CRCR Practice Questions Practice
Exam (Cumulative): Questions &
Answers: Complete Solution
The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of
the following activities?
A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for financial
assistance.
C. Implement a financial assistance program for uninsured and underinsured
patients.
D. Discount all charges to self-pay patients to an amount generally billed to all
other patients. - Answer A. Complete a community needs assessment and
develop a discount program for patient balances after insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to monitor
resource use.
,C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing. - Answer B. Charges
remain one of the few consistent indicators available to monitor resource use
The physician who wrote the order for service and is in charge of the patient's
care is:
A. The patient's personal physician
B. The primary care physician
C. The attending physician
D. The Physician Patient Care Director - Answer C. The attending physician
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 consumers to:
A. Negotiate the cost of health plan premiums
B. Customize health care with a personally chosen mix of providers
C. Identify, compare, and choose providers that offer the desired level of value
D. Verify the cost of individual clinicians - Answer C. Identify, compare, and
choose providers that offer the desired level of value
,The process of pre-registration ensures:
A. Accurate billing
B. Early and productive communication with any third party payer
C. That access staff will have the complete and valid information needed to
finalize any remaining pre0access activities
D. The patient arrives understanding their financial responsibilities - Answer C.
That access staff will have the complete and valid information needed to finalize
any remaining pre-access activities
The purpose of the ACA mandated Community Health Needs Assessment is:
A. To obtain the data needed to determine the local allocation of federal
healthcare funding
B. To identify significant health needs, prioritize those needs and identify
resources to address them
C. To provide community benefit outreach to those without insurance and who
have not had a physical within the past two years
D. To create health information databases, calibrated to local needs, and to
improve claims processing accuracy - Answer B. To identify significant health
needs, prioritize those needs and identify resources to address them
, Recognizing that health coverage is complicated and not all patients are able to
navigate this terrain, HFMA best practices specify that:
A. A representative of the health plan be included in the patient financial
responsibilities discussion
B. The patient accounts staff have someone assigned to research coverage on
behalf of patients
C. Patients should be given the opportunity to request a patient advocate, family
member, or other designee to help them in these discussions
D. patient coverage education may need to be provided by the health plan -
Answer C. Patients should be given the opportunity to request a patient advocate,
family member, or other designee to help them in these discussions
A recurring/series registration is characterized by:
A. The creation of one registration record for multiple days of service
B. The creation of multiple registrations for multiple services
C. The creation of one registration record per diagnosis per visit
D. The creation of multiple patient types for one date of service - Answer A. The
creation of one registration record for multiple days of service
Reimbursement and budget personnel actively model coding and reimbursement
changes that result from the coding are put in place to guard against:
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