CRCR CERTIFICATION QUESTIONS
AND ANSWERS
T/F,Consents,are,signed,as,part,of,the,post-service,process,-,ans-✔✔False
T/F,Patient,service,costs,are,calculated,in,the,pre-
serviceprocess,for,scheduled,patients,-,ans-✔✔True
T/F,The,patient,is,scheduled,and,registered,for,service,is,a,time-of-service,activity,-,ans-
✔✔False
T/F,The,patient,account,is,monitored,for,payment,is,a,time-of-service,activity,-,ans-
✔✔False
T/F,Case,management,and,discharge,planning,services,are,a,post-service,activity,-,ans-
✔✔False
T/F,Sending,the,bill,electronically,to,the,health,plan,is,a,time-of-service,activity,-,ans-
✔✔False
Revenue,Cycle,Initiatives,-,ans-
✔✔Healthcare,Dollars,&,Sense:pt,financial,comm.,best,practices,,best,practices,for,price,t
ransparency,,medical,accounts,resolution
PFC,Best,Practices,-,ans-
✔✔6,areas:Annual,staff,training,,training,program,topics,,process,observation,,executive,l
evel,metrics,reporting,,technology,verification,,feedback,and,response
Where,individuals,and,small,businesses,can,compare,and,purchase,qualified,health,benef
it,plans,-,ans-✔✔Health,Insurance,Marketplace/Health,Insurance,exchange
Medical,Debt,Task,Force,-,ans-
✔✔developed,a,best,practice,workflow,that,builds,off,of,HFMA's,previous,patient,friendly,b
illingwork,and,spansthe,patient-centric,revenue,cycle.
The,following,statements,describe,best,practices,established,by,the,Medical,Debt,Task,Fo
rce,-,ans-
, ✔✔Educate,patients,,coordinate,to,avoid,duplicate,patient,contacts,,be,consistent,in,key,a
spects,of,account,resolution,,follow,best,practices,for,communication
Hospital,Consumer,Assessment,of,Healthcare,Providers,and,Systems,(HCAHPS),-,ans-
✔✔standardized,method,for,evaluating,patients',perspective,on,hospital,care
Hard,Costs,-,ans-✔✔loss,of,future,revenue
Soft,Costs,-,ans-
✔✔customer's,passing,on,information,about,their,negative,experience,to,potential,patient
s,or,through,social,media,channels
Post,Acute,Services,-,ans-
✔✔include,skilled,nursing,,,home,health,,durable,medical,equipment,,hospice,,and,assiste
d,living
Skilled,Nursing,Facility,(SNF),-,ans-✔✔institution,(skilled,nursing,home/
rehabilitation,center),engaged,in,provided,skilled,nursing,care,for,injured/disabled/
sick,persons
Durable,Medical,Equipment,(DME),-,ans-
✔✔Medical,equipment,that,is,prescribed,by,a,doctor,for,use,in,the,home
Home,Health,Agency,(HHA),-,ans-✔✔public,agency,or,private,organization
Level,1,Modifier,-,ans-✔✔usually,provide,info,about,performance,of,a,procedures/
apply,to,CPT/consist,of,2,numbers
Level,2,Modifiers,-,ans-✔✔used,for,OPPS/
provide,addtl,detail,ab,out,an,anatomical,location,or,about,a,procedure,or,service/
apply,to,HCPCS,codes/consist,of,either,2,letters,or,a,1,letter,&,1,number
Correct,Coding,Initiative(CCI),E,-,ans-
✔✔purpose,is,to,ensure,that,the,most,comprehensive,groups,of,codes,,rather,than,the,co
mponent,parts,,are,billed.,THe,program,consists,of,edits,that,are,implemented,within,provi
ders',claim,processing,systems
Ethics,Violations,-,ans-✔✔Financial,misconduct/Overcharging/
Theft,of,property/,Falsifying,records,to,boos,reimbursement/miscoding,claims
Affordable,Care,Act,(ACA),-,ans-✔✔includes,provisions,to,improve,the,quality,of,care/
reform,the,healthcare,delivery,system/
encourage,pricing,transparency,and,modernized,financing,systems/
address,the,issues,of,waste,fraud,,and,abuse
