CRS PA BOARD ACTUAL TEST PAPER 2026
FULL ANSWERS GRADED A+
⩥ IF outpatient diagnostic services are provided within three days of the
admission of a Medicare beneficiary to an IPPS (Inpatient Prospective
Payment System) hospital, what must happen to these charges
Answer: They must be combined with the inpatient bill and paid under
the MS-DRG system
⩥ What do large adjustments require?
Answer: Manager-level approval
⩥ What items are valid identifiers to establish a patient's identification?
Answer: Photo identification, date of birth, and social security number
⩥ What must a provider do to qualify an account as a Medicare bad
debts?
Answer: Pursue the account for 120 days and then refer it to an outside
collection agency
⩥ What restriction does a managed care plan place on locations that
must be used if the plan is to pay for the services provided?
Answer: Site-of-service limitation
, ⩥ What is an example of an outcome of the Patient Friendly Billing
Project?
Answer: Redesigned patient billing statements using patient-friendly
language
⩥ What statement describes the APC (Ambulatory payment
classification) system?
Answer: APC rates are calculated on a national basis and are wage-
adjusted by geographic region
⩥ What is a benefit of insurance verification?
Answer: Pre-certification or pre-authorization requirements are
confirmed
⩥ What is an effective tool to help staff collect payments at the time of
service?
Answer: Develop scripts for the process of requesting payments
⩥ What is a benefit of electronic claims processing?
Answer: Providers can electronically view patient's eligibility
⩥ What does Medicare Part D provide coverage for?
Answer: Prescription drugs
FULL ANSWERS GRADED A+
⩥ IF outpatient diagnostic services are provided within three days of the
admission of a Medicare beneficiary to an IPPS (Inpatient Prospective
Payment System) hospital, what must happen to these charges
Answer: They must be combined with the inpatient bill and paid under
the MS-DRG system
⩥ What do large adjustments require?
Answer: Manager-level approval
⩥ What items are valid identifiers to establish a patient's identification?
Answer: Photo identification, date of birth, and social security number
⩥ What must a provider do to qualify an account as a Medicare bad
debts?
Answer: Pursue the account for 120 days and then refer it to an outside
collection agency
⩥ What restriction does a managed care plan place on locations that
must be used if the plan is to pay for the services provided?
Answer: Site-of-service limitation
, ⩥ What is an example of an outcome of the Patient Friendly Billing
Project?
Answer: Redesigned patient billing statements using patient-friendly
language
⩥ What statement describes the APC (Ambulatory payment
classification) system?
Answer: APC rates are calculated on a national basis and are wage-
adjusted by geographic region
⩥ What is a benefit of insurance verification?
Answer: Pre-certification or pre-authorization requirements are
confirmed
⩥ What is an effective tool to help staff collect payments at the time of
service?
Answer: Develop scripts for the process of requesting payments
⩥ What is a benefit of electronic claims processing?
Answer: Providers can electronically view patient's eligibility
⩥ What does Medicare Part D provide coverage for?
Answer: Prescription drugs
