1|Page
CRCR EXAM PREP/ CERTIFIED REVENUE CYCLE
REPRESENTATIVE HFMA MULTIPLE CHOICE
QUESTIONS AND CORRECT ANSWERS/ RECENT
AND COMPLETE UPDATE ALREADY GRADED A+
In what situation(s) should a provider NOT use a modifier?
- CPT already indicates 2-4 lesions
- CPT indicates multiple extremities
What are other names for Three-Day Payment Window?
ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or 24-hour rule
What happens during the post-service stage?
Final coding, preparation and submission of claims, payment processing, balance
billing and resolution.
What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
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- Follow best practices for communication
Best practices created by the Medical Debt Task Force
Which option is NOT a main HFMA Healthcare Dollars & Sense® revenue cycle
initiative?
Process Compliance
Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
B. Health Plan Contracting
What is "implied certification"?
When it is implied that a provider met all compliance standards before submitting a
claim
Which of the following are essential elements of an effective compliance program?
,3|Page
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal
healthcare program.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
A. Established compliance standards and procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
When was Health Information Technology for Economic and Clinical Health
(HITECH) Act signed into law?
FEB 17, 2009
When did HITECH Act become effective?
, 4|Page
2013
Annually, the OIG publishes a work plan of compliance issues and objectives that
will be focused on throughout the following year. Identify which option is NOT a
work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and Post-Acute-
Care Transfer Policies
D. Standard Unique Employer Identifier
D. Standard Unique Employer Identifier
What Plan are the tasks below a part of?
- Medicare Payments Made Outside of the Hospice Benefit
- Denials and Appeals in Medicare Part C and Part D
- Medicare Part B Payments for End-Stage Renal Disease Dialysis Services
- Review of Home Health Claims for Services With 5 to 10 Skilled Visits
CRCR EXAM PREP/ CERTIFIED REVENUE CYCLE
REPRESENTATIVE HFMA MULTIPLE CHOICE
QUESTIONS AND CORRECT ANSWERS/ RECENT
AND COMPLETE UPDATE ALREADY GRADED A+
In what situation(s) should a provider NOT use a modifier?
- CPT already indicates 2-4 lesions
- CPT indicates multiple extremities
What are other names for Three-Day Payment Window?
ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window or 24-hour rule
What happens during the post-service stage?
Final coding, preparation and submission of claims, payment processing, balance
billing and resolution.
What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient contacts
- Be consistent in key aspects of account resolution
,2|Page
- Follow best practices for communication
Best practices created by the Medical Debt Task Force
Which option is NOT a main HFMA Healthcare Dollars & Sense® revenue cycle
initiative?
Process Compliance
Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
B. Health Plan Contracting
What is "implied certification"?
When it is implied that a provider met all compliance standards before submitting a
claim
Which of the following are essential elements of an effective compliance program?
,3|Page
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a federal
healthcare program.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
A. Established compliance standards and procedures.
C. Oversight of personnel by high-level personnel.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines.
When was Health Information Technology for Economic and Clinical Health
(HITECH) Act signed into law?
FEB 17, 2009
When did HITECH Act become effective?
, 4|Page
2013
Annually, the OIG publishes a work plan of compliance issues and objectives that
will be focused on throughout the following year. Identify which option is NOT a
work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and Post-Acute-
Care Transfer Policies
D. Standard Unique Employer Identifier
D. Standard Unique Employer Identifier
What Plan are the tasks below a part of?
- Medicare Payments Made Outside of the Hospice Benefit
- Denials and Appeals in Medicare Part C and Part D
- Medicare Part B Payments for End-Stage Renal Disease Dialysis Services
- Review of Home Health Claims for Services With 5 to 10 Skilled Visits
