CRCR Practice Questions 2025 update|comprehensive questions and
CRCR Practice Questions
verifiedStudy
answers (complete solutions) Exam|GRADE A+!!
online at https://quizlet.com/_bsvwdk
1. The 501(r) regulations require not-for-profit providers A. Complete a communi-
501(c) (3) to do which of the following activities? ty needs assessment and
A. Complete a community needs assessment and de- develop a discount pro-
velop a discount program for patient balances after gram for patient balances
insurance payment. after insurance payment
B. Pursue extraordinary collection activities with all
patients eligible for financial assistance.
C. Implement a financial assistance program for unin-
sured and underinsured patients.
D. Discount all charges to self-pay patients to an
amount generally billed to all other patients.
2. The accurate capture of charges remains critically im- B. Charges remain one of
portant because: the few consistent indica-
A. Of the potential of fraud and abuse charges from tors available to monitor
erroneous billing. resource use
B. Charges remain one of the few consistent indicators
available to monitor resource use.
C. Charges are means of measuring physician produc-
tivity.
D. Charges provide the data used in activity based
costing.
3. The ACO investment model will test the use of D. Encourage new ACOs to
pre-paid shared savings to: form in rural and under-
A. Invest in treatment protocols that reduce costs to served areas
Medicare
B. Attract physicians to participate in the ACO payment
system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and under-
served areas.
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
4. Across all care settings, if a patient consents to a finan- C. Support that choice,
cial discussion during a medical encounter to expedite providing that the discus-
discharge, the HFMA best practice is to: sion does not interfere
A. Have a patient financial responsibilities kit ready for with patient care or dis-
the patient, containing all of the required registration rupt patient flow
forms and instructions.
B. Make sure that the attending staff can answer ques-
tions and assist in obtaining required patient financial
data.
C. Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient
flow.
D. Decline such request as finance discussions can
disrupt patient care and patient flow.
5. Activities completed when the scheduled, pre-regis- C. Activating the record,
tered patient arrives for service includes: obtaining signatures and
A. Verifying insurance, activating the record and di-
recting the patient to the service area.
B. Scanning the driver's license or other phot identifi-
cation and directing the patient to the financial coun-
selor.
C. Activating the record, obtaining signatures and fi-
nalizing financial issues.
D. Registering the patient and directing the patient to
the service area.
6. The activity which results in the accurate recording A. Utilization review
of patient bed and level of care assessment, patient or
transfer and patient discharge status on a real-time B. Case Management
basis is known as:
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
7. An advantage of a pre-registration program is: C. The opportunity to re-
A. The markets value of such a program duce processing times at
B. The ability to eliminate no-show appointments. the time of service.
C. The opportunity to reduce processing times at the
time of service.
D. The opportunity to reduce corporate compliance
failures within the registration process.
8. The Affordable Care Act legislated the development C. Purchase qualified
of Health Insurance Exchanges, where individuals and health benefit plans re-
small businesses can: gardless of insured's
A. Obtain price estimates for medical services health status.
B. Negotiate the price of medical services with
providers
C. Purchase qualified health benefit plans regardless
of insured's health status
D. Meet federal mandates for insurance coverage and
obtain the corresponding tax deduction
9. All of the following are conditions that disqualify a C. Not delivered in a
procedure or service from being paid for by Medicare Medicare licensed care
EXCEPT: setting
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature
10.
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
All of the following are reference resources used to A. Consumer satisfaction
help guide in the application for business ethics EX- reports
CEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
11. All of the following are steps in safeguarding collec- A. Placing collections in a
tions EXCEPT: lock-box for posting re-
A. Placing collections in a lock-box for posting review view the next business day
the next business day.
B. Posting the payment to the patient's account
C. Completing balancing activities
D. Issuing receipts
12. All of the following are steps in verifying insurance B. The patient signing the
EXCEPT: statement of financial re-
A. Sequencing plans involved in a coordination of ben- sponsibility
efits (COB) situation.
B. The patient signing the statement of financial re-
sponsibility.
