CRHCP PRE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS!!
Which of the following are required of COBRA: Answer - A, B and C are all
correct answers
Patients have no responsibilities for Medicare Secondary Payer Reporting.
Answer - False
HIPPA Requires an Annual risk analysis Answer - False
Missing condition codes or modifiers, claims submitted to wrong payer and use
of non-specified codes are all examples of Answer - Errors in claims processing
State HIPAA rules supersede federal requirements Answer - True only when
state HIPPA rules are more stringent or provides the individual more privacy
protection
If the Medical Director changes, you must notify CMS using which form:
Answer - CMS 29
Advanced Care Planning is billable in the RHC. Answer - TRUE
Controlled substances should be: Answer - B, C and D
Which of the following cannot be considered qualified providers for Medicare
when reporting valid RHC visits: Answer - Licensed Dieticians
, Acceptable fees for record copies include labor: Answer - A, B, C
All RHC claims must have a CG modifier to receive payment. Answer - False,
ALL RHC claims with the exception of care management services and IPPE.
PHI access should be limited to only those with a legitimate reason within their
job duties to see the PHI. Answer - TRUE
Most of our opportunities for optimizing revenue cycle performance and
maximizing reimbursement are found early in the revenue cycle. Answer -
TRUE
A gross collection percentage of 50% indicates: Answer - Fees were based on
200% of the Medicare allowable
In an RHC, what percentage of care provided must be RHC services Answer -
51%
Budgeting & forecasting relies on accurate historical information. Answer -
TRUE
Which chart sample is reviewed during the RHC program evaluation Answer -
A representative sample of both open and closed charts
The following are examples of benchmarking EXCEPT: Answer - Cost report
reconciliation
COMPLETE SOLUTIONS!!
Which of the following are required of COBRA: Answer - A, B and C are all
correct answers
Patients have no responsibilities for Medicare Secondary Payer Reporting.
Answer - False
HIPPA Requires an Annual risk analysis Answer - False
Missing condition codes or modifiers, claims submitted to wrong payer and use
of non-specified codes are all examples of Answer - Errors in claims processing
State HIPAA rules supersede federal requirements Answer - True only when
state HIPPA rules are more stringent or provides the individual more privacy
protection
If the Medical Director changes, you must notify CMS using which form:
Answer - CMS 29
Advanced Care Planning is billable in the RHC. Answer - TRUE
Controlled substances should be: Answer - B, C and D
Which of the following cannot be considered qualified providers for Medicare
when reporting valid RHC visits: Answer - Licensed Dieticians
, Acceptable fees for record copies include labor: Answer - A, B, C
All RHC claims must have a CG modifier to receive payment. Answer - False,
ALL RHC claims with the exception of care management services and IPPE.
PHI access should be limited to only those with a legitimate reason within their
job duties to see the PHI. Answer - TRUE
Most of our opportunities for optimizing revenue cycle performance and
maximizing reimbursement are found early in the revenue cycle. Answer -
TRUE
A gross collection percentage of 50% indicates: Answer - Fees were based on
200% of the Medicare allowable
In an RHC, what percentage of care provided must be RHC services Answer -
51%
Budgeting & forecasting relies on accurate historical information. Answer -
TRUE
Which chart sample is reviewed during the RHC program evaluation Answer -
A representative sample of both open and closed charts
The following are examples of benchmarking EXCEPT: Answer - Cost report
reconciliation
