CRCR EXAM PREP QUESTIONS ANSWERS
BUNDLED SOLUTIONS HIGH QUALITY
PRACTICE MATERIAL
●● 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)
●● Specific to Medicare free-for-service patients, which of the following
payers have always been liable for payment?
Answer: Black lung service programs, veteran affairs program, working
aged programs, ESRD, and disability
●● Provider policies and procedures should be in place to reduce the
risk of ethics violations. Examples include:
,Answer: financial misconduct, theft of property, applying policies in
inconsistent manner (all of the above)
●● What is the intended outcome of collaborations made through an
ACO delivery system for a population of patients?
Answer: To eliminate duplicate services, prevent medical errors and
ensure appropriateness of care
●● What is the new terminology now employed in the calculation of net
patient service revenues?
Answer: explicit price concessions and implicit price concessions
●● What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
(self-pay)?
Answer: Elapsed days from discharge to final bill and elapsed days from
final bill to claim/bill submission
●● What happens during the post-service stage?
Answer: Final coding of all services, preparation and submission of
claims, payment processing and balance billing and resolution.
●● The following statements describe best practices established by the
Medicaid Debt Task Force. Select true statements.
, Answer: educate patients, coordinate to avoid duplicate patient contacts,
be consistent in key aspects of account resolution, follow best practices
for communication
●● Which option is NOT a main HFMA Healthcare Dollars & Sense
revenue cycle initiative?
Answer: Process Compliance
●● What is the objective of the HCAHPS initiative?
Answer: To provide a standardized method for evaluating patient's
perspective on hospital care
●● Which option is NOT a department that supports and collaborates
with the revenue cycle?
Answer: Assisted Living Services
●● Which option is NOT a continuum of care provider?
Answer: Health Plan Contracting
●● Which of the following are essential elements of an effective
compliance program?
Answer: established compliance standards and procedures, oversight of
personnel by high-level personnel, reasonable methods to achieve
compliance with standards, including monitoring systems and hotlines
BUNDLED SOLUTIONS HIGH QUALITY
PRACTICE MATERIAL
●● 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)
●● Specific to Medicare free-for-service patients, which of the following
payers have always been liable for payment?
Answer: Black lung service programs, veteran affairs program, working
aged programs, ESRD, and disability
●● Provider policies and procedures should be in place to reduce the
risk of ethics violations. Examples include:
,Answer: financial misconduct, theft of property, applying policies in
inconsistent manner (all of the above)
●● What is the intended outcome of collaborations made through an
ACO delivery system for a population of patients?
Answer: To eliminate duplicate services, prevent medical errors and
ensure appropriateness of care
●● What is the new terminology now employed in the calculation of net
patient service revenues?
Answer: explicit price concessions and implicit price concessions
●● What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
(self-pay)?
Answer: Elapsed days from discharge to final bill and elapsed days from
final bill to claim/bill submission
●● What happens during the post-service stage?
Answer: Final coding of all services, preparation and submission of
claims, payment processing and balance billing and resolution.
●● The following statements describe best practices established by the
Medicaid Debt Task Force. Select true statements.
, Answer: educate patients, coordinate to avoid duplicate patient contacts,
be consistent in key aspects of account resolution, follow best practices
for communication
●● Which option is NOT a main HFMA Healthcare Dollars & Sense
revenue cycle initiative?
Answer: Process Compliance
●● What is the objective of the HCAHPS initiative?
Answer: To provide a standardized method for evaluating patient's
perspective on hospital care
●● Which option is NOT a department that supports and collaborates
with the revenue cycle?
Answer: Assisted Living Services
●● Which option is NOT a continuum of care provider?
Answer: Health Plan Contracting
●● Which of the following are essential elements of an effective
compliance program?
Answer: established compliance standards and procedures, oversight of
personnel by high-level personnel, reasonable methods to achieve
compliance with standards, including monitoring systems and hotlines
