CRCR Multiple Choice Questions with 100%b b b b b b
Correct Answers 2023 Version b b b
The disadvantages of outsourcing include all of the following EXCEPT:
b b b b b b b b b
a) The impact of customer service or patient relations
b b b b b b b b
b) The impact of loss of direct control of accounts receivable services
b b b b b b b b b b b
c) Increased costs due to vendor ineffectiveness
b b b b b b
d) Reduced internal staffing costs and a reliance on outsourced staff -
b b b b b b b b b b b
correct answer D
b b b
The Medicare fee-for service appeal process for both beneficiaries and providers
b b b b b b b b b b
includes all of the following levels EXCEPT:
b b b b b b
a) Medical necessity review by an independent physician's panel
b b b b b b b b
b) Judicial review by a federal district court
b b b b b b b
c) Redetermination by the company that handles claims for
b b b b b b b b
Medicare
d) Review by the Medicare Appeals Council (Appeals Council) - correct answer B
b b b b b b b b b b b b
Business ethics, or organizational ethics represent:
b b b b b
a) The principles and standards by which organizations operate
b b b b b b b b
b) Regulations that must be followed by law
b b b b b b b
c) Definitions of appropriate customer service
b b b b b
d) The code of acceptable conduct - correct answer A
b b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
A portion of the accounts receivable inventory which has NOT qualified for billing
b b b b b b b b b b b b
includes:
a) Charitable pledges
b b
b) Accounts created during pre-registration but not activated
b b b b b b b
c) Accounts coded but held within the suspense period
b b b b b b b b
d) Accounts assigned to a pre-collection agency - correct answer A
b b b b b b b b b b
Local Coverage Determinations (LCD) and National Coverage Determinations (NCD)
b b b b b b b b b
are
Medicare established guideline(s) used to determine:
b b b b b
a) Medicare and Medicaid provider eligibility
b b b b b
b) Medicare outpatient reimbursement rates
b b b b
c) Which diagnoses, signs, or symptoms are reimbursable
b b b b b b b
d) What Medicare reimburses and what should be referred to
b b b b b b b b b
Medicaid - correct answer C
b b b b
Days in A/R is calculated based on the value of:
b b b b b b b b b
a) The total accounts receivable on a specific date
b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
b) Total anticipated revenue minus expenses
b b b b b
c) The time it takes to collect anticipated revenue
b b b b b b b b
d) Total cash received to date - correct answer C
b b b b b b b b b
Patients are contacting hospitals to proactively inquire about costs and fees prior to
b b b b b b b b b b b b
agreeing to service. The problem for hospitals in providing such information is:
b b b b b b b b b b b
a) That hospitals don't want to establish a price without knowing if
b b b b b b b b b b b
the patient has insurance and how much reimbursement can be
b b b b b b b b b
expected
b) The fact that charge master lists the total charge, not net charges
b b b b b b b b b b b b
that reflect charges after a payer's contractual adjustment
b b b b b b b
c) That hospitals don't want to be put in the position of
b b b b b b b b b b b
"guaranteeing" price without having room for additional charges
b b b b b b b
that may arise in the course of treatment
b b b b b b b
d) Their reluctance to share proprietary information - correct answer B
b b b b b b b b b b
Across all care settings, if a patient consents to a financial discussion during a medic
b b b b b b b b b b b b b b
al
encounter to expedite discharge, the HFMA best practice is to:
b b b b b b b b b
a) Make sure that the attending staff can answer questions and
b b b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
assist in obtaining required patient financial data
b b b b b b
b) Have a patient financial responsibilities kit ready for the patient,
b b b b b b b b b b
containing all of the required registration forms and instructions
b b b b b b b b
c) Support that choice, providing that the discussion does not
b b b b b b b b b
interfere with patient care or disrupt patient flow
b b b b b b b
d) Decline such request as finance discussions can disrupt patient
b b b b b b b b b
care and patient flow - correct answer C
b b b b b b b
A comprehensive "Compliance Program" is defined as
b b b b b b
a) Annual legal audit and review for adherence to regulations
b b b b b b b b b
b) Educating staff on regulations
b b b b
c) Systematic procedures to ensure that the provisions of
b b b b b b b b
regulations imposed by a government agency are being met
b b b b b b b b
d) The development of operational policies that correspond to
b b b b b b b b
regulations - correct answer C b b b b
Case Management requires that a case manager be assigned
b b b b b b b b
a) To patients of any physician requesting case management
b b b b b b b b
b) To a select patient group
b b b b b
c) To every patient
b b b
