CRCR CERTIFICATION EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to: - ✔✔✔
Correct Answer > Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
In Chapter 7 straight bankruptcy filling - ✔✔✔ Correct Answer > The court
liquidates the debtor's nonexempt property, pays creditors, and discharges the
debtor from the debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding
- ✔✔✔ Correct Answer > That reorganizes a debtor's holdings and instructs
creditors to look to the debtors' future earnings for payment
This concept encompasses all activities required to send a request for payment
to a third-party health plan for payment of benefits - ✔✔✔ Correct Answer >
Claims processing
Page 1 of 34
,The importance of Medical records being maintained by HIM is that the patient
records: - ✔✔✔ Correct Answer > Are the primary source for clinical data
required for reimbursement
When there is a request for service, the scheduling staff member must confirm
the patient's unique identification information to -
✔✔✔ Correct Answer > Ensure that she/he accesses the correct information in
the historical database
Maintaining routine contact with the health plan or liability payer, making sure
all required information is provided and all needed approvals are obtained is the
responsibility of: - ✔✔✔ Correct Answer > Case Management
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R)
and - ✔✔✔ Correct Answer > Provide a method of measuring the collection
and control of A/R
With any remaining open balances, after insurance payments
have been posted, the account financial liability is - ✔✔✔ Correct Answer >
Potentially transferred to the patient
Pricing transparency is defined as readily available information on the price of
healthcare services, that together with other information, help define the value
Page 2 of 34
,of those services and enable consumers to - ✔✔✔ Correct Answer > Identify,
compare, and choose providers that offer the desired level of value
The HCAHPS (hospital consumer assessment of healthcare providers and
systems) initiative - ✔✔✔ Correct Answer > Provide a standardized method for
evaluating patient's perspective on hospital care.
HFMA best practices call for patient financial discussions to be reinforced -
✔✔✔ Correct Answer > By changing policies to programs
Which option is a benefit of pre-registering a patient for services
- ✔✔✔ Correct Answer > The patient arrival process is expedited, reducing
wait times and delays
Which of the following is required for participation in Medicaid? -
✔✔✔ Correct Answer > Meet income and assets requirements
Days in A/R is calculated based on the value of - ✔✔✔ Correct Answer
> The total accounts receivable on a specific date
Case Management requires that a case manager be assigned -
Page 3 of 34
, ✔✔✔ Correct Answer > To a select patient group
All of the following are steps in safeguarding collections EXCEPT - ✔✔✔
Correct Answer > Issuing receipts
The Electronic Remittance Advice (ERA) data set is : - ✔✔✔ Correct Answer >
A standardized form that provides third party payment details to providers
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT - ✔✔✔ Correct
Answer > Services and procedures that are custodial in nature
Medicare beneficiaries remain in the same "benefit period" - ✔✔✔
Correct Answer > Until the beneficiary is "hospitalization and/or skilled nursing
facility-free" for 60 consecutive days
It is important to calculate reserves to ensure - ✔✔✔ Correct Answer >
Stable financial operations and accurate financial reporting
A claim is denied for the following reasons, EXCEPT: - ✔✔✔ Correct Answer
> The submitted claim does not have the physicians signature
Page 4 of 34
ACTUAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to: - ✔✔✔
Correct Answer > Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
In Chapter 7 straight bankruptcy filling - ✔✔✔ Correct Answer > The court
liquidates the debtor's nonexempt property, pays creditors, and discharges the
debtor from the debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding
- ✔✔✔ Correct Answer > That reorganizes a debtor's holdings and instructs
creditors to look to the debtors' future earnings for payment
This concept encompasses all activities required to send a request for payment
to a third-party health plan for payment of benefits - ✔✔✔ Correct Answer >
Claims processing
Page 1 of 34
,The importance of Medical records being maintained by HIM is that the patient
records: - ✔✔✔ Correct Answer > Are the primary source for clinical data
required for reimbursement
When there is a request for service, the scheduling staff member must confirm
the patient's unique identification information to -
✔✔✔ Correct Answer > Ensure that she/he accesses the correct information in
the historical database
Maintaining routine contact with the health plan or liability payer, making sure
all required information is provided and all needed approvals are obtained is the
responsibility of: - ✔✔✔ Correct Answer > Case Management
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R)
and - ✔✔✔ Correct Answer > Provide a method of measuring the collection
and control of A/R
With any remaining open balances, after insurance payments
have been posted, the account financial liability is - ✔✔✔ Correct Answer >
Potentially transferred to the patient
Pricing transparency is defined as readily available information on the price of
healthcare services, that together with other information, help define the value
Page 2 of 34
,of those services and enable consumers to - ✔✔✔ Correct Answer > Identify,
compare, and choose providers that offer the desired level of value
The HCAHPS (hospital consumer assessment of healthcare providers and
systems) initiative - ✔✔✔ Correct Answer > Provide a standardized method for
evaluating patient's perspective on hospital care.
HFMA best practices call for patient financial discussions to be reinforced -
✔✔✔ Correct Answer > By changing policies to programs
Which option is a benefit of pre-registering a patient for services
- ✔✔✔ Correct Answer > The patient arrival process is expedited, reducing
wait times and delays
Which of the following is required for participation in Medicaid? -
✔✔✔ Correct Answer > Meet income and assets requirements
Days in A/R is calculated based on the value of - ✔✔✔ Correct Answer
> The total accounts receivable on a specific date
Case Management requires that a case manager be assigned -
Page 3 of 34
, ✔✔✔ Correct Answer > To a select patient group
All of the following are steps in safeguarding collections EXCEPT - ✔✔✔
Correct Answer > Issuing receipts
The Electronic Remittance Advice (ERA) data set is : - ✔✔✔ Correct Answer >
A standardized form that provides third party payment details to providers
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT - ✔✔✔ Correct
Answer > Services and procedures that are custodial in nature
Medicare beneficiaries remain in the same "benefit period" - ✔✔✔
Correct Answer > Until the beneficiary is "hospitalization and/or skilled nursing
facility-free" for 60 consecutive days
It is important to calculate reserves to ensure - ✔✔✔ Correct Answer >
Stable financial operations and accurate financial reporting
A claim is denied for the following reasons, EXCEPT: - ✔✔✔ Correct Answer
> The submitted claim does not have the physicians signature
Page 4 of 34
