CRCR Certification Exam () Actual
Questions and Verified Answers, 100% Guarantee
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It is important to calculate reserves to ensure - ANSWER -Stable financial
operations and accurate financial reporting
A claim is denied for the following reasons, EXCEPT: - ANSWER -The
submitted claim does not have the physicians signature
HFMA best practices call for patient financial discussions to be reinforced -
ANSWER -By changing policies to programs
Patients should be informed that costs presented in a price estimate may -
ANSWER -Vary from estimates, depending on the actual services performed
The nuanced data resulting from detailed ICD-10 coding allows senior leadership
to work with physicians to do all of the following EXCEPT: - ANSWER -Obtain
higher compensation for physicians
Charges as the most appropriate measurement of utilization enables - ANSWER -
Accuracy of expense and cost capture
Once the EMTALA requirements are satisfied - ANSWER -The remaining
registration processing is initiated at the bedside or in a registration area
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: -
ANSWER -Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
,In Chapter 7 straight bankruptcy filling - ANSWER -The court liquidates the
debtor's nonexempt property, pays creditors, and discharges the debtor from the
debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding - ANSWER -
That reorganizes a debtor's holdings and instructs creditors to look to the debtors'
future earnings for payment
This concept encompasses all activities required to send a request for payment to a
third-party health plan for payment of benefits - ANSWER -Claims processing
The importance of Medical records being maintained by HIM is that the patient
records: - ANSWER -Are the primary source for clinical data required for
reimbursement
When there is a request for service, the scheduling staff member must confirm the
patient's unique identification information to - ANSWER -Ensure that she/he
accesses the correct information in the historical database
Maintaining routine contact with the health plan or liability payer, making sure all
required information is provided and all needed approvals are obtained is the
responsibility of: - ANSWER -Case Management
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R)
and - ANSWER -Provide a method of measuring the collection and control of A/R
With any remaining open balances, after insurance payments have been posted,
the account financial liability is - ANSWER -Potentially transferred to the patient
Pricing transparency is defined as readily available information on the price of
healthcare services, that together with other information, help define the value of
those services and enable consumers to - ANSWER -Identify, compare, and choose
providers that offer the desired level of value
, All of the following are potential causes of credit balances EXCEPT - ANSWER -
A patient's choice to build up a credit against future medical bills
A comprehensive "Compliance Program" is defined as - ANSWER -Systematic
procedures to ensure that the provisions of regulations imposed by a government
agency are being met
An originating site is - ANSWER -The location of the patient at the time the
service is provided
Local Coverage Determinations (LCD) and National Coverage Determinations
(NCD) are Medicare established guideline(s) used to determine: - ANSWER -
Which diagnoses, signs, or symptoms are reimbursable
If further treatment can only be provided in a hospital setting, the patient's
condition cannot be evaluated and/or treated within 24 hours, or if there is not an
anticipation of improvement in the patient's condition with 24 hours, the patient -
ANSWER -Will be admitted as an inpatient
The benefit of Medicare Advantage Plan is - ANSWER -Patients generally have
their Medicare-coverage healthcare through the plan and do not need to worry
about "part a" or "part b" benefits
The process of creating the pre-registration record ensures - ANSWER -Accurate
billing
Claims with dates of service received later than one calendar year beyond the date
of service, will be - ANSWER -Denied by Medicare
A portion of the accounts receivable inventory which has NOT qualified for
billing includes - ANSWER -Charitable pledges
The standard claim form used for billing by hospitals, nursing facilities, and other
in-patient - ANSWER -UB-04
Questions and Verified Answers, 100% Guarantee
Pass
It is important to calculate reserves to ensure - ANSWER -Stable financial
operations and accurate financial reporting
A claim is denied for the following reasons, EXCEPT: - ANSWER -The
submitted claim does not have the physicians signature
HFMA best practices call for patient financial discussions to be reinforced -
ANSWER -By changing policies to programs
Patients should be informed that costs presented in a price estimate may -
ANSWER -Vary from estimates, depending on the actual services performed
The nuanced data resulting from detailed ICD-10 coding allows senior leadership
to work with physicians to do all of the following EXCEPT: - ANSWER -Obtain
higher compensation for physicians
Charges as the most appropriate measurement of utilization enables - ANSWER -
Accuracy of expense and cost capture
Once the EMTALA requirements are satisfied - ANSWER -The remaining
registration processing is initiated at the bedside or in a registration area
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: -
ANSWER -Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
,In Chapter 7 straight bankruptcy filling - ANSWER -The court liquidates the
debtor's nonexempt property, pays creditors, and discharges the debtor from the
debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding - ANSWER -
That reorganizes a debtor's holdings and instructs creditors to look to the debtors'
future earnings for payment
This concept encompasses all activities required to send a request for payment to a
third-party health plan for payment of benefits - ANSWER -Claims processing
The importance of Medical records being maintained by HIM is that the patient
records: - ANSWER -Are the primary source for clinical data required for
reimbursement
When there is a request for service, the scheduling staff member must confirm the
patient's unique identification information to - ANSWER -Ensure that she/he
accesses the correct information in the historical database
Maintaining routine contact with the health plan or liability payer, making sure all
required information is provided and all needed approvals are obtained is the
responsibility of: - ANSWER -Case Management
Key Performance Indicators (KPIs) set standards for accounts receivables (A/R)
and - ANSWER -Provide a method of measuring the collection and control of A/R
With any remaining open balances, after insurance payments have been posted,
the account financial liability is - ANSWER -Potentially transferred to the patient
Pricing transparency is defined as readily available information on the price of
healthcare services, that together with other information, help define the value of
those services and enable consumers to - ANSWER -Identify, compare, and choose
providers that offer the desired level of value
, All of the following are potential causes of credit balances EXCEPT - ANSWER -
A patient's choice to build up a credit against future medical bills
A comprehensive "Compliance Program" is defined as - ANSWER -Systematic
procedures to ensure that the provisions of regulations imposed by a government
agency are being met
An originating site is - ANSWER -The location of the patient at the time the
service is provided
Local Coverage Determinations (LCD) and National Coverage Determinations
(NCD) are Medicare established guideline(s) used to determine: - ANSWER -
Which diagnoses, signs, or symptoms are reimbursable
If further treatment can only be provided in a hospital setting, the patient's
condition cannot be evaluated and/or treated within 24 hours, or if there is not an
anticipation of improvement in the patient's condition with 24 hours, the patient -
ANSWER -Will be admitted as an inpatient
The benefit of Medicare Advantage Plan is - ANSWER -Patients generally have
their Medicare-coverage healthcare through the plan and do not need to worry
about "part a" or "part b" benefits
The process of creating the pre-registration record ensures - ANSWER -Accurate
billing
Claims with dates of service received later than one calendar year beyond the date
of service, will be - ANSWER -Denied by Medicare
A portion of the accounts receivable inventory which has NOT qualified for
billing includes - ANSWER -Charitable pledges
The standard claim form used for billing by hospitals, nursing facilities, and other
in-patient - ANSWER -UB-04
