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HFMA CRCR EXAM Questions & 100% correct Answers- Latest Test | Graded A+ | Passed

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What are collection agency fees based on? Ξ -:- A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Ξ -:- Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the ...

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  • August 27, 2024
  • 102
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HFMA CRCR
  • HFMA CRCR
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E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |1




HFMA CRCR EXAM Questions & 100%
correct Answers- Latest Test | Graded A+ |
Passed
What are collection agency fees based on?

Ξ -:- A percentage of dollars collected



Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule?

Ξ -:- Birthday



In what type of payment methodology is a lump sum or bundled payment negotiated between the
payer and some or all providers?

Ξ -:- Case rates



What customer service improvements might improve the patient accounts department?

Ξ -:- Holding staff accountable for customer service during performance reviews



What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?

Ξ -:- Inform a Medicare beneficiary that Medicare may not pay for the order or service



What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance?

Ξ -:- Bad debt adjustment



What is the initial hospice benefit?

Ξ -:- Two 90-day periods and an unlimited number of subsequent periods



When does a hospital add ambulance charges to the Medicare inpatient claim?




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, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |2


Ξ -:- If the patient requires ambulance transportation to a skilled nursing facility



How should a provider resolve a late-charge credit posted after an account is billed?

Ξ -:- Post a late-charge adjustment to the account



an increase in the dollars aged greater than 90 days from date of service indicate what about
accounts

Ξ -:- They are not being processed in a timely manner



What is an advantage of a preregistration program?

Ξ -:- It reduces processing times at the time of service



What are the two statutory exclusions from hospice coverage?

Ξ -:- Medically unnecessary services and custodial care



What core financial activities are resolved within patient access?

Ξ -:- Scheduling, insurance verification, discharge processing, and payment of point-

of-service receipts



What statement applies to the scheduled outpatient?

Ξ -:- The services do not involve an overnight stay



How is a mis-posted contractual allowance resolved?

Ξ -:- Comparing the contract reimbursement rates with the contract on the

admittance advice to identify the correct amount



What type of patient status is used to evaluate the patient's need for inpatient care?

Ξ -:- Observation




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, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |3


Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary
has received what?

Ξ -:- Medically necessary inpatient hospital services for at least 3 consecutive days

before the skilled nursing care admission



When is the word "SAME" entered on the CMS 1500 billing form in Field 0$?

Ξ -:- When the patient is the insured



What are non-emergency patients who come for service without prior notification to the provider
called?

Ξ -:- Unscheduled patients



If the insurance verification response reports that a subscriber has a single policy, what is the status
of the subscriber's spouse?

Ξ -:- Neither enrolled not entitled to benefits



Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act,
establishes what?

Ξ -:- Disclosure rules for consumer credit sales and consumer loans



What is a principal diagnosis?

Ξ -:- Primary reason for the patient's admission



Collecting patient liability dollars after service leads to what?

Ξ -:- Lower accounts receivable levels



What is the daily out-of-pocket amount for each lifetime reserve day used?

Ξ -:- 50% of the current deductible amount



What service provided to a Medicare beneficiary in a rural health clinic (RHC) is not billable as an
RHC services?



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, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |4


Ξ -:- Inpatient care



What code indicates the disposition of the patient at the conclusion of service?

Ξ -:- Patient discharge status code



What are hospitals required to do for Medicare credit balance accounts?

Ξ -:- They result in lost reimbursement and additional cost to collect



When an undue delay of payment results from a dispute between the patient and the third party
payer, who is responsible for payment?

Ξ -:- Patient



Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include:

Ξ -:- A valid CPT or HCPCS code



With advances in internet security and encryption, revenue-cycle processes are expanding to allow
patients to do what?

Ξ -:- Access their information and perform functions on-line



What date is required on all CMS 1500 claim forms?

Ξ -:- onset date of current illness



What does scheduling allow provider staff to do

Ξ -:- Review appropriateness of the service request



What code is used to report the provider's most common semiprivate room rate?

Ξ -:- Condition code



Regulations and requirements for coding accountable care organizations, which allows providers to
begin creating these organizations, were finalized in:


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