CRCR Practice Questions
A "Compliance Program" is defined as:
A. Educating staff on guidelines
B. The development of operational regulations that correspond to guidelines
C. Systematic tactics to ensure that the provisions of regulations imposed by means of a
government enterprise are being met
D. Annual felony audit and assessment for adherence to policies - ANS-C. Systematic
techniques to ensure that provisions of policies imposed by using government business
enterprise are being met
A benefit duration starts:
A. With admission as an inpatient
B. Upon the day the coverage top class is paid
C. The first day wherein a affected person is supplied extended care offerings within the
duration the patient is entitled to clinic coverage
D. Immediately once authorization for remedy is furnished with the aid of the fitness plan -
ANS-C. The first day wherein a affected person is provided extended care offerings in the
length the affected person is entitled to medical institution insurance
A decision of whether a affected person must be admitted as an inpatient or emerge as an
outpatient commentary patient calls for medical judgments based totally on all the following
EXCEPT:
A. The patient's medical history
B. The safe-guarding in opposition to clinical mistakes
C. Current scientific desires
D. The Medical predictability of some thing negative happening - ANS-B. The
secure-guarding in opposition to clinical blunders
A 4 digit wide variety code established with the aid of the National Uniform Billing (NUBC)
that categorizes/classifies a line item within the chargemaster is called:
A. HCPCs codes
B. ICD-10 Procedural codes
C. CPT codes
D. Revenue codes - ANS-D. Revenue codes
A nightly room charge may be incorrect if the patient's:
A. Transfer from the ICU (Intensive care unit) to the Medical/Surgical floor is not pondered
within the registration system
B. Pharmacy orders have not been entered into the drugstore system
C. Condition has now not been discussed in the course of the shift exchange document
meeting
D. Discharge for the next day has not been charted - ANS-A. Transfer from the ICU (in depth
care unit) to the Medical/Surgical floor isn't always reflected in the registration gadget
,A recurring/collection registration is characterized through:
A. The creation of 1 registration record for a couple of days of service
B. The introduction of multiple registrations for a couple of offerings
C. The introduction of one registration document per analysis in keeping with go to
D. The introduction of a couple of patient types for one date of service - ANS-A. The
introduction of 1 registration record for a couple of days of provider
A a hit pre-registration software:
A. Helps the patient feel welcome
B. Identifies sincerely what information must be gathered along with demographic data,
insurance data, and financial statistics
C. Thoroughly discusses the patient's financial obligation
D. Collects patient deductibles and co-can pay - ANS-B. Identifies absolutely what data must
be accumulated including demographic data, coverage information, and financial facts
Across all care settings, if a affected person consents to a monetary discussion throughout a
scientific stumble upon to expedite discharge, the HFMA excellent practice is to:
A. Have a patient financial responsibilities package ready for the patient, containing all of the
required registration paperwork and commands.
B. Make sure that the attending workforce can solution questions and help in obtaining
required affected person financial statistics.
C. Support that choice, offering that the dialogue does now not intrude with affected person
care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient care and affected person
float. - ANS-C. Support that desire, offering that the dialogue does no longer intrude with
affected person care or disrupt affected person float
Activities finished whilst the scheduled, pre-registered patient arrives for carrier includes:
A. Verifying insurance, activating the document and directing the affected person to the
carrier area.
B. Scanning the driving force's license or different phot identification and directing the
affected person to the economic counselor.
C. Activating the file, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the carrier vicinity. - ANS-C. Activating
the record, acquiring signatures and
All of the subsequent are situations that disqualify a manner or provider from being paid for
with the aid of Medicare EXCEPT:
A. Offered in an outpatient putting
B. Medically unnecessary
C. Not introduced in a Medicare licensed care placing.
D. Services and techniques which are custodial in nature - ANS-C. Not brought in a
Medicare licensed care setting
All of the following are reference sources used to help guide within the application for
business ethics EXCEPT:
A. Consumer satisfaction reviews
, B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies - ANS-A. Consumer satisfaction reviews
All of the subsequent are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting evaluate the next commercial enterprise day.
B. Posting the fee to the patient's account
C. Completing balancing sports
D. Issuing receipts - ANS-A. Placing collections in a lock-field for posting assessment the
subsequent commercial enterprise day
All of the following are steps in verifying insurance EXCEPT:
A. Sequencing plans involved in a coordination of benefits (COB) scenario.
B. The affected person signing the declaration of economic responsibility.
C. Identifying and documenting the patient's fitness plan benefits
D. Confirming the patient's eligibility for blessings - ANS-B. The patient signing the assertion
of economic responsibility
All of the subsequent information is used to discover a affected person EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address - ANS-D. Address
All of the subsequent statistics need to be reviewed as part of agenda finalization EXCEPT:
A. The envisioned affected person economic obligations
B. The provider to be furnished
C. The arrival time and process time
D. The affected person's preparation commands - ANS-A. The expected affected person
economic duties
Ambulance services are billed at once to the health plan for :
A. All pre-admission emergency transports
B. Transport deemed medically vital by way of the attending paramedic-ambulance crew
C. Services supplied before a affected person is admitted and for ambulance rides organized
to choose up the affected person from the health center after discharge to take him/her
domestic or to every other facility
D. The portion of the invoice out of doors of the affected person's self-pay - ANS-C. Services
provided earlier than a patient is admitted and for ambulance rides organized to choose up
the affected person from the health center after discharge to take him/her home or the every
other facility
An benefit of a pre-registration program is:
A. The markets price of one of these application
B. The potential to do away with no-display appointments.
C. The possibility to lessen processing instances on the time of service.
D. The opportunity to reduce corporate compliance disasters within the registration process.
- ANS-C. The possibility to lessen processing instances on the time of carrier.
