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CRCR TEST EXAM/ CRCR EXAM REVIEW MOST
RECENT AND COMPLETE UPDATE QUESTIONS
AND CORRECT ANSWERS/ ALREADY GRADED A+
ASSURED PASS
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? - ANSWER: The best practices were developed
specifically to help patients understand the cost of services, their individual
insurance benefits, and their responsibility for balances after insurance, if any.
The patient experience includes all of the following except: - ANSWER:
Recognition that revenue cycle processes must be patient-centric and efficient.
This is especially true in the areas of scheduling, registration, admitting, financial
counseling and account resolution conversation with patients.
Corporate compliance programs play an important role in protecting the integrity
of operations and ensuring compliance with federal and state requirements. The
code of conduct is: - ANSWER: A critical tool to ensure compliance, essential and
integral component, fosters an environment, (all of the above)
What do Case Managers do? - ANSWER: Monitor high resource cases to ensure
effective utilization
What is HIM responsible for? - ANSWER: all pt medical records: transcribe,
coding, release to biling, answer requests for documentation
What is utilization management responsible for? - ANSWER: manage cases:
services correct, on time
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What are the three types of utilization review? - ANSWER: Prospective,
Concurrent, Retrospective
Where can home health services be offered? - ANSWER: Home, Assist Living,
neighbors: just not SNF nor Hospital
To receive -Care payments, what must a SNF have when receiving a pt from a
hosp? - ANSWER: A transfer agreement approved by -Care.
Can a home health agency employ another agency to provide services? -
ANSWER: Yes, so long as at least one employee of the original agency provides
care.
What is the Net Collection Rate? - ANSWER: how much cash was collected as a
% of available to collect?
What is the Net Collection Rate benchmark? - ANSWER: 95%
What is the benchmark for denials - ANSWER: <2% on first submission
Formual for cost to collect - ANSWER: total PFS expenses/gross pt care
collections
What is the benchmark for cost to collect - ANSWER: 2.25%
What % of the UB-04 source of data is from pt access? - ANSWER: 40%
What % of the UB-04 source of data is from service depts? - ANSWER: 11%
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What % of the UB-04 source of data is from HIM? - ANSWER: 20%
What % of the UB-04 source of data is from billing? - ANSWER: 20%
What % of the UB-04 source of data is not used? - ANSWER: 9%
What % of the CMS 1500 source of data is from pt access? - ANSWER: 53%
What % of the CMS 1500 source of data is from service? - ANSWER: 14%
What % of the CMS 1500 source of data is from HIM - ANSWER: 7%
What % of the CMS 1500 source of data is from billing? - ANSWER: 26%
From whom is the UB-04 directed? - ANSWER: institutional: hospitals, SNF,
hospice
From whom is the CMS 1500? - ANSWER: non-institutional: physicians, DME
In the FDCA, what is Title I - ANSWER: Truth in Lending Act
What is the Truth in Lending Act - ANSWER: 5 points must be triggered (such as
interest will be charged), then must disclose APR, total payments, late payment
charges, etc.
CRCR TEST EXAM/ CRCR EXAM REVIEW MOST
RECENT AND COMPLETE UPDATE QUESTIONS
AND CORRECT ANSWERS/ ALREADY GRADED A+
ASSURED PASS
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices? - ANSWER: The best practices were developed
specifically to help patients understand the cost of services, their individual
insurance benefits, and their responsibility for balances after insurance, if any.
The patient experience includes all of the following except: - ANSWER:
Recognition that revenue cycle processes must be patient-centric and efficient.
This is especially true in the areas of scheduling, registration, admitting, financial
counseling and account resolution conversation with patients.
Corporate compliance programs play an important role in protecting the integrity
of operations and ensuring compliance with federal and state requirements. The
code of conduct is: - ANSWER: A critical tool to ensure compliance, essential and
integral component, fosters an environment, (all of the above)
What do Case Managers do? - ANSWER: Monitor high resource cases to ensure
effective utilization
What is HIM responsible for? - ANSWER: all pt medical records: transcribe,
coding, release to biling, answer requests for documentation
What is utilization management responsible for? - ANSWER: manage cases:
services correct, on time
,2|Page
What are the three types of utilization review? - ANSWER: Prospective,
Concurrent, Retrospective
Where can home health services be offered? - ANSWER: Home, Assist Living,
neighbors: just not SNF nor Hospital
To receive -Care payments, what must a SNF have when receiving a pt from a
hosp? - ANSWER: A transfer agreement approved by -Care.
Can a home health agency employ another agency to provide services? -
ANSWER: Yes, so long as at least one employee of the original agency provides
care.
What is the Net Collection Rate? - ANSWER: how much cash was collected as a
% of available to collect?
What is the Net Collection Rate benchmark? - ANSWER: 95%
What is the benchmark for denials - ANSWER: <2% on first submission
Formual for cost to collect - ANSWER: total PFS expenses/gross pt care
collections
What is the benchmark for cost to collect - ANSWER: 2.25%
What % of the UB-04 source of data is from pt access? - ANSWER: 40%
What % of the UB-04 source of data is from service depts? - ANSWER: 11%
, 3|Page
What % of the UB-04 source of data is from HIM? - ANSWER: 20%
What % of the UB-04 source of data is from billing? - ANSWER: 20%
What % of the UB-04 source of data is not used? - ANSWER: 9%
What % of the CMS 1500 source of data is from pt access? - ANSWER: 53%
What % of the CMS 1500 source of data is from service? - ANSWER: 14%
What % of the CMS 1500 source of data is from HIM - ANSWER: 7%
What % of the CMS 1500 source of data is from billing? - ANSWER: 26%
From whom is the UB-04 directed? - ANSWER: institutional: hospitals, SNF,
hospice
From whom is the CMS 1500? - ANSWER: non-institutional: physicians, DME
In the FDCA, what is Title I - ANSWER: Truth in Lending Act
What is the Truth in Lending Act - ANSWER: 5 points must be triggered (such as
interest will be charged), then must disclose APR, total payments, late payment
charges, etc.
