CRCR Review Questions
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 - answerD) Process Compliance
Approximately what ______% of billing information is obtained during the registration
process (Patient Access). - answer40%
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. - answerB) 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 - answerD) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - answerA 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. - answer1) 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 - answerC) 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. - answerA, 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? - answerThe 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 - answerA) 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. - answer3
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)
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 - answerD) Process Compliance
Approximately what ______% of billing information is obtained during the registration
process (Patient Access). - answer40%
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. - answerB) 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 - answerD) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - answerA 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. - answer1) 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 - answerC) 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. - answerA, 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? - answerThe 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 - answerA) 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. - answer3
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)
