CRCR EXAM MULTIPLE CHOICE, CRCR
EXAM PREP,
CERTIFIED REVENUE CYCLE
REPRESENTATIVE -
CRCR EXAM NEWEST QUESTIONS AND
CORRECT ANSWERS GRADED A+
LATEST UPDATE
The nightly room charge will be incorrect if the patient's
a) Transfer from ICU to the Medical/Surgical floor is not reflected in the registration
system.
b) Pharmacy orders to the ICU have not been entered into the pharmacy system
c) Condition has not been discussed during the shift change report meeting
d) Discharge for the next day has not been charted - ✔✔✔ Correct Answer > A
The nuanced data resulting from detailed ICD-10 coding allows senior leadership to work
with physicians to do all of the following EXCEPT:
a) Drive significant improvements in the areas of quality and the patient experience
b) Embrace new reimbursement models
c) Improve outcomes
Page 1 of 110
,d) Obtain higher compensation for physicians - ✔✔✔ Correct Answer > D
The office of inspector general (OIG) publishes a compliance work plan
a) Monthly
b) Quarterly
c) Semi-annually
d) Annually - ✔✔✔ Correct Answer > D
Health Plan Contracting Departments do all of the following
EXCEPT
a) Establish a global reimbursement rate to use with all thirdparty payer
b) Review all managed care contracts for accuracy for loading contract terms into the
patient accounting system
c) Review payment schemes to ensure that the health plan and provider understand how
reimbursements must be calculated
d) Review contracts to ensure the appeals process for denied claims is clearly specified -
✔✔✔ Correct Answer > A
Insurance verification results in which of the following
a) The accurate identification of the patient's eligibility and benefits
b) The consistent formatting of the patient's name and identification number
The resolution of managed care and billing requirements
The identification of physician fee schedule amounts and the NPI
(national provider identifier) numbers - ✔✔✔ Correct Answer > A
Page 2 of 110
,Internal controls addressing coding and reimbursement changes are put I place to guard
against
a) Underpayments
b) Denials
c) Compliance fraud by upcoding
d) Charge master error - ✔✔✔ Correct Answer > C
It is important to calculate reserves to ensure
a) Stable financial operations and accurate financial reporting
b) Collateral for credit
c) Expense coverage in the event of a revenue short fall
d) Coverage of B/D write offs and charity care costs - ✔✔✔ Correct Answer > A
It is important to have high registration quality standards because
a) Inaccurate or incomplete pt data will delay payment or cause denials
b) Incomplete registrations will trigger exclusion from Medicare participation
c) Inaccurate registration may cause discharge before full treatment is obtained
d) Incomplete registrations will raise satisfaction scores for the hospital - ✔✔✔ Correct
Answer > A
It is important to have high registration quality standards because
a) Incomplete registrations will trigger exclusion from Medicare participation
b) Incomplete registrations will raise satisfaction scores for the hospital
c) Inaccurate registration may cause discharge before full treatment is obtained
Page 3 of 110
, d) Inaccurate or incomplete patient data will delay payment or cause denials - ✔✔✔
Correct Answer > D
HFMA best practices call for patient financial discussions to be reinforced
a) By issuing a new invoice to the patient
b) By copying the provider's attorney on a written statement of conversation
c) By obtaining some type of collateral
d) By changing policies to programs - ✔✔✔ Correct Answer > B
The HCAHPS (hospital consumer assessment of healthcare providers and systems)
initiative
was launched to
a) Gather national date on overall trust in the nation's health care system
b) Create a national database on physician quality
c) Provide a standardized method for evaluating patient's perspective on hospital care. ?
d) Provide data for building shared savings reimbursement for quality procedures. -
✔✔✔ Correct Answer > C
The ICD-10 codes set and CPT/HCPCS code sets combines provide
a) Pricing floors for services
b) The financial data required for activity-based costing
Page 4 of 110
EXAM PREP,
CERTIFIED REVENUE CYCLE
REPRESENTATIVE -
CRCR EXAM NEWEST QUESTIONS AND
CORRECT ANSWERS GRADED A+
LATEST UPDATE
The nightly room charge will be incorrect if the patient's
a) Transfer from ICU to the Medical/Surgical floor is not reflected in the registration
system.
b) Pharmacy orders to the ICU have not been entered into the pharmacy system
c) Condition has not been discussed during the shift change report meeting
d) Discharge for the next day has not been charted - ✔✔✔ Correct Answer > A
The nuanced data resulting from detailed ICD-10 coding allows senior leadership to work
with physicians to do all of the following EXCEPT:
a) Drive significant improvements in the areas of quality and the patient experience
b) Embrace new reimbursement models
c) Improve outcomes
Page 1 of 110
,d) Obtain higher compensation for physicians - ✔✔✔ Correct Answer > D
The office of inspector general (OIG) publishes a compliance work plan
a) Monthly
b) Quarterly
c) Semi-annually
d) Annually - ✔✔✔ Correct Answer > D
Health Plan Contracting Departments do all of the following
EXCEPT
a) Establish a global reimbursement rate to use with all thirdparty payer
b) Review all managed care contracts for accuracy for loading contract terms into the
patient accounting system
c) Review payment schemes to ensure that the health plan and provider understand how
reimbursements must be calculated
d) Review contracts to ensure the appeals process for denied claims is clearly specified -
✔✔✔ Correct Answer > A
Insurance verification results in which of the following
a) The accurate identification of the patient's eligibility and benefits
b) The consistent formatting of the patient's name and identification number
The resolution of managed care and billing requirements
The identification of physician fee schedule amounts and the NPI
(national provider identifier) numbers - ✔✔✔ Correct Answer > A
Page 2 of 110
,Internal controls addressing coding and reimbursement changes are put I place to guard
against
a) Underpayments
b) Denials
c) Compliance fraud by upcoding
d) Charge master error - ✔✔✔ Correct Answer > C
It is important to calculate reserves to ensure
a) Stable financial operations and accurate financial reporting
b) Collateral for credit
c) Expense coverage in the event of a revenue short fall
d) Coverage of B/D write offs and charity care costs - ✔✔✔ Correct Answer > A
It is important to have high registration quality standards because
a) Inaccurate or incomplete pt data will delay payment or cause denials
b) Incomplete registrations will trigger exclusion from Medicare participation
c) Inaccurate registration may cause discharge before full treatment is obtained
d) Incomplete registrations will raise satisfaction scores for the hospital - ✔✔✔ Correct
Answer > A
It is important to have high registration quality standards because
a) Incomplete registrations will trigger exclusion from Medicare participation
b) Incomplete registrations will raise satisfaction scores for the hospital
c) Inaccurate registration may cause discharge before full treatment is obtained
Page 3 of 110
, d) Inaccurate or incomplete patient data will delay payment or cause denials - ✔✔✔
Correct Answer > D
HFMA best practices call for patient financial discussions to be reinforced
a) By issuing a new invoice to the patient
b) By copying the provider's attorney on a written statement of conversation
c) By obtaining some type of collateral
d) By changing policies to programs - ✔✔✔ Correct Answer > B
The HCAHPS (hospital consumer assessment of healthcare providers and systems)
initiative
was launched to
a) Gather national date on overall trust in the nation's health care system
b) Create a national database on physician quality
c) Provide a standardized method for evaluating patient's perspective on hospital care. ?
d) Provide data for building shared savings reimbursement for quality procedures. -
✔✔✔ Correct Answer > C
The ICD-10 codes set and CPT/HCPCS code sets combines provide
a) Pricing floors for services
b) The financial data required for activity-based costing
Page 4 of 110