Correct Answers 2023 Version b b b
The disadvantages of outsourcing include all of the following EXCEPT:
b b b b b b b b b
a) The impact of customer service or patient relations
b b b b b b b b
b) The impact of loss of direct control of accounts receivable services
b b b b b b b b b b b
c) Increased costs due to vendor ineffectiveness
b b b b b b
d) Reduced internal staffing costs and a reliance on outsourced staff -
b b b b b b b b b b b
correct answer D
b b b
The Medicare fee-for service appeal process for both beneficiaries and providers
b b b b b b b b b b
includes all of the following levels EXCEPT:
b b b b b b
a) Medical necessity review by an independent physician's panel
b b b b b b b b
b) Judicial review by a federal district court
b b b b b b b
c) Redetermination by the company that handles claims for
b b b b b b b b
Medicare
d) Review by the Medicare Appeals Council (Appeals Council) - correct answer B
b b b b b b b b b b b b
Business ethics, or organizational ethics represent:
b b b b b
a) The principles and standards by which organizations operate
b b b b b b b b
b) Regulations that must be followed by law
b b b b b b b
c) Definitions of appropriate customer service
b b b b b
d) The code of acceptable conduct - correct answer A
b b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
A portion of the accounts receivable inventory which has NOT qualified for billing
b b b b b b b b b b b b
includes:
a) Charitable pledges
b b
b) Accounts created during pre-registration but not activated
b b b b b b b
c) Accounts coded but held within the suspense period
b b b b b b b b
d) Accounts assigned to a pre-collection agency - correct answer A
b b b b b b b b b b
Local Coverage Determinations (LCD) and National Coverage Determinations (NCD)
b b b b b b b b b
are
Medicare established guideline(s) used to determine:
b b b b b
a) Medicare and Medicaid provider eligibility
b b b b b
b) Medicare outpatient reimbursement rates
b b b b
c) Which diagnoses, signs, or symptoms are reimbursable
b b b b b b b
d) What Medicare reimburses and what should be referred to
b b b b b b b b b
Medicaid - correct answer C
b b b b
Days in A/R is calculated based on the value of:
b b b b b b b b b
a) The total accounts receivable on a specific date
b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
b) Total anticipated revenue minus expenses
b b b b b
c) The time it takes to collect anticipated revenue
b b b b b b b b
d) Total cash received to date - correct answer C
b b b b b b b b b
Patients are contacting hospitals to proactively inquire about costs and fees prior to
b b b b b b b b b b b b
agreeing to service. The problem for hospitals in providing such information is:
b b b b b b b b b b b
a) That hospitals don't want to establish a price without knowing if
b b b b b b b b b b b
the patient has insurance and how much reimbursement can be
b b b b b b b b b
expected
b) The fact that charge master lists the total charge, not net charges
b b b b b b b b b b b b
that reflect charges after a payer's contractual adjustment
b b b b b b b
c) That hospitals don't want to be put in the position of
b b b b b b b b b b b
"guaranteeing" price without having room for additional charges
b b b b b b b
that may arise in the course of treatment
b b b b b b b
d) Their reluctance to share proprietary information - correct answer B
b b b b b b b b b b
Across all care settings, if a patient consents to a financial discussion during a medic
b b b b b b b b b b b b b b
al
encounter to expedite discharge, the HFMA best practice is to:
b b b b b b b b b
a) Make sure that the attending staff can answer questions and
b b b b b b b b b b
, CRCR Multiple Choice Questions with 100% b b b b b b
Correct Answers 2023 Version b b b
assist in obtaining required patient financial data
b b b b b b
b) Have a patient financial responsibilities kit ready for the patient,
b b b b b b b b b b
containing all of the required registration forms and instructions
b b b b b b b b
c) Support that choice, providing that the discussion does not
b b b b b b b b b
interfere with patient care or disrupt patient flow
b b b b b b b
d) Decline such request as finance discussions can disrupt patient
b b b b b b b b b
care and patient flow - correct answer C
b b b b b b b
A comprehensive "Compliance Program" is defined as
b b b b b b
a) Annual legal audit and review for adherence to regulations
b b b b b b b b b
b) Educating staff on regulations
b b b b
c) Systematic procedures to ensure that the provisions of
b b b b b b b b
regulations imposed by a government agency are being met
b b b b b b b b
d) The development of operational policies that correspond to
b b b b b b b b
regulations - correct answer C b b b b
Case Management requires that a case manager be assigned
b b b b b b b b
a) To patients of any physician requesting case management
b b b b b b b b
b) To a select patient group
b b b b b
c) To every patient
b b b
