2024 CRCR Exam Questions Latest Questions With Complete Grade A Answers
- Portion of the accounts receivable inventory which had not qualified for billing
includes
Answer: Charity pledges
- Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge the HFMA best practices is to Answer: Support that choice providing that the discussion does not interfere with patient care or disrupt patient flow
- 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
Answer: HMO
- Any provider that has build a timely cost report may appeal and adverse final
decision received from the Medicare administrative contractor this appeal may be filled with
Answer: The provider reimbursement review board
- Ambulance services are billed directly to the health plan for
Answer: The portion of the bill outside of the patient self-pay...... services provided before a patient is admitted and for ambulance rides arrange to pick up the patient from the hospital after discharge to take him/her home or to another facility
- An individual enrolled in Medicare Who is dissatisfied with the governments claim
determination is entitled to reconsideration of the decision this type of appeal is known as
Answer: A beneficiary appeal
- All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare except
Answer: Services and procedures that are custodial in nature
- All of the following are forms of hospital payment contracting except
Answer: Contracted rebating
- An advantage of a pre-registration program is
Answer: The opportunity to reduce the corporate compliance failures within
registration process 1 / 3
- All of the following are potential causes of credit balances except
Answer: A patient's choice to build up a credit against future medical bills
- A recurring series registration is characterized by
Answer: The creation of one registration record for multiple days of service
- Appropriate training for patient's financial counseling staff must cover all the
following except
Answer: Documenting the conversation in the medical records
- All of the following information should be reviewed as part of scheduled
finalization except
Answer: The results of any and all test
- All of the following are steps in safeguarding collections except
Answer: Issuing receipts
- An originating site is
Answer: The location of the patient at the time the service is provided
- A large number of credit balances are not the result of over payments but of
Answer: Posting errors in the patient's accounting system
- At the end of each shift what must happen to cash checks and credit card
transaction documents
Answer: They must be balanced
- According to the department of health and human services guidelines what is
not considered income
Answer: Sale of property house or car
- An insurance company that provides for the delivery or payment of health- care
services
Answer: Indemnity insurance
- A restriction on payments for charges directly resulting from a pre-existing health
conditions
Answer: Self insured
- An employer a union or an association that contracts with an insurance
company for the healthcare plan it offers to eligible employees
Answer: Sub specialist 2 / 3
- A healthcare professional who is recognized to have expertise in a special- ty of
medicine or surgery
Answer: Third-party reimbursement
- Business ethics or organizational ethic presents
Answer: The principles and standards by which organizations operate
- Before classifying and subsequently writing off an account to financial
assistance or bad debt the hospital must establish policy define appropriate criteria implement procedures for identifying and processing accounts
Answer: Monitor compliance
- Because 501 R regulations focus on identifying potential eligible financial
assistance patients hospital must
Answer: How old financial conversations with patients as soon as possible
- Comprehensive compliance program is defined as
Answer: Systematic procedures to ensure that the provisions of regulations imposed by government agencies are being met
- Case management requires that a case manager be assigned
Answer: To a select patient group
- Claim is denied for the following reasons except
Answer: The submitted claim does not have the physician signature
- Claims with dates of services received later than one calendar year beyond the
date of service will be
Answer: Denied by Medicare
- Chapter 13 bankruptcy debtor rehabilitation is court proceeding
Answer: That re-organize a debtors holdings and instruct creditors to look to the debtors future earnings for payment
- Concurrent review and discharge planning
Answer: Occurs during service
- Checks receive through mail cash received through mail and lockbox are all
examples of
Answer: Control points for cash posting
- / 3