AAHAM CRCS-P STUDY EXAM QUESTIONS &
ANSWERS (VERIFIED)
CRCS
Correct |Answer: Certified |Revenue |Cycle |Specialist
AAHAM
Correct |Answer: The |American |Association |of |Healthcare |Administrative |Management
1-Day |Rule
Correct |Answer: a |requirement |that |all |diagnostic |or |outpatient |services
furnished |in |connection |with |the |principle |admitting |diagnosis |within |one |day |prior |to |the
| hospital |admission |are |bundled |with |the |inpatient |services |for |Medicare |billing.
3-Day |Rule
Correct |Answer: a |requirement |that |all |diagnostic |or |outpatient |services
furnished |in |connection |with |the |principle |admitting |diagnosis |within |three |days |prior |to |the
| hospital |admission |are |bundled |with |the |inpatient |services |for |Medicare |billing.
5010A1
Correct |Answer: the |American |National |Standards |Institute |transaction |for |a
1
,professional |claim |(the |electronic |equivalent |of |the |CMS |15000),
| formerly |the |837P
837I
Correct |Answer: the |American |National |Standards |Institute |transaction |for |an
institutional |claim; |as |a |result |of |HIPAA, |it |is |replacing |the |electronic
| UB-04.
837P
Correct |Answer: a |former |American |National |Standards |Institute |transaction |for |a
professional |claim |(the |electronic |equivalent |of |the |CMS |15000), |sincereplaced |by |the
| 5010A1.
ABN
Correct |Answer: the |Advance |Beneficiary |Notice |of |Noncoverage; |a |form |given |to |a
Medicare |beneficiary |before |services |are |furnished |when |a |service |does |not |meet |or |is |not
| expected |to |meet |medical |necessity.
abuse
Correct |Answer: the |misuse |of |a |person, |substance, |service, |or |financial |matter |such
that |harm |is |caused; |some |forms |of |healthcare |abuse |include |excessive |or |unwarranted
| use |of |technology, |pharmaceuticals, |and |services; |abuse |of |authority; |and |abuse |of
| privacy, |confidentiality, |or |duty |to |care; |it |also |includes |improper |billing |practices |(like
2
,billing |Medicare |instead |of |primary |insurer), |increasing |charges |to |Medicare |beneficiaries
but |not |to |other |patients, |unbundling |of |services, |and |unnecessary |transfers |of
|
patients.
Accounts |Receivable |(AR) |Days |Outstanding
Correct |Answer: an |estimate, |using |average |current |revenues, |of |the |days |required |to
turn |over |the |accounts |receivable |under |normal |operating |conditions; |in |simple |terms, |this
| is |an |estimate |of |the |time |needed |to |collect |the |accounts |receivable.
ACF
Correct |Answer: Administration |for |Children |and |Families; |one |of |the |DHHS
Operating |Divisions.
ACL
Correct |Answer: Administration |for |Community |Living; |one |of |the |DHHS |Operating
Divisions.
actual |or |expressed |consent
Correct |Answer: written |or |oral |agreement |by |the |patient |to
the |treatment |outlined.
acute |inpatient
3
, Correct |Answer: a |level |of |healthcare |delivered |to |patients |experiencing
acute |illness |or |trauma; |it |generally |occurs |in |a |hospital |or |emergency |room |and |is
| generally |short-term |care |rather |than |long-term |or |chronic |care.
ADC
Correct |Answer: average |daily |census; |the |average |number |of |inpatients |maintained |in
the |hospital |each |day |for |a |specific |period |of |time.
ADRR
Correct |Answer: Average |Days |of |Revenue |in |Accounts |Receivable; |also |known |as
Accounts |Receivable |(AR) |Days |Outstanding; |an |estimate, |using |average |current
| revenues, |of |the |days |required |to |turn |over |the |accounts |receivable |under |normal
| operating |conditions; |in |simple |terms, |this |is |an |estimate |of |the |time |needed |to |collect |the
| accounts |receivable.
Advance |Beneficiary |Notice
Correct |Answer: the |Advance |Beneficiary |Notice |of |Noncoverage; |a |form |given |to |a
Medicare |beneficiary |before |services |are |furnished |when |a |service |does |not |meet |or |is |not
| expected |to |meet |medical |necessity.
AFDC
Correct |Answer: Aid |to |Families |with |Dependent |Children; |a |financial |assistance
program |provided |by |DHHS.
