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CRCR CERTIFICATION EXAM LATEST
UPDATED QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+
Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by
Correct answer: The Medicare Administrative Contractor
(MAC) at the end of the hospice cap period
Explanation: Medicare caps hospice payments annually,
calculated by the MAC based on patient days and adjusted rates.
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Which of the following is required for participation in Medicaid
Correct answer: Meet Income and Assets Requirements
Explanation: Medicaid eligibility hinges on financial criteria,
including income and asset limits, varying by state.
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In choosing a setting for patient financial discussions, organizations should first and foremost
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Correct answer: Respect the patient’s privacy
Explanation: Privacy is paramount per HIPAA and HFMA best
practices to ensure confidential financial discussions.
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A nightly room charge will be incorrect if the patient’s
Correct answer: Transfer from ICU (intensive care unit) to the
Medical/Surgical floor is not reflected in the registration system
Explanation: Room charges vary by care level; unrecorded
transfers lead to billing errors.
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The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can
Correct answer: Purchase qualified health benefit plans
regardless of insured’s health status
Explanation: ACA exchanges ensure coverage access without
pre-existing condition exclusions.
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A portion of the accounts receivable inventory which has NOT
qualified for billing includes:
Correct answer: Charitable pledges
Explanation: Pledges are promises to pay, not billable until
fulfilled, unlike services rendered.
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What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare?
Correct answer: Revenue codes
Explanation: Revenue codes categorize services on the UB-04
for Medicare reimbursement.
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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
Correct answer: Patient bill of rights
Explanation: The Patient Bill of Rights outlines protections and
quality standards for healthcare consumers.
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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
Correct answer: Case management
Explanation: Case management tracks patient status to ensure
accurate billing and care coordination.
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Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?