CRCR FINAL PAPER QUESTIONS ANSWERS
COMPLETE SOLUTION VIEW AHEAD
SUCCESS STRATEGY
●● What is required for the UB-04/837-I, used by Rural Health Clinics
to generate payment from Medicare?
Answer: Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
**D. Revenue codes
●● The most common resolution methods for credit balances include all
of the following EXCEPT
Answer: A. Designate the overpayment for charity care
B. Determine the correct primary payer and notify incorrect payer of
overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the
payer.
●● Net Accounts Receivable is
Answer: A. The total bad debt
B. Total debt owed by an entity
,**C. The amount an entity is reasonably confident of collecting from
overall accounts receivable
D. The total claims amount billed to health plans
●● For routine scenarios, such as patients with insurance coverage or a
known ability to pay, financial discussions
Answer: A. May take place between the patient and discharge planning
**B. Should take place between the patient or guarantor and properly
trained provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
●● Scheduled procedures routinely include
Answer: A. Physician's office contact information
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
**D. Patient preparation instructions
●● ICD-10-CM and ICD-10-PCS code sets are modifications of
Answer: A. DRGs
B. CPT codes
C. ICD 9 codes
, **D. The international ICD-10 codes as developed by the WHO (World
Health Organization)
●● The Medicare Bundled Payments for Care Initiative (BCPI) is
designed to
Answer: A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down
through a lump-sum payment to providers
**C. Align incentives between hospitals, physicians, and non-physician
providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in
one payment
●● Which of the following is required for participation in Medicaid
Answer: A. Be free of chronic conditions
B. Meet a minimum yearly premium
C. Obtain a supplemental health insurance policy
**D. Meet income and assets requirements
●● A four digit number code established by the National Uniform
Billing Committee (NUBC) that categorizes/classifies a line item in the
charge master is known as
Answer: A. CPT codes
B. ICD-10 Procedural codes
COMPLETE SOLUTION VIEW AHEAD
SUCCESS STRATEGY
●● What is required for the UB-04/837-I, used by Rural Health Clinics
to generate payment from Medicare?
Answer: Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
**D. Revenue codes
●● The most common resolution methods for credit balances include all
of the following EXCEPT
Answer: A. Designate the overpayment for charity care
B. Determine the correct primary payer and notify incorrect payer of
overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the
payer.
●● Net Accounts Receivable is
Answer: A. The total bad debt
B. Total debt owed by an entity
,**C. The amount an entity is reasonably confident of collecting from
overall accounts receivable
D. The total claims amount billed to health plans
●● For routine scenarios, such as patients with insurance coverage or a
known ability to pay, financial discussions
Answer: A. May take place between the patient and discharge planning
**B. Should take place between the patient or guarantor and properly
trained provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
●● Scheduled procedures routinely include
Answer: A. Physician's office contact information
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
**D. Patient preparation instructions
●● ICD-10-CM and ICD-10-PCS code sets are modifications of
Answer: A. DRGs
B. CPT codes
C. ICD 9 codes
, **D. The international ICD-10 codes as developed by the WHO (World
Health Organization)
●● The Medicare Bundled Payments for Care Initiative (BCPI) is
designed to
Answer: A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down
through a lump-sum payment to providers
**C. Align incentives between hospitals, physicians, and non-physician
providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in
one payment
●● Which of the following is required for participation in Medicaid
Answer: A. Be free of chronic conditions
B. Meet a minimum yearly premium
C. Obtain a supplemental health insurance policy
**D. Meet income and assets requirements
●● A four digit number code established by the National Uniform
Billing Committee (NUBC) that categorizes/classifies a line item in the
charge master is known as
Answer: A. CPT codes
B. ICD-10 Procedural codes
