider called? - ✔✔Unscheduled patients
|| || || ||
If the insurance verification response reports that a subscriber has a single policy, what is
|| || || || || || || || || || || || || || ||
the status of the subscriber's spouse? - ✔✔Neither enrolled not entitled to benefits
|| || || || || || || || || || || ||
Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending
|| || || || || || || || || || || || || || ||
Act, establishes what? - ✔✔Disclosure rules for consumer credit sales and consumer loans
|| || || || || || || || || || || ||
What is a principal diagnosis? - ✔✔Primary reason for the patient's admission
|| || || || || || || || || || ||
Collecting patient liability dollars after service leads to what? - ✔✔Lower accounts
|| || || || || || || || || || || ||
receivable levels ||
What is the daily out-of-pocket amount for each lifetime reserve day used? - ✔✔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? - ✔✔Inpatient care
|| || || || || || ||
What code indicates the disposition of the patient at the conclusion of service? - ✔✔Patient
|| || || || || || || || || || || || || || ||
discharge status code || ||
What are hospitals required to do for Medicare credit balance accounts? - ✔✔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? - ✔✔Patient
|| || || || || || || ||
Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the
|| || || || || || || || || || || || || || || ||
information provided on the order must include: - ✔✔A valid CPT or HCPCS code
|| || || || || || || || || || || || ||
With advances in internet security and encryption, revenue-cycle processes are expanding
|| || || || || || || || || || ||
to allow patients to do what? - ✔✔Access their information and perform functions on-line
|| || || || || || || || || || || || ||
What date is required on all CMS 1500 claim forms? - ✔✔onset date of current illness
|| || || || || || || || || || || || || || ||
What does scheduling allow provider staff to do - ✔✔Review appropriateness of the service
|| || || || || || || || || || || || || ||
request
What code is used to report the provider's most common semiprivate room rate? -
|| || || || || || || || || || || || || ||
✔✔Condition code ||
Regulations and requirements for coding accountable care organizations, which allows
|| || || || || || || || || ||
providers to begin creating these organizations, were finalized in: - ✔✔2012
|| || || || || || || || || ||
What is a primary responsibility of the Recover Audit Contractor? - ✔✔To correctly identify
|| || || || || || || || || || || || || ||
proper payments for Medicare Part A & B claims
|| || || || || || || ||
How must providers handle credit balances? - ✔✔Comply with state statutes concerning
|| || || || || || || || || || || ||
reporting credit balance || ||