4
ANSWERS (VERIFIED)
CRCS
Correct |Answer: Certified |Revenue |Cycle |Specialist
AAHAM
Correct |Answer: The |American |Association |of |Healthcare |Administrative |Management
1-Day |Rule
Correct |Answer: a |requirement |that |all |diagnostic |or |outpatient |services
furnished |in |connection |with |the |principle |admitting |diagnosis |within |one |day |prior |to |the
| hospital |admission |are |bundled |with |the |inpatient |services |for |Medicare |billing.
3-Day |Rule
Correct |Answer: a |requirement |that |all |diagnostic |or |outpatient |services
furnished |in |connection |with |the |principle |admitting |diagnosis |within |three |days |prior |to |the
| hospital |admission |are |bundled |with |the |inpatient |services |for |Medicare |billing.
5010A1
Correct |Answer: the |American |National |Standards |Institute |transaction |for |a
1
,professional |claim |(the |electronic |equivalent |of |the |CMS |15000),
| formerly |the |837P
837I
Correct |Answer: the |American |National |Standards |Institute |transaction |for |an
institutional |claim; |as |a |result |of |HIPAA, |it |is |replacing |the |electronic
| UB-04.
837P
Correct |Answer: a |former |American |National |Standards |Institute |transaction |for |a
professional |claim |(the |electronic |equivalent |of |the |CMS |15000), |sincereplaced |by |the
| 5010A1.
ABN
Correct |Answer: the |Advance |Beneficiary |Notice |of |Noncoverage; |a |form |given |to |a
Medicare |beneficiary |before |services |are |furnished |when |a |service |does |not |meet |or |is |not
| expected |to |meet |medical |necessity.
abuse
Correct |Answer: the |misuse |of |a |person, |substance, |service, |or |financial |matter |such
that |harm |is |caused; |some |forms |of |healthcare |abuse |include |excessive |or |unwarranted
| use |of |technology, |pharmaceuticals, |and |services; |abuse |of |authority; |and |abuse |of
| privacy, |confidentiality, |or |duty |to |care; |it |also |includes |improper |billing |practices |(like
2
,billing |Medicare |instead |of |primary |insurer), |increasing |charges |to |Medicare |beneficiaries
but |not |to |other |patients, |unbundling |of |services, |and |unnecessary |transfers |of
|
patients.
Accounts |Receivable |(AR) |Days |Outstanding
Correct |Answer: an |estimate, |using |average |current |revenues, |of |the |days |required |to
turn |over |the |accounts |receivable |under |normal |operating |conditions; |in |simple |terms, |this
| is |an |estimate |of |the |time |needed |to |collect |the |accounts |receivable.
ACF
Correct |Answer: Administration |for |Children |and |Families; |one |of |the |DHHS
Operating |Divisions.
ACL
Correct |Answer: Administration |for |Community |Living; |one |of |the |DHHS |Operating
Divisions.
actual |or |expressed |consent
Correct |Answer: written |or |oral |agreement |by |the |patient |to
the |treatment |outlined.
acute |inpatient
3
, Correct |Answer: a |level |of |healthcare |delivered |to |patients |experiencing
acute |illness |or |trauma; |it |generally |occurs |in |a |hospital |or |emergency |room |and |is
| generally |short-term |care |rather |than |long-term |or |chronic |care.
ADC
Correct |Answer: average |daily |census; |the |average |number |of |inpatients |maintained |in
the |hospital |each |day |for |a |specific |period |of |time.
ADRR
Correct |Answer: Average |Days |of |Revenue |in |Accounts |Receivable; |also |known |as
Accounts |Receivable |(AR) |Days |Outstanding; |an |estimate, |using |average |current
| revenues, |of |the |days |required |to |turn |over |the |accounts |receivable |under |normal
| operating |conditions; |in |simple |terms, |this |is |an |estimate |of |the |time |needed |to |collect |the
| accounts |receivable.
Advance |Beneficiary |Notice
Correct |Answer: the |Advance |Beneficiary |Notice |of |Noncoverage; |a |form |given |to |a
Medicare |beneficiary |before |services |are |furnished |when |a |service |does |not |meet |or |is |not
| expected |to |meet |medical |necessity.
AFDC
Correct |Answer: Aid |to |Families |with |Dependent |Children; |a |financial |assistance
program |provided |by |DHHS.
4
