CRCR Certification Exam (2025 / 2026) Actual Questions and Verified Answers, Guarantee Pass

CRCR Certification Exam (2025 / 2026) Actual Questions and Verified Answers, Guarantee Pass /. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - Answer-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period /.Which of the following is required for participation in Medicaid - Answer-Meet Income and Assets Requirements /.In choosing a setting for patient financial discussions, organizations should first and foremost - Answer-Respect the patients privacy /.A nightly room charge will be incorrect if the patient's - Answer-Transfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system /.The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can - Answer-Purchase qualified health benefit plans regardless of insured's health status /.A portion of the accounts receivable inventory which has NOT qualified for billing includes: - Answer-Charitable pledges /.What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? - Answer-Revenue codes /.This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system. This directive is called - Answer-Patient bill of rights /.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 - Answer-Case management /.Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation? - Answer-Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the on-duty physician /.HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactions to identify the employer of an individual described in a transaction EIN's are assigned by - Answer-The Internal Revenue Service /.Checks received through mail, cash received through mail, and lock box are all examples of - Answer-Control points for cash posting /.What are some core elements if a board-approved financial assistance policy? - Answer-Eligibility, application process, and nonpayment collection activities /.A recurring/series registration is characterized by - Answer-The creation of one registration record for multiple days of service /.With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion of Medicaid in some states, it is more important than ever for hospitals to - Answer-Assist patients in understanding their insurance coverage and their financial obligation /.The purpose of a financial report is to: - Answer-Present financial information to decision makers /.Patient financial communications best practices produce communications that are - Answer-Consistent, clear and transparent /.Medicare has established guidelines called the Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) that establish - Answer-What services or healthcare items are covered under Medicare /.Any provider that has filed a timely cost report may appeal an adverse final decision received from the Medicare Administrative Contractor (MAC). This appeal may be filed with - Answer-The Provider Reimbursement Review Board /.Concurrent review and discharge planning - Answer-Occurs during service /.Duplicate payments occur: - Answer-When providers re-bill claims based on nonpayment from the initial bill submission /.An individual enrolled in Medicare who is dissatisfied with the government's claim determination is entitled to reconsideration of the decision. This type of appeal is known as - Answer-A beneficiary appeal /.Insurance verification results in which of the following - Answer-The accurate identification of the patient's eligibility and benefits /.The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the following levels EXCEPT: - Answer-Judicial review by a federal district court /.Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the providermay not ask about a patient's insurance information if it would delay what? - Answer-Medical screening and stabilizing treatment /.Ambulance services are billed directly to the health plan for - Answer-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 /.Key performance indicators (KPIs) set standards for accounts receivables (A/R) and - Answer-Provide a method of measuring the collection and control of A/R /.he patient discharge process begins when - Answer-The physician writes the discharge orders /.The nightly room charge will be incorrect if the patient's - Answer-Transfer from ICU to the Medical/Surgical floor is not reflected in the registration system. /.The soft cost of a dissatisfied customer is - Answer-The customer passing on info about their negative experience to potential pts or through social media channels /.An advantage of a pre-registration program is - Answer-The opportunity to reduce the corporate compliance failures within the registration process /.It is important to have high registration quality standards because - Answer-Inaccurate or incomplete patient data will delay payment or cause denials /.Telemed seeks to improve a patient's health by - Answer-Permitting 2-way real time interactive communication between the patient and the clinical professional /.Any healthcare insurance plan that provides or ensures comprehensive health maintenance and treatment services for an enrolled group of persons based on a monthly fee is known as a - Answer-HMO /.Identifying the patient, in the MPI, creating the registration record, completing medical necessity screening, determining insurance eligibility and benefits resolving managed care, requirements and completing financial education/resolution are all - Answer-The data collection steps for scheduling and pre-registering a patient