A "Compliance Program" is defined as:
A. Educating staff on guidelines
B. The development of operational regulations that correspond to guidelines
C. Systematic tactics to ensure that the provisions of regulations imposed by means of a
government enterprise are being met
D. Annual felony audit and assessment for adherence to policies - ANS-C. Systematic
techniques to ensure that provisions of policies imposed by using government business
enterprise are being met
A benefit duration starts:
A. With admission as an inpatient
B. Upon the day the coverage top class is paid
C. The first day wherein a affected person is supplied extended care offerings within the
duration the patient is entitled to clinic coverage
D. Immediately once authorization for remedy is furnished with the aid of the fitness plan -
ANS-C. The first day wherein a affected person is provided extended care offerings in the
length the affected person is entitled to medical institution insurance
A decision of whether a affected person must be admitted as an inpatient or emerge as an
outpatient commentary patient calls for medical judgments based totally on all the following
EXCEPT:
A. The patient's medical history
B. The safe-guarding in opposition to clinical mistakes
C. Current scientific desires
D. The Medical predictability of some thing negative happening - ANS-B. The
secure-guarding in opposition to clinical blunders
A 4 digit wide variety code established with the aid of the National Uniform Billing (NUBC)
that categorizes/classifies a line item within the chargemaster is called:
A. HCPCs codes
B. ICD-10 Procedural codes
C. CPT codes
D. Revenue codes - ANS-D. Revenue codes
A nightly room charge may be incorrect if the patient's:
A. Transfer from the ICU (Intensive care unit) to the Medical/Surgical floor is not pondered
within the registration system
B. Pharmacy orders have not been entered into the drugstore system
C. Condition has now not been discussed in the course of the shift exchange document
meeting
D. Discharge for the next day has not been charted - ANS-A. Transfer from the ICU (in depth
care unit) to the Medical/Surgical floor isn't always reflected in the registration gadget
,A recurring/collection registration is characterized through:
A. The creation of 1 registration record for a couple of days of service
B. The introduction of multiple registrations for a couple of offerings
C. The introduction of one registration document per analysis in keeping with go to
D. The introduction of a couple of patient types for one date of service - ANS-A. The
introduction of 1 registration record for a couple of days of provider
A a hit pre-registration software:
A. Helps the patient feel welcome
B. Identifies sincerely what information must be gathered along with demographic data,
insurance data, and financial statistics
C. Thoroughly discusses the patient's financial obligation
D. Collects patient deductibles and co-can pay - ANS-B. Identifies absolutely what data must
be accumulated including demographic data, coverage information, and financial facts
Across all care settings, if a affected person consents to a monetary discussion throughout a
scientific stumble upon to expedite discharge, the HFMA excellent practice is to:
A. Have a patient financial responsibilities package ready for the patient, containing all of the
required registration paperwork and commands.
B. Make sure that the attending workforce can solution questions and help in obtaining
required affected person financial statistics.
C. Support that choice, offering that the dialogue does now not intrude with affected person
care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient care and affected person
float. - ANS-C. Support that desire, offering that the dialogue does no longer intrude with
affected person care or disrupt affected person float
Activities finished whilst the scheduled, pre-registered patient arrives for carrier includes:
A. Verifying insurance, activating the document and directing the affected person to the
carrier area.
B. Scanning the driving force's license or different phot identification and directing the
affected person to the economic counselor.
C. Activating the file, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the carrier vicinity. - ANS-C. Activating
the record, acquiring signatures and
All of the subsequent are situations that disqualify a manner or provider from being paid for
with the aid of Medicare EXCEPT:
A. Offered in an outpatient putting
B. Medically unnecessary
C. Not introduced in a Medicare licensed care placing.
D. Services and techniques which are custodial in nature - ANS-C. Not brought in a
Medicare licensed care setting
All of the following are reference sources used to help guide within the application for
business ethics EXCEPT:
A. Consumer satisfaction reviews
, B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies - ANS-A. Consumer satisfaction reviews
All of the subsequent are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting evaluate the next commercial enterprise day.
B. Posting the fee to the patient's account
C. Completing balancing sports
D. Issuing receipts - ANS-A. Placing collections in a lock-field for posting assessment the
subsequent commercial enterprise day
All of the following are steps in verifying insurance EXCEPT:
A. Sequencing plans involved in a coordination of benefits (COB) scenario.
B. The affected person signing the declaration of economic responsibility.
C. Identifying and documenting the patient's fitness plan benefits
D. Confirming the patient's eligibility for blessings - ANS-B. The patient signing the assertion
of economic responsibility
All of the subsequent information is used to discover a affected person EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address - ANS-D. Address
All of the subsequent statistics need to be reviewed as part of agenda finalization EXCEPT:
A. The envisioned affected person economic obligations
B. The provider to be furnished
C. The arrival time and process time
D. The affected person's preparation commands - ANS-A. The expected affected person
economic duties
Ambulance services are billed at once to the health plan for :
A. All pre-admission emergency transports
B. Transport deemed medically vital by way of the attending paramedic-ambulance crew
C. Services supplied before a affected person is admitted and for ambulance rides organized
to choose up the affected person from the health center after discharge to take him/her
domestic or to every other facility
D. The portion of the invoice out of doors of the affected person's self-pay - ANS-C. Services
provided earlier than a patient is admitted and for ambulance rides organized to choose up
the affected person from the health center after discharge to take him/her home or the every
other facility
An benefit of a pre-registration program is:
A. The markets price of one of these application
B. The potential to do away with no-display appointments.
C. The possibility to lessen processing instances on the time of service.
D. The opportunity to reduce corporate compliance disasters within the registration process.
- ANS-C. The possibility to lessen processing instances on the time of carrier.
