crc certification exam questions

CRCR Certification exam review 2023 questio
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ns and answers
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Overall aggregate payments made to a hospice are subject to a computed "cap amo
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unt" calculated by -
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correct answer The Medicare Administrative Contractor (MAC) at the end of the h
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ospice cap period
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Which of the following is required for participation in Medicaid -
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correct answer Meet Income and Assets Requirements
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In choosing a setting for patient financial discussions, organizations should first and
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foremost - correct answer Respect the patients privacy
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A nightly room charge will be incorrect if the patient's -
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correct answer Transfer from ICU (intensive care unit) to the Medical/Surgical
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floor is not reflected in the registration system
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The Affordable Care Act legislated the development of Health Insurance Exchanges,
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where individuals and small businesses can -
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correct answer Purchase qualified health benefit plans regardless of insured's
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health status b

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ns and answers b b b




A portion of the accounts receivable inventory which has NOT qualified for billing in
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cludes: - correct answer Charitable pledges
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What is required for the UB-04/837-
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I, used by Rural Health Clinics to generate payment from Medicare? -
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correct answer Revenue codes
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This directive was developed to promote and ensure healthcare quality and value a
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nd also to protect consumers and workers in the healthcare system. This directive is
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called - correct answer Patient bill of rights
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The activity which results in the accurate recording of patient bed and level of care
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assessment, patient transfer and patient discharge status on a real-
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time basis is known as - correct answer Case management
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Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Ac
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t) violation? -
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correct answer Registration staff may routinely contact managed are plans for prio
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r authorizations before the patient is seen by the on-duty physician
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,CRCR Certification exam review 2023 questio b b b b b




ns and answers
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HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard tr
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ansactions to identify the employer of an individual described in a transaction EIN's
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are
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assigned by - correct answer The Internal Revenue Service
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Checks received through mail, cash received through mail, and lock box are all exa
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mples of - correct answer Control points for cash posting
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What are some core elements if a board-approved financial assistance policy? -
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correct answer Eligibility, application process, and nonpayment collection activitie
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A recurring/series registration is characterized by -
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correct answer The creation of one registration record for multiple days of service
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With the advent of the Affordable Care Act Health Insurance Marketplaces and the
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expansion of Medicaid in some states, it is more important than ever for hospitals t
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correct answer Assist patients in understanding their insurance coverage and their
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financial obligation b

, CRCR Certification exam review 2023 questio
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ns and answers
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The purpose of a financial report is to: -
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correct answer Present financial information to decision makers
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Patient financial communications best practices produce communications that are -
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correct answer Consistent, clear and transparent
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Medicare has established guidelines called the Local Coverage Determinations (LCD
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) and National Coverage Determinations (NCD) that establish -
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correct answer What services or healthcare items are covered under Medicare
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Any provider that has filed a timely cost report may appeal an adverse final decision
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received from the Medicare Administrative Contractor (MAC). This appeal may be f
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iled with - correct answer The Provider Reimbursement Review Board
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Concurrent review and discharge planning - correct answer Occurs during service
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Duplicate payments occur: - correct answer When providers re-
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bill claims based on nonpayment from the initial bill submission
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