C. Identifying and documenting the patient's health
plan benefits
D. Confirming the patient's eligibility for benefits
13. All of the following information is used to identify a D. Address
patient EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address
CRCR Practice Questions
verifiedStudy
answers (complete solutions) Exam|GRADE A+!!
online at https://quizlet.com/_bsvwdk
1. The 501(r) regulations require not-for-profit providers A. Complete a communi-
501(c) (3) to do which of the following activities? ty needs assessment and
A. Complete a community needs assessment and de- develop a discount pro-
velop a discount program for patient balances after gram for patient balances
insurance payment. after insurance payment
B. Pursue extraordinary collection activities with all
patients eligible for financial assistance.
C. Implement a financial assistance program for unin-
sured and underinsured patients.
D. Discount all charges to self-pay patients to an
amount generally billed to all other patients.
2. The accurate capture of charges remains critically im- B. Charges remain one of
portant because: the few consistent indica-
A. Of the potential of fraud and abuse charges from tors available to monitor
erroneous billing. resource use
B. Charges remain one of the few consistent indicators
available to monitor resource use.
C. Charges are means of measuring physician produc-
tivity.
D. Charges provide the data used in activity based
costing.
3. The ACO investment model will test the use of D. Encourage new ACOs to
pre-paid shared savings to: form in rural and under-
A. Invest in treatment protocols that reduce costs to served areas
Medicare
B. Attract physicians to participate in the ACO payment
system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and under-
served areas.
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
4. Across all care settings, if a patient consents to a finan- C. Support that choice,
cial discussion during a medical encounter to expedite providing that the discus-
discharge, the HFMA best practice is to: sion does not interfere
A. Have a patient financial responsibilities kit ready for with patient care or dis-
the patient, containing all of the required registration rupt patient flow
forms and instructions.
B. Make sure that the attending staff can answer ques-
tions and assist in obtaining required patient financial
data.
C. Support that choice, providing that the discussion
does not interfere with patient care or disrupt patient
flow.
D. Decline such request as finance discussions can
disrupt patient care and patient flow.
5. Activities completed when the scheduled, pre-regis- C. Activating the record,
tered patient arrives for service includes: obtaining signatures and
A. Verifying insurance, activating the record and di-
recting the patient to the service area.
B. Scanning the driver's license or other phot identifi-
cation and directing the patient to the financial coun-
selor.
C. Activating the record, obtaining signatures and fi-
nalizing financial issues.
D. Registering the patient and directing the patient to
the service area.
6. The activity which results in the accurate recording A. Utilization review
of patient bed and level of care assessment, patient or
transfer and patient discharge status on a real-time B. Case Management
basis is known as:
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
7. An advantage of a pre-registration program is: C. The opportunity to re-
A. The markets value of such a program duce processing times at
B. The ability to eliminate no-show appointments. the time of service.
C. The opportunity to reduce processing times at the
time of service.
D. The opportunity to reduce corporate compliance
failures within the registration process.
8. The Affordable Care Act legislated the development C. Purchase qualified
of Health Insurance Exchanges, where individuals and health benefit plans re-
small businesses can: gardless of insured's
A. Obtain price estimates for medical services health status.
B. Negotiate the price of medical services with
providers
C. Purchase qualified health benefit plans regardless
of insured's health status
D. Meet federal mandates for insurance coverage and
obtain the corresponding tax deduction
9. All of the following are conditions that disqualify a C. Not delivered in a
procedure or service from being paid for by Medicare Medicare licensed care
EXCEPT: setting
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature
10.
, CRCR Practice Questions
Study online at https://quizlet.com/_bsvwdk
All of the following are reference resources used to A. Consumer satisfaction
help guide in the application for business ethics EX- reports
CEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
11. All of the following are steps in safeguarding collec- A. Placing collections in a
tions EXCEPT: lock-box for posting re-
A. Placing collections in a lock-box for posting review view the next business day
the next business day.
B. Posting the payment to the patient's account
C. Completing balancing activities
D. Issuing receipts
12. All of the following are steps in verifying insurance B. The patient signing the
EXCEPT: statement of financial re-
A. Sequencing plans involved in a coordination of ben- sponsibility
efits (COB) situation.
B. The patient signing the statement of financial re-
sponsibility.
C. Identifying and documenting the patient's health
plan benefits
D. Confirming the patient's eligibility for benefits
13. All of the following information is used to identify a D. Address
patient EXCEPT:
A. Date of Birth
B. Gender
C. Social Security Number
D. Address
