CRCR Exam Unit 1 Questions and Answers
2024
Net Days in AR
Measures how fast receivables are collected. It is a trending indicator of overall A/R performance &
revenue cycle efficiency.
A/R Aging
Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge.
Credit Balances - Days Outstanding
The dollars in credit balance at the account level divided by the three month daily average of total net
patient service revenue. Credit balances should be resolved timely and should be benchmarked at
<1% of the days outstanding in the AR.
3 Critical Elements of the Healthcare Revenue Cycle
Pre-Service, Time of Service, Post Service
Provision of Care
Describing elective vs. non-elective services to the patient, and discussing prior balances the patient
has (if applicable).
Emergency Medical Treatment and Active Labor Act (EMTALA)
Says that no patient financial discussions should occur before a patient is screened and stabilized.
HFMA's Adopter Program
Providers who implement and support the best practices of Patient Financial Communication are
eligible and encouraged to apply for recommendation by HFMA as an Adopter of Patient Financial
Communication Best Practices.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Initiative
Implemented by CMS to provide a standardized method for evaluating patient's perspective on
hospital care. 27 total questions on the survey. Key Question is "Would you recommend this hospital
to your friends and family?"
Continuum of Care
Involves healthcare providers in multiple settings and multiple levels coming together with the overall
goal of coordinating patients' healthcare
Transfer Agreements
To participate in the Medicare program, a SNF must have written transfer agreement with one or
more participating hospitals providing for the transfer of patients between the hospital and the SNF,
and for the interchange of medical and other information.
Office of the Inspector General (OIG)
2024
Net Days in AR
Measures how fast receivables are collected. It is a trending indicator of overall A/R performance &
revenue cycle efficiency.
A/R Aging
Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge.
Credit Balances - Days Outstanding
The dollars in credit balance at the account level divided by the three month daily average of total net
patient service revenue. Credit balances should be resolved timely and should be benchmarked at
<1% of the days outstanding in the AR.
3 Critical Elements of the Healthcare Revenue Cycle
Pre-Service, Time of Service, Post Service
Provision of Care
Describing elective vs. non-elective services to the patient, and discussing prior balances the patient
has (if applicable).
Emergency Medical Treatment and Active Labor Act (EMTALA)
Says that no patient financial discussions should occur before a patient is screened and stabilized.
HFMA's Adopter Program
Providers who implement and support the best practices of Patient Financial Communication are
eligible and encouraged to apply for recommendation by HFMA as an Adopter of Patient Financial
Communication Best Practices.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Initiative
Implemented by CMS to provide a standardized method for evaluating patient's perspective on
hospital care. 27 total questions on the survey. Key Question is "Would you recommend this hospital
to your friends and family?"
Continuum of Care
Involves healthcare providers in multiple settings and multiple levels coming together with the overall
goal of coordinating patients' healthcare
Transfer Agreements
To participate in the Medicare program, a SNF must have written transfer agreement with one or
more participating hospitals providing for the transfer of patients between the hospital and the SNF,
and for the interchange of medical and other information.
Office of the Inspector General (OIG)