AND ANSWERS
T/F,Consents,are,signed,as,part,of,the,post-service,process,-,ans-✔✔False
T/F,Patient,service,costs,are,calculated,in,the,pre-
serviceprocess,for,scheduled,patients,-,ans-✔✔True
T/F,The,patient,is,scheduled,and,registered,for,service,is,a,time-of-service,activity,-,ans-
✔✔False
T/F,The,patient,account,is,monitored,for,payment,is,a,time-of-service,activity,-,ans-
✔✔False
T/F,Case,management,and,discharge,planning,services,are,a,post-service,activity,-,ans-
✔✔False
T/F,Sending,the,bill,electronically,to,the,health,plan,is,a,time-of-service,activity,-,ans-
✔✔False
Revenue,Cycle,Initiatives,-,ans-
✔✔Healthcare,Dollars,&,Sense:pt,financial,comm.,best,practices,,best,practices,for,price,t
ransparency,,medical,accounts,resolution
PFC,Best,Practices,-,ans-
✔✔6,areas:Annual,staff,training,,training,program,topics,,process,observation,,executive,l
evel,metrics,reporting,,technology,verification,,feedback,and,response
Where,individuals,and,small,businesses,can,compare,and,purchase,qualified,health,benef
it,plans,-,ans-✔✔Health,Insurance,Marketplace/Health,Insurance,exchange
Medical,Debt,Task,Force,-,ans-
✔✔developed,a,best,practice,workflow,that,builds,off,of,HFMA's,previous,patient,friendly,b
illingwork,and,spansthe,patient-centric,revenue,cycle.
The,following,statements,describe,best,practices,established,by,the,Medical,Debt,Task,Fo
rce,-,ans-
, ✔✔Educate,patients,,coordinate,to,avoid,duplicate,patient,contacts,,be,consistent,in,key,a
spects,of,account,resolution,,follow,best,practices,for,communication
Hospital,Consumer,Assessment,of,Healthcare,Providers,and,Systems,(HCAHPS),-,ans-
✔✔standardized,method,for,evaluating,patients',perspective,on,hospital,care
Hard,Costs,-,ans-✔✔loss,of,future,revenue
Soft,Costs,-,ans-
✔✔customer's,passing,on,information,about,their,negative,experience,to,potential,patient
s,or,through,social,media,channels
Post,Acute,Services,-,ans-
✔✔include,skilled,nursing,,,home,health,,durable,medical,equipment,,hospice,,and,assiste
d,living
Skilled,Nursing,Facility,(SNF),-,ans-✔✔institution,(skilled,nursing,home/
rehabilitation,center),engaged,in,provided,skilled,nursing,care,for,injured/disabled/
sick,persons
Durable,Medical,Equipment,(DME),-,ans-
✔✔Medical,equipment,that,is,prescribed,by,a,doctor,for,use,in,the,home
Home,Health,Agency,(HHA),-,ans-✔✔public,agency,or,private,organization
Level,1,Modifier,-,ans-✔✔usually,provide,info,about,performance,of,a,procedures/
apply,to,CPT/consist,of,2,numbers
Level,2,Modifiers,-,ans-✔✔used,for,OPPS/
provide,addtl,detail,ab,out,an,anatomical,location,or,about,a,procedure,or,service/
apply,to,HCPCS,codes/consist,of,either,2,letters,or,a,1,letter,&,1,number
Correct,Coding,Initiative(CCI),E,-,ans-
✔✔purpose,is,to,ensure,that,the,most,comprehensive,groups,of,codes,,rather,than,the,co
mponent,parts,,are,billed.,THe,program,consists,of,edits,that,are,implemented,within,provi
ders',claim,processing,systems
Ethics,Violations,-,ans-✔✔Financial,misconduct/Overcharging/
Theft,of,property/,Falsifying,records,to,boos,reimbursement/miscoding,claims
Affordable,Care,Act,(ACA),-,ans-✔✔includes,provisions,to,improve,the,quality,of,care/
reform,the,healthcare,delivery,system/
encourage,pricing,transparency,and,modernized,financing,systems/
address,the,issues,of,waste,fraud,,and,abuse
