CRCR Certification Exam 200+ Questions and Answers 2023 (Verified
Answers
1. Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by ✔✔✔ The Medicare Administrative Contractor
(MAC) atthe 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 ✔✔✔ Tr✔✔✔fer
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
,qualifiedhealth 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 tr✔✔✔fer and patient discharge status on
areal-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 arepl✔✔✔ 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 tr✔✔✔actions to identify the employer of an individual described
ina tr✔✔✔action 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 oneregistration record for multiple days of service
15. With the advent of the Affordable Care Act Health Insurance Marketplaces
and the exp✔✔✔ion of Medicaid in some states, it is more important than
everfor 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 todecision makers
17. Patient financial communications best practices produce communica-
tions that are ✔✔✔ Consistent, clear and tr✔✔✔parent
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
Answers
1. Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by ✔✔✔ The Medicare Administrative Contractor
(MAC) atthe 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 ✔✔✔ Tr✔✔✔fer
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
,qualifiedhealth 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 tr✔✔✔fer and patient discharge status on
areal-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 arepl✔✔✔ 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 tr✔✔✔actions to identify the employer of an individual described
ina tr✔✔✔action 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 oneregistration record for multiple days of service
15. With the advent of the Affordable Care Act Health Insurance Marketplaces
and the exp✔✔✔ion of Medicaid in some states, it is more important than
everfor 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 todecision makers
17. Patient financial communications best practices produce communica-
tions that are ✔✔✔ Consistent, clear and tr✔✔✔parent
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
