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Certified Revenue Cycle Specialist Exam Questions with Verified Answers
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Certified Revenue Cycle Specialist Exam Questions with Verified Answers
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Certified Revenue Cycle Specialist ExamQuestions with Verified Answers
HHS - ANSWER-Health and Human Services
NIH - ANSWER-National Institutes of Health
FDA - ANSWER-Food and Drug Administration
CDC - ANSWER-Centers for Disease Control and Prevention
ATSDR - ANSWER-Agency for Toxic Substances and Disease Registry
IHS - ANSWER-Indian Health Service
HRSA - ANSWER-Health Resources and Services Administration
SAMHSA - ANSWER-Substance Abuse and Mental Health Services Administration
CMS - ANSWER-Centers for Medicare and Medicaid Services
ACF - ANSWER-Administration for Children and Families
ACL - ANSWER-Administration for Community Living
Title XVIII - ANSWER-Medicare
Title XIX - ANSWER-Medicaid
QIO - ANSWER-Quality Improvement Organization
OIG - ANSWER-Office of Inspector General
AHA - ANSWER-American Hospital Association - Patient Care Partnership brochure,
formerly known as Patient's Bill of Rights
HIPPA - ANSWER-Health Insurance Portability and Accountability Act
PHI - ANSWER-Protected Health Information - Any data that could be used, individually
or in combination, to match patients with medical information. Examples: name, date of
birth, address, phone number, email address, SSN, MRN, employers name/address,
relative's name/address, certificate number, photograph, fingerprints, and more.
, PSDA - ANSWER-Patient Self-Determination Act - deals with advance directives, or
written statements of a patient's wishes regarding medical treatment in the event that he
or she becomes unable to make certain decisions.
Living Will - ANSWER-document that specifies treatments a patient does not want to
receive
POA - ANSWER-power of attorney - a document that designates someone else to make
decisions on the patient's behalf if he or she is unable to do so
DNR - ANSWER-do not resuscitate order
PPACA - ANSWER-Patient Protection and Affordable Care Act
Fraud - ANSWER-intentional or illegal deception or misrepresentation made for the
purpose of personal gain, or to harm or manipulate another person or organization (ie
billing for services that weren't furnished)
Abuse - ANSWER-incidents or practices of healthcare workers that, although not
usually considered fraudulent, are inconsistent with accepted sound practices (ie
excessive or unwarranted use of technology and services)
False Claims Act - ANSWER-prohibits making a false record or statement to get a
false/fraudulent claim paid by the government, submission of false/fraudulent claims,
and conspiring to have false/fraudulent claims paid by the government.
administrative sanctions for fraudulent provider behavior - ANSWER-1.
denial/revocation of provider number application
2. suspension of provider payments
3. application of civil monetary penalties (CMP)
TCPA - ANSWER-Telephone Consumer Protection Act - restricts telephone solicitations
and use of automated telephone equipment (ie artificial voice and text messages to
debtor cell phones)
Regulation Z - ANSWER-deals with disclosure of information before credit is extended
(ie APR/finance charges be clearly identified)
Fair Credit Billing Act - ANSWER-requires creditors inform debtors of their rights and
responsibilities of the creditor
Fair Credit Reporting Act - ANSWER-created to define what information from consumer
reports can be used, by whom, and when.
FDCPA - ANSWER-Fair Debt Collection Practices Act - imposes strict limitations on
acquiring debtor location information, harassment or abuse in collection process, use of
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