1
CRCR CERTIFICATION QUESTIONS WITH
VERIFIED SOLUTIONS
A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - correct-answer -Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - correct-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 - correct-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 - correct-answer -Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - correct-answer -Registration staff may routinely contact managed
, 2
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 - correct-answer -The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - correct-answer -Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
correct-answer -Eligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - correct-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
, 3
hospitals to - correct-answer -Assist patients in understanding their insurance
coverage and their financial obligation
The purpose of a financial report is to: - correct-answer -Present financial
information to decision makers
Patient financial communications best practices produce communications that are
- correct-answer -Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - correct-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 - correct-answer -The Provider Reimbursement Review Board
Concurrent review and discharge planning - correct-answer -Occurs during service
, 4
Duplicate payments occur: - correct-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 - correct-answer -A beneficiary appeal
Insurance verification results in which of the following - correct-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: - correct-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? - correct-answer -Medical screening and stabilizing treatment
Ambulance services are billed directly to the health plan for - correct-answer -
Services provided before a patient is admitted and for ambulance rides arranged
CRCR CERTIFICATION QUESTIONS WITH
VERIFIED SOLUTIONS
A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - correct-answer -Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - correct-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 - correct-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 - correct-answer -Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - correct-answer -Registration staff may routinely contact managed
, 2
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 - correct-answer -The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - correct-answer -Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
correct-answer -Eligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - correct-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
, 3
hospitals to - correct-answer -Assist patients in understanding their insurance
coverage and their financial obligation
The purpose of a financial report is to: - correct-answer -Present financial
information to decision makers
Patient financial communications best practices produce communications that are
- correct-answer -Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - correct-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 - correct-answer -The Provider Reimbursement Review Board
Concurrent review and discharge planning - correct-answer -Occurs during service
, 4
Duplicate payments occur: - correct-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 - correct-answer -A beneficiary appeal
Insurance verification results in which of the following - correct-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: - correct-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? - correct-answer -Medical screening and stabilizing treatment
Ambulance services are billed directly to the health plan for - correct-answer -
Services provided before a patient is admitted and for ambulance rides arranged
