CRHCP practice Questions and Answers Graded A+
"Incident-to services are reported as a separate billable encounter.
*True
*False - Answers False
Failure to maintain a system of identifying other payers is viewed as a violation of the provider
agreement with medicare.
*True
*False - Answers True
U.S. Citizenship and Immigration Services must be completed within 3 business days.
*True
*False - Answers True
It is important to maintain solid relationships with provider representatives to avoid errors in the denial
and/or appeal process.
*True
*False - Answers True
I can train my staff only on HIPAA basics, and the training will be sufficient to meet the Security rule
basics.
*True
*False - Answers False
The objective to setting fees is to set the fee: - Answers High enough to maximize commercial payer
reimbursement and not excessive to that the fees place an undue financial burden on your private pay
patients.
Cost of providing telehealth services must be classified in the non-RHC section of the cost report.
*True
*False - Answers True
The primary purpose of coding is for use as a type of reimbursement methodology.
*True
,*False - Answers False
The Medicare 855A is used to enroll: - Answers Hospital/CAH
A patient can be assessed by nursing staff and placed in an exam room before a provider is onsite.
*True
*False - Answers False
_____ is required for release of information by law. - Answers Written Consent
Which of the following is acceptable to NOT release to a patient's portal:
*Allergies
*History and physical
*Immunizations
*Care team members
*None of the above - Answers None of the above
(Select all that apply) Preventative services:
*Must be on a separate line on the UB with the G-code
*Usually have no co-pays applied
*Usually have no deductible applied
*Are subject to frequency limits - Answers Pick all 4
Must be on a separate line on the UB with the G-code
Usually have no co-pays applied
Usually have no deductible applied
Are subject to frequency limits
Common collections and payment errors include: - Answers Not having established, written financial
policies AND not collecting or assigning co-pays, deductibles, and co-insurance amounts at the time of
service.
CMS requires that procedural code detail be included on the UB-04 institutional bill types submitted by
rural health clinics.
*True
, *False - Answers True
Medicare Administrative Contractors determine RHC Medicaid payment rules.
*True
*False - Answers False
FTE is calculated by services provided.
*True
*False - Answers False
Worksheet S will report on all of the following except:
*Facility Name
*Hours of Operation
*Overhead
*Entity Status - Answers Overhead
Which of the following is NOT a potential consequence for information blocking for RHC healthcare
providers:
*Appropriate disincentives
*Being featured on a list of providers who cannot attest they are in compliance with Prevention of
Information Blocking.
*Frustrated patients
*10 years in jail - Answers 10 years in jail
Medicare states you must bill claims for at least how many days before writing off as bad debt: -
Answers 120 days
Medicare will pay ________ - Answers 80% of the RHC encounter rate if no deductible is applied.
When conductive reference checks or a background investigation, it is not necessary to make full
disclosure to the applicant about the kinds of information gathered and the purposes for which
information is requested.
*True
*False - Answers False
"Incident-to services are reported as a separate billable encounter.
*True
*False - Answers False
Failure to maintain a system of identifying other payers is viewed as a violation of the provider
agreement with medicare.
*True
*False - Answers True
U.S. Citizenship and Immigration Services must be completed within 3 business days.
*True
*False - Answers True
It is important to maintain solid relationships with provider representatives to avoid errors in the denial
and/or appeal process.
*True
*False - Answers True
I can train my staff only on HIPAA basics, and the training will be sufficient to meet the Security rule
basics.
*True
*False - Answers False
The objective to setting fees is to set the fee: - Answers High enough to maximize commercial payer
reimbursement and not excessive to that the fees place an undue financial burden on your private pay
patients.
Cost of providing telehealth services must be classified in the non-RHC section of the cost report.
*True
*False - Answers True
The primary purpose of coding is for use as a type of reimbursement methodology.
*True
,*False - Answers False
The Medicare 855A is used to enroll: - Answers Hospital/CAH
A patient can be assessed by nursing staff and placed in an exam room before a provider is onsite.
*True
*False - Answers False
_____ is required for release of information by law. - Answers Written Consent
Which of the following is acceptable to NOT release to a patient's portal:
*Allergies
*History and physical
*Immunizations
*Care team members
*None of the above - Answers None of the above
(Select all that apply) Preventative services:
*Must be on a separate line on the UB with the G-code
*Usually have no co-pays applied
*Usually have no deductible applied
*Are subject to frequency limits - Answers Pick all 4
Must be on a separate line on the UB with the G-code
Usually have no co-pays applied
Usually have no deductible applied
Are subject to frequency limits
Common collections and payment errors include: - Answers Not having established, written financial
policies AND not collecting or assigning co-pays, deductibles, and co-insurance amounts at the time of
service.
CMS requires that procedural code detail be included on the UB-04 institutional bill types submitted by
rural health clinics.
*True
, *False - Answers True
Medicare Administrative Contractors determine RHC Medicaid payment rules.
*True
*False - Answers False
FTE is calculated by services provided.
*True
*False - Answers False
Worksheet S will report on all of the following except:
*Facility Name
*Hours of Operation
*Overhead
*Entity Status - Answers Overhead
Which of the following is NOT a potential consequence for information blocking for RHC healthcare
providers:
*Appropriate disincentives
*Being featured on a list of providers who cannot attest they are in compliance with Prevention of
Information Blocking.
*Frustrated patients
*10 years in jail - Answers 10 years in jail
Medicare states you must bill claims for at least how many days before writing off as bad debt: -
Answers 120 days
Medicare will pay ________ - Answers 80% of the RHC encounter rate if no deductible is applied.
When conductive reference checks or a background investigation, it is not necessary to make full
disclosure to the applicant about the kinds of information gathered and the purposes for which
information is requested.
*True
*False - Answers False
