AAHAM CRCS-P WITH CORRECT ANSWERS 2025

AAHAM CRCS-P WITH CORRECT
ANSWERS 2025



CRCSvgCertifiedvRevenuevCyclevSpecialist



AAHAMvgThevAmericanvAssociationvofvHealthcarevAdministrativevManagement



1-DayvRulevgavrequirementvthatvallvdiagnosticvorvoutpatientvservices

furnishedvinvconnectionvwithvthevprinciplevadmittingvdiagnosisvwithinvonevdayvpriorvtovthevhospit
a lvadmissionvarevbundledvwithvthevinpatientvservicesvforvMedicarevbilling.



3-DayvRulevgavrequirementvthatvallvdiagnosticvorvoutpatientvservices

furnishedvinvconnectionvwithvthevprinciplevadmittingvdiagnosisvwithinvthreevdaysvpriorvtovthevhos
p italvadmissionvarevbundledvwithvthevinpatientvservicesvforvMedicarevbilling.



5010A1vgthevAmericanvNationalvStandardsvInstitutevtransactionvforva

professionalvclaimv(thevelectronicvequivalentvofvthevCMSv15000), formerlyvthev837P



837IvgthevAmericanvNationalvStandardsvInstitutevtransactionvforvan
institutionalvclaim;vasvavresultvofvHIPAA,vitvisvreplacingvthevelectronic

UB-04.

,837PvgavformervAmericanvNationalvStandardsvInstitutevtransactionvforva

professionalvclaimv(thevelectronicvequivalentvofvthevCMSv15000),vsincereplacedvbyvthev5010A1.



ABNvgthevAdvancevBeneficiaryvNoticevofvNoncoverage;vavformvgivenvtovavMedicarevbeneficiaryvbe
forevse
rvicesvarevfurnishedvwhenvavservicevdoesvnotvmeetvorvisvnotvexpectedvtovmeetvmedicalvnecessity
.



abusevgthevmisusevofvavperson,vsubstance,vservice,vorvfinancialvmattervsuchvthatvharmvisvcaused;
vsomevfor
msvofvhealthcarevabusevincludevexcessivevorvunwarrantedvusevofvtechnology,vpharmaceuticals,van
dvservices;vabusevofvauthority;vandvabusevofvprivacy,vconfidentiality,vorvdutyvtovcare;vitvalsovinclu
de
svimpropervbillingvpracticesv(likevbillingvMedicarevinsteadvofvprimaryvinsurer),vincreasingvchargesvt
ovMedicarevbeneficiariesvbutvnotvtovothervpatients,vunbundlingvofvservices,vandvunnecessaryvtrans
fersvof patients.



AccountsvReceivablev(AR)vDaysvOutstandingvganvestimate,vusingvaveragevcurrentvrevenues,vofvthev
daysvrequiredvtovturnvovervthevaccountsvrecei
vablevundervnormalvoperatingvconditions;vinvsimplevterms,vthisvisvanvestimatevofvthevtimevneede
dv tovcollectvthevaccountsvreceivable.



ACFvgAdministrationvforvChildrenvandvFamilies;vonevofvthevDHHS

OperatingvDivisions.



ACLvgAdministrationvforvCommunityvLiving;vonevofvthevDHHSvOperating Divisions.

actualvorvexpressedvconsentvgwrittenvorvoralvagreementvbyvthevpatientvto thevtreatmentvoutlined.



acutevinpatientvgavlevelvofvhealthcarevdeliveredvtovpatientsvexperiencing

acutevillnessvorvtrauma;vitvgenerallyvoccursvinvavhospitalvorvemergencyvroomvandvisvgenerallyvsho
rt -termvcarevrathervthanvlong-termvorvchronicvcare.

,ADCvgaveragevdailyvcensus;vthevaveragevnumbervofvinpatientsvmaintainedvinvthevhospitalveachvda
yvforvav specificvperiodvofvtime.



ADRRvg
AveragevDaysvofvRevenuevinvAccountsvReceivable;valsovknownvasvAccountsvReceivablev(AR)vDaysv
O
utstanding;vanvestimate,vusingvaveragevcurrentvrevenues,vofvthevdaysvrequiredvtovturnvovervtheva
cc
ountsvreceivablevundervnormalvoperatingvconditions;vinvsimplevterms,vthisvisvanvestimatevofvthevti
mevneededvtovcollectvthevaccountsvreceivable.



AdvancevBeneficiaryvNoticevgthevAdvancevBeneficiaryvNoticevofvNoncoverage;vavformvgivenvtovav
Medicarevbeneficiaryvbeforevse
rvicesvarevfurnishedvwhenvavservicevdoesvnotvmeetvorvisvnotvexpectedvtovmeetvmedicalvnecessity
.



AFDCvgAidvtovFamiliesvwithvDependentvChildren;vavfinancialvassistance programvprovidedvbyvDHHS.



agentsvgindividualsvwhovhelpvconsumersvandvsmallvbusinessesvcomplete

thevapplicationvprocessvandvenrollvinvhealthcarevcoveragevthroughvthevMarketplace;vtheyvarevable
v
tovmakevrecommendationsvaboutvcoveragevandvmayvonlyvsellvplansvfromvspecificvhealthvinsurance
vcompanies.

AHAvgthevAmericanvHospitalvAssociation.



AHRQvgAgencyvforvHealthcarevResearchvandvQuality;vonevofvthevDHHS OperatingvDivisions.



ALOSvgaveragevlengthvofvstay;vavmetricvcalculatedvbyvdividingvthevtotal

numbervofvpatientvdaysvbyvthevnumbervofvdischarges.



ancillaryvservicesvgservicesvothervthanvroutinevroomvandvboardvcharges

, thatvarevincidentalvtovthevhospitalvstay;vtheyvincludevoperatingvroom;vanesthesia;vbloodvadministr
ation;vpharmacy;vradiology;vlaboratory;vmedical,vsurgical,vandvcentralvsupplies;vphysical,voccupati
onal,vspeechvpathology,vandvinhalationvtherapies;vandvothervdiagnosticvservices.



ANSIvgthevAmericanvNationalvStandardsvInstitute.



APCvgambulatoryvpaymentvclassification;vavpaymentvmethodologyvin

whichvservicesvpaidvundervthevprospectivevpaymentvsystemvare

classifiedvintovgroupsvthatvarevsimilarvclinicallyvandvinvtermsvofvthe

resourcesvtheyvrequire;vavpaymentvratevisvestablishedvforveachvAPC.



APRvgannualvpercentagevrate;vonevofvthevelementsvofvdisclosurevrequiredvbyvthevTruthvinvLendin
gvAct.



assignmentvofvbenefitsvgavwrittenvauthorization,vsignedvbyvthevpolicyholderv(orvthevpatient,vinvth
evabsencevofvthevpolicyhol
der)vtovanvinsurancevcompany,vtovpayvbenefitsvdirectlyvtovthevprovider;vwhenvassignmentvisvnotv
ac cepted,vthevpaymentvwillvbevsentvtovthevpatientvandvthevprovidervwillvhavevtovcollectvit.

ATBvgagedvtrialvbalance;vavresourcevforvinternalvcollectionvefforts.



ATSDRvgAgencyvforvToxicvSubstancesvandvDiseasevRegistry;vonevofvthe

DHHSvOperatingvDivisions.



averagevdailyvcensusvgthevaveragevnumbervofvinpatientsvmaintainedvinvthe

hospitalveachvdayvforvavspecificvperiodvofvtime.



averagevdailyvrevenuevgthevaveragevamountvofvrevenuevorvcharges

generatedveachvdayvovervavspecifiedvperiodvofvtime.