CRCR REVIEW QUESTIONS AND ANSWERS
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle
initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance
D) Process Compliance
Approximately what ______% of billing information is obtained during the
registration process (Patient Access).
40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on
hospital care.
C) To provide clear communication and good customer service, which will give
the provider a competitive edge.
D) To make certain that during registration key information is verified by means
of a picture ID and insurance card.
B) To provide a standardization method for evaluating patients' perspective on hospital
care.
Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services
D) Assisted Living Services
What must a SNF have to participate in the Medicare Program?
A written transfer agreement with one of more participating hospitals providing for the
transfer of patients between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must
meet 2 conditions.
1) An MD must certify that a patient is confined to his/her residence (Not necessarily
bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of
home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice
C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
, A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal
healthcare program.
A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines.
What is the OIG?
The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that
will be focused on throughout the following year. Identify which option is NOT a
work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments
A) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity
owned by the hospital) on the date of the beneficiary's inpatient admission or
during the ____ calendar days immediately preceding the date of the admission
are required to be included on the inpatient bill.
3
IN order to promote the use of correct coding methods on a national basis and
prevent payment errors due to improper coding, the Centers for Medicare and
Medicaid Services (CMS) developed what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers
A) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate.
D) Principals and standards by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO
delivery system?
A) To create cost-containment provisions to reform the healthcare delivery
system.
B) To ensure appropriateness of care, elimination of duplicate services, and
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle
initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance
D) Process Compliance
Approximately what ______% of billing information is obtained during the
registration process (Patient Access).
40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on
hospital care.
C) To provide clear communication and good customer service, which will give
the provider a competitive edge.
D) To make certain that during registration key information is verified by means
of a picture ID and insurance card.
B) To provide a standardization method for evaluating patients' perspective on hospital
care.
Which option is NOT a department that supports and collaborates with the
revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services
D) Assisted Living Services
What must a SNF have to participate in the Medicare Program?
A written transfer agreement with one of more participating hospitals providing for the
transfer of patients between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must
meet 2 conditions.
1) An MD must certify that a patient is confined to his/her residence (Not necessarily
bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of
home health coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice
C) Health Plan Contracting
Which of the following are essential elements of an effective compliance
program?
, A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal
healthcare program.
A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring
systems and hotlines.
What is the OIG?
The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that
will be focused on throughout the following year. Identify which option is NOT a
work plan task mentioned in this course.
A) Standard Unique Employer Identifier
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments
A) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity
owned by the hospital) on the date of the beneficiary's inpatient admission or
during the ____ calendar days immediately preceding the date of the admission
are required to be included on the inpatient bill.
3
IN order to promote the use of correct coding methods on a national basis and
prevent payment errors due to improper coding, the Centers for Medicare and
Medicaid Services (CMS) developed what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers
A) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate.
D) Principals and standards by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO
delivery system?
A) To create cost-containment provisions to reform the healthcare delivery
system.
B) To ensure appropriateness of care, elimination of duplicate services, and
