CRCR Practice Questions 2025 update|comprehensive
questions and verified answers (complete solutions)
Exam|GRADE A+
The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of
the following activities?
A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for financial
assistance.
C. Implement a financial assistance program for uninsured and underinsured
patients.
D. Discount all charges to self-pay patients to an amount generally billed to all
other patients. - (ANSWER)A. Complete a community needs assessment and
develop a discount program for patient balances after insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to monitor
resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing. - (ANSWER)B. Charges
remain one of the few consistent indicators available to monitor resource use
The ACO investment model will test the use of pre-paid shared savings to:
A. Invest in treatment protocols that reduce costs to 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 underserved areas. - (ANSWER)D.
Encourage new ACOs to form in rural and underserved areas
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to:
A. Have a patient financial responsibilities kit ready for the patient, containing all
of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions 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. - (ANSWER)C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Activities completed when the scheduled, pre-registered patient arrives for
service includes:
A. Verifying insurance, activating the record and directing the patient to the
service area.
B. Scanning the driver's license or other phot identification and directing the
patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
,D. Registering the patient and directing the patient to the service area. -
(ANSWER)C. Activating the record, obtaining signatures and
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis
is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put - (ANSWER)A. Utilization review
or
B. Case Management
An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process. - (ANSWER)C. The opportunity to reduce processing times at
the time of service.
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can:
A. Obtain price estimates for medical services
, 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 - (ANSWER)C. Purchase qualified health benefit plans regardless of
insured's health status.
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT:
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 - (ANSWER)C. Not
delivered in a Medicare licensed care setting
All of the following are reference resources used to help guide in the application
for business ethics EXCEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies - (ANSWER)A. Consumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting review the next business day.
questions and verified answers (complete solutions)
Exam|GRADE A+
The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of
the following activities?
A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for financial
assistance.
C. Implement a financial assistance program for uninsured and underinsured
patients.
D. Discount all charges to self-pay patients to an amount generally billed to all
other patients. - (ANSWER)A. Complete a community needs assessment and
develop a discount program for patient balances after insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to monitor
resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing. - (ANSWER)B. Charges
remain one of the few consistent indicators available to monitor resource use
The ACO investment model will test the use of pre-paid shared savings to:
A. Invest in treatment protocols that reduce costs to 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 underserved areas. - (ANSWER)D.
Encourage new ACOs to form in rural and underserved areas
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to:
A. Have a patient financial responsibilities kit ready for the patient, containing all
of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions 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. - (ANSWER)C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Activities completed when the scheduled, pre-registered patient arrives for
service includes:
A. Verifying insurance, activating the record and directing the patient to the
service area.
B. Scanning the driver's license or other phot identification and directing the
patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
,D. Registering the patient and directing the patient to the service area. -
(ANSWER)C. Activating the record, obtaining signatures and
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis
is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put - (ANSWER)A. Utilization review
or
B. Case Management
An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process. - (ANSWER)C. The opportunity to reduce processing times at
the time of service.
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can:
A. Obtain price estimates for medical services
, 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 - (ANSWER)C. Purchase qualified health benefit plans regardless of
insured's health status.
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT:
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 - (ANSWER)C. Not
delivered in a Medicare licensed care setting
All of the following are reference resources used to help guide in the application
for business ethics EXCEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies - (ANSWER)A. Consumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT:
A. Placing collections in a lock-box for posting review the next business day.
