CRCR Certification Exam 2023 Questions and Answers (205 Verified Q&A) (Graded A+)

CRCR Certification Exam 2023 1. Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period 2. Which of the following is required for participation in Medicaid Meet In- come and Assets Requirements 3. In choosing a setting for patient financial discussions, organizations should first and foremost Respect the patients privacy 4. A nightly room charge will be incorrect if the patient's Trfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system 5. The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can Purchase qualified health benefit pl regardless of insured's health status 6. A portion of the accounts receivable inventory which has NOT qualified for billing includes Charitable pledges 7. What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? Revenue codes 8. This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system. This directive is called Patient bill of rights 9. The activity which results in the accurate recording of patient bed and level of care assessment, patient trfer and patient discharge status on a real-time basis is known as Case management 10. Which statement is an EMTALA (Emergency Medical Treatment and Ac- tive Labor Act) violation? Registration staff may routinely contact managed are pl for prior authorizations before the patient is seen by the on-duty physician 11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard tractions to identify the employer of an individual described in a traction EIN's are assigned by The Internal Revenue Service 12. Checks received through mail, cash received through mail, and lock box are all examples of Control points for cash posting 13. What are some core elements if a board-approved financial assistance policy? Eligibility, application process, and nonpayment collection activities 14. A recurring/series registration is characterized by The creation of one registration record for multiple days of service 15. With the advent of the Affordable Care Act Health Insurance Marketplaces and the expion of Medicaid in some states, it is more important than ever for hospitals to Assist patients in understanding their insurance coverage and their financial obligation 16. The purpose of a financial report is to Present financial information to decision makers 17. Patient financial communications best practices produce communica- tions that are Consistent, clear and trparent 18. Medicare has established guidelines called the Local Coverage Determi- nations (LCD) and National Coverage Determinations (NCD) that establish - What services or healthcare items are covered under Medicare 19. Any provider that has filed a timely cost report may appeal an adverse final decision received from the Medicare Administrative Contractor (MAC). This appeal may be filed with The Provider Reimbursement Review Board 20. Concurrent review and discharge planning Occurs during service 21. Duplicate payments occur When providers re-bill claims based on nonpay- ment from the initial bill submission 22. An individual enrolled in Medicare who is dissatisfied with the govern- ment's claim determination is entitled to reconsideration of the decision. This type of appeal is known as A beneficiary appeal 23. Insurance verification results in which of the following The accurate identification of the patient's eligibility and benefits 24. The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the following levels EXCEPT Judicial review by a federal district court 25. Under EMTALA (Emergency Medical Treatment and Labor Act) regula- tions, the providermay not ask about a patient's insurance information if it would delay what? Medical screening and stabilizing treatment