Certified Revenue Cycle Representative CRCR Test | Questions with 100% Correct Answers | Verified | Latest Update
Question : The disadvantages of outsourcing include all of the
following EXCEPT:
a) The impact of customer service or patient relations
b) The impact of loss of direct control of accounts receivable
services
c) Increased costs due to vendor ineffectiveness
d) Reduced internal staffing costs and a reliance on
outsourced staff
Correct answer: D
Question : The Medicare fee-for service appeal process for
both beneficiaries and providers
includes all of the following levels EXCEPT:
a) Medical necessity review by an independent physician's
panel
b) Judