Exam (elaborations)
CRCR Certification Exam Latest Questions and Answers (2024 / 2025) (Verified Answers)
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CRCR Certification Exam Latest Questions and Answers (2024 / 2025) (Verified Answers)
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CRCRCertification
Overall
aggregate
payments
made
to
a
hospice
are
subject
to
a
computed
"cap
amount"
calculated
by
-
ANSWER
The
Medicare
Administrative
Contractor
(MAC)
at
the
end
of
the
hospice
cap
period
Which
of
the
following
is
required
for
participation
in
Medicaid
-
ANSWER
Meet
Income
and
Assets
Requirements
In
choosing
a
setting
for
patient
financial
discussions,
organizations
should
first
and
foremost
-
ANSWER
Respect
the
patients
privacy
A
nightly
room
charge
will
be
incorrect
if
the
patient's
-
ANSWER
Transfer
from
ICU
(intensive
care
unit)
to
the
Medical/Surgical
floor
is
not
reflected
in
the
registration
system
The
Affordable
Care
Act
legislated
the
development
of
Health
Insurance
Exchanges,
where
individuals
and
small
businesses
can
-
ANSWER
Purchase
qualified
health
benefit
plans
regardless
of
insured's
health
status
A
portion
of
the
accounts
receivable
inventory
which
has
NOT
qualified
for
billing
includes:
-
ANSWER
Charitable
pledges
What
is
required
for
the
UB-04/837-I,
used
by
Rural
Health
Clinics
to
generate
payment
from
Medicare?
-
ANSWER
Revenue
codes
This
directive
was
developed
to
promote
and
ensure
healthcare
quality
and
value
and
also
to
protect
consumers
and
workers
in
the
healthcare
system.
This
directive
is
called
-
ANSWER
Patient
bill
of
rights
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
-
ANSWER
Case
management
Which
statement
is
an
EMT ALA
(Emergency
Medical
Treatment
and
Active
Labor
Act)
violation?
-
ANSWER
Registration
staff
may
routinely
contact
managed
are
plans
for
prior
authorizations
before
the
patient
is
seen
by
the
on-duty
physician
HIPAA
had
adopted
Employer
Identification
Numbers
(EIN)
to
be
used
in
standard
transactions
to
identify
the
employer
of
an
individual
described
in
a
transaction
EIN's
are
assigned
by
-
ANSWER
The
Internal
Revenue
Service
Checks
received
through
mail,
cash
received
through
mail,
and
lock
box
are
all
examples
of
-
ANSWER
Control
points
for
cash
posting
What
are
some
core
elements
if
a
board-approved
financial
assistance
policy?
-
ANSWER
Eligibility ,
application
process,
and
nonpayment
collection
activities
A
recurring/series
registration
is
characterized
by
-
ANSWER
The
creation
of
one
registration
record
for
multiple
days
of
service
With
the
advent
of
the
Affordable
Care
Act
Health
Insurance
Marketplaces
and
the
expansion
of
Medicaid
in
some
states,
it
is
more
important
than
ever
for
hospitals
to
-
ANSWER
Assist
patients
in
understanding
their
insurance
coverage
and
their
financial
obligation
The
purpose
of
a
financial
report
is
to:
-
ANSWER
Present
financial
information
to
decision
makers Patient
financial
communications
best
practices
produce
communications
that
are
-
ANSWER
Consistent,
clear
and
transparent
Medicare
has
established
guidelines
called
the
Local
Coverage
Determinations
(LCD)
and
National
Coverage
Determinations
(NCD)
that
establish
-
ANSWER
What
services
or
healthcare
items
are
covered
under
Medicare
Any
provider
that
has
filed
a
timely
cost
report
may
appeal
an
adverse
final
decision
received
from
the
Medicare
Administrative
Contractor
(MAC).
This
appeal
may
be
filed
with
-
ANSWER
The
Provider
Reimbursement
Review
Board
Concurrent
review
and
discharge
planning
-
ANSWER
Occurs
during
service
Duplicate
payments
occur:
-
ANSWER
When
providers
re-bill
claims
based
on
nonpayment
from
the
initial
bill
submission
An
individual
enrolled
in
Medicare
who
is
dissatisfied
with
the
government's
claim
determination
is
entitled
to
reconsideration
of
the
decision.
This
type
of
appeal
is
known
as
-
ANSWER
A
beneficiary
appeal
Insurance
verification
results
in
which
of
the
following
-
ANSWER
The
accurate
identification
of
the
patient's
eligibility
and
benefits
The
Medicare
fee-for
service
appeal
process
for
both
beneficiaries
and
providers
includes
all
of
the
following
levels
EXCEPT :
-
ANSWER
Judicial
review
by
a
federal
district
court
Under
EMT ALA
(Emergency
Medical
Treatment
and
Labor
Act)
regulations,
the
providermay
not
ask
about
a
patient's
insurance
information
if
it
would
delay
what?
-
ANSWER
Medical
screening
and
stabilizing
treatment
Ambulance
services
are
billed
directly
to
the
health
plan
for
-
ANSWER
Services
provided
before
a
patient
is
admitted
and
for
ambulance
rides
arranged
to
pick
up
the
patient
from
the
hospital
after
discharge
to
take
him/her
home
or
to
another
facility
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
he
patient
discharge
process
begins
when
-
ANSWER
The
physician
writes
the
discharge
orders
The
nightly
room
charge
will
be
incorrect
if
the
patient's
-
ANSWER
Transfer
from
ICU
to
the
Medical/Surgical
floor
is
not
reflected
in
the
registration
system.
The
soft
cost
of
a
dissatisfied
customer
is
-
ANSWER
The
customer
passing
on
info
about
their
negative
experience
to
potential
pts
or
through
social
media
channels
An
advantage
of
a
pre-registration
program
is
-
ANSWER
The
opportunity
to
reduce
the
corporate
compliance
failures
within
the
registration
process
It
is
important
to
have
high
registration
quality
standards
because
-
ANSWER
Inaccurate
or
incomplete
patient
data
will
delay
payment
or
cause
denials
Telemed
seeks
to
improve
a
patient's
health
by
-
ANSWER
Permitting
2-way
real
time
interactive
communication
between
the
patient
and
the
clinical
professional
Any
healthcare
insurance
plan
that
provides
or
ensures
comprehensive
health
maintenance
and
treatment
services
for
an
enrolled
group
of
persons
based
on
a
monthly
fee
is
known
as
a
-
ANSWER
HMO
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