CRCR Practice Questions and Verified Correct

CRCR Practice Questions and Verified Correct Answers Using Marking Scheme Guaranteed A+ At First Attempt 2024 Brand New

A "Compliance Program" is defined as:

• Educating staff on regulations
• The development of operational policies that correspond to regulations
• Systematic procedures to ensure that the provisions of regulations imposed by a

government agency are being met

D. Annual legal audit and review for adherence to regulations - CORRECT ANSWER:

• Systematic procedures to ensure that provisions of regulations imposed by

government agency are being met

A benefit period begins:

• With admission as an inpatient
• Upon the day the coverage premium is paid
• The first day in which a patient is furnished extended care services in the period the

patient is entitled to hospital insurance

• Immediately once authorization for treatment is provided by the health plan -

CORRECT ANSWER: C. The first day in which a patient is furnished extended care

services in the period the patient is entitled to hospital insurance

A decision of whether a patient should be admitted as an inpatient or become an outpatient observation patient requires medical judgments based on all of the following

EXCEPT:

• The patient's medical history
• The safe-guarding against medical error
• Current medical needs

D. The Medical predictability of something adverse happening - CORRECT ANSWER:

• The safe-guarding against medical error

A four digit number code established by the National Uniform Billing (NUBC) that

categorizes/classifies a line item in the chargemaster is known as:

• HCPCs codes
• ICD-10 Procedural codes
• CPT codes

D. Revenue codes - CORRECT ANSWER: D. Revenue codes

A nightly room charge will be incorrect if the patient's:

• Transfer from the ICU (Intensive care unit) to the Medical/Surgical floor is not

reflected in the registration system

• Pharmacy orders have not been entered into the pharmacy system
• Condition has not been discussed during the shift change report meeting 1 / 3

• Discharge for the next day has not been charted - CORRECT ANSWER: A. Transfer

from the ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system

A recurring/series registration is characterized by:

• The creation of one registration record for multiple days of service
• The creation of multiple registrations for multiple services
• The creation of one registration record per diagnosis per visit
• The creation of multiple patient types for one date of service - CORRECT ANSWER:
• The creation of one registration record for multiple days of service

A successful pre-registration program:

• Helps the patient feel welcome
• Identifies clearly what information must be gathered including demographic data,

insurance data, and financial information

• Thoroughly discusses the patient's financial obligation
• Collects patient deductibles and co-pays - CORRECT ANSWER: B. Identifies clearly

what information must be gathered including demographic data, insurance data, and financial information

Across all care settings, if a patient consents to a financial discussion during a medical

encounter to expedite discharge, the HFMA best practice is to:

• Have a patient financial responsibilities kit ready for the patient, containing all of the

required registration forms and instructions.

• Make sure that the attending staff can answer questions and assist in obtaining

required patient financial data.

• Support that choice, providing that the discussion does not interfere with patient care

or disrupt patient flow.

• Decline such request as finance discussions can disrupt patient care and patient

flow. - CORRECT ANSWER: C. Support that choice, providing that the discussion does not interfere with patient care or disrupt patient flow

Activities completed when the scheduled, pre-registered patient arrives for service

includes:

• Verifying insurance, activating the record and directing the patient to the service

area.

• Scanning the driver's license or other phot identification and directing the patient to

the financial counselor.

• Activating the record, obtaining signatures and finalizing financial issues.
• Registering the patient and directing the patient to the service area. - CORRECT

ANSWER: C. Activating the record, obtaining signatures and

All of the following are conditions that disqualify a procedure or service from being paid

for by Medicare EXCEPT:

• Offered in an outpatient setting
• Medically unnecessary 2 / 3

• Not delivered in a Medicare licensed care setting.
• Services and procedures that are custodial in nature - CORRECT ANSWER: C. Not

delivered in a Medicare licensed care setting

All of the following are reference resources used to help guide in the application for

business ethics EXCEPT:

• Consumer satisfaction reports
• Mission & Value Statements
• Code of Ethics / Code of Conduct

D. Compliance Office & Policies - CORRECT ANSWER: A. Consumer satisfaction

reports

All of the following are steps in safeguarding collections EXCEPT:

• Placing collections in a lock-box for posting review the next business day.
• Posting the payment to the patient's account
• Completing balancing activities

D. Issuing receipts - CORRECT ANSWER: A. Placing collections in a lock-box for

posting review the next business day

All of the following are steps in verifying insurance EXCEPT:

• Sequencing plans involved in a coordination of benefits (COB) situation.
• The patient signing the statement of financial responsibility.
• Identifying and documenting the patient's health plan benefits
• Confirming the patient's eligibility for benefits - CORRECT ANSWER: B. The patient

signing the statement of financial responsibility

All of the following information is used to identify a patient EXCEPT:

• Date of Birth
• Gender
• Social Security Number

D. Address - CORRECT ANSWER: D. Address

All of the following information should be reviewed as part of schedule finalization

EXCEPT:

• The estimated patient financial obligations
• The service to be provided
• The arrival time and procedure time

D. The patient's preparation instructions - CORRECT ANSWER: A. The estimated

patient financial obligations

Ambulance services are billed directly to the health plan for :

• All pre-admission emergency transports
• Transport deemed medically necessary by the attending paramedic-ambulance crew
• Services provided before a patient is admitted and for ambulance rides arranged to

pick up the patient from the hospital after discharge to take him/her home or to another facility

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