CRCR Exam with 100% Correct Answers
2023
Patient Centric Revenue Cycle - Correct answer-This includes all the major processing
steps required to process a pt account from the request for service through closing the
account with a zero balance and purging it from the system
pre-service - Correct answer-this is the period in which scheduling and pre-access takes
place, including different steps that will be completed
pre-service - Correct answer-what is it when the requested service is screened for
medical necessity, health plan coverage & benefits are verified, and pre-auth is
obtained
scheduled patient- Time of Service - Correct answer-what is it when a final account
review is completed prior to the patient's arrival? (Pre-reg record is activated, consents
are signed, and co-payments and other amounts are collected)
express arrival - Correct answer-pre-processed patient's can report to this, which is a
desk located in a centralized access, upon their arrival.
post-service - Correct answer-this includes account activities that occur after the patient
is d/c until the account reaches a zero balance
post-service - Correct answer-Final coding of all services, perparation and submission
of claims, payment processing and balance billing are all included and finalized when?
Patient Financial Communications Best Practices - Correct answer-This brings
consistency, clarity, and transparency to patient financial communications
Patient Financial Communications Best Practices - Correct answer-this outlines steps to
help patient's understand the cost of services they receive, their insurance coverage,
and their individual responsibility (review Patient Financial Comm. Best Practice
document)
true - Correct answer-true or false: Conversations should occur in a location and
manner that are sensitive to the patient's needs
timely discussions - Correct answer-this type of discussion will help ensure that patient's
understand their financial obligation and that providers are aware of the patient's ability
to pay
guarantor - Correct answer-the person responsible for payment of the bill
, true - Correct answer-true or false: A financial counselor or supervisor should be
involved for complex situations such as uninsured or underinsured patient's
false; NO patient financial discussions should occur before a patient is screened and
stabilized - Correct answer-true or false: You MUST obtain basic registration info and
insurance coverage before the patient is cared for in the ED.
true - Correct answer-true or false: When the provider takes the initiative to
communicate financial matters with the patient, it actually take a burden off the patient.
false; Technology evaluation may be performed by ANY qualified individual or
organization, internal or external - Correct answer-true or false: Technology evaluation
can ONLY be done by a qualified individual, internal to the facililty
HFMA's Adopter Program - Correct answer-this program is a recognition for providers
who implement and support the best practices are eligible and encouraged to apply
Code of Conduct - Correct answer-Through what document does a hospital est.
compliance standards?
Identify acceptable compliance programs in various provider setting - Correct answer-
what is the purpose OIG work plan?
non-diagnostic services provided on Tuesday through Friday - Correct answer-If a
Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
reports a specific circumstance that affects a procedure or service without changing the
code or its definition. - Correct answer-What does a modifier allow a provider to do?
they must be billed separately to the Part B carrier - Correct answer-if OP diagnostic
services are provided within 3 day of admission of a medicare beneficiary to an IPPS
(Inpatient Prospective Payment system) hospital, what must happen?
One registration record is created for multiple days of service - Correct answer-What is
recurring or series registration?
unscheduled patients - Correct answer-what are non-emergency pt who come for
service w/o prior notification to the provider called?
used to evaluate the need for an IP admission - Correct answer-Which of the following
statements apply to the Obs patient type?
physician, nursing, and pharmacy - Correct answer-which services are hospice
programs required to provide on a around-the-clock patient?q
2023
Patient Centric Revenue Cycle - Correct answer-This includes all the major processing
steps required to process a pt account from the request for service through closing the
account with a zero balance and purging it from the system
pre-service - Correct answer-this is the period in which scheduling and pre-access takes
place, including different steps that will be completed
pre-service - Correct answer-what is it when the requested service is screened for
medical necessity, health plan coverage & benefits are verified, and pre-auth is
obtained
scheduled patient- Time of Service - Correct answer-what is it when a final account
review is completed prior to the patient's arrival? (Pre-reg record is activated, consents
are signed, and co-payments and other amounts are collected)
express arrival - Correct answer-pre-processed patient's can report to this, which is a
desk located in a centralized access, upon their arrival.
post-service - Correct answer-this includes account activities that occur after the patient
is d/c until the account reaches a zero balance
post-service - Correct answer-Final coding of all services, perparation and submission
of claims, payment processing and balance billing are all included and finalized when?
Patient Financial Communications Best Practices - Correct answer-This brings
consistency, clarity, and transparency to patient financial communications
Patient Financial Communications Best Practices - Correct answer-this outlines steps to
help patient's understand the cost of services they receive, their insurance coverage,
and their individual responsibility (review Patient Financial Comm. Best Practice
document)
true - Correct answer-true or false: Conversations should occur in a location and
manner that are sensitive to the patient's needs
timely discussions - Correct answer-this type of discussion will help ensure that patient's
understand their financial obligation and that providers are aware of the patient's ability
to pay
guarantor - Correct answer-the person responsible for payment of the bill
, true - Correct answer-true or false: A financial counselor or supervisor should be
involved for complex situations such as uninsured or underinsured patient's
false; NO patient financial discussions should occur before a patient is screened and
stabilized - Correct answer-true or false: You MUST obtain basic registration info and
insurance coverage before the patient is cared for in the ED.
true - Correct answer-true or false: When the provider takes the initiative to
communicate financial matters with the patient, it actually take a burden off the patient.
false; Technology evaluation may be performed by ANY qualified individual or
organization, internal or external - Correct answer-true or false: Technology evaluation
can ONLY be done by a qualified individual, internal to the facililty
HFMA's Adopter Program - Correct answer-this program is a recognition for providers
who implement and support the best practices are eligible and encouraged to apply
Code of Conduct - Correct answer-Through what document does a hospital est.
compliance standards?
Identify acceptable compliance programs in various provider setting - Correct answer-
what is the purpose OIG work plan?
non-diagnostic services provided on Tuesday through Friday - Correct answer-If a
Medicare pt is admitted on Friday, what services fall within the 3-day DRG window rule?
reports a specific circumstance that affects a procedure or service without changing the
code or its definition. - Correct answer-What does a modifier allow a provider to do?
they must be billed separately to the Part B carrier - Correct answer-if OP diagnostic
services are provided within 3 day of admission of a medicare beneficiary to an IPPS
(Inpatient Prospective Payment system) hospital, what must happen?
One registration record is created for multiple days of service - Correct answer-What is
recurring or series registration?
unscheduled patients - Correct answer-what are non-emergency pt who come for
service w/o prior notification to the provider called?
used to evaluate the need for an IP admission - Correct answer-Which of the following
statements apply to the Obs patient type?
physician, nursing, and pharmacy - Correct answer-which services are hospice
programs required to provide on a around-the-clock patient?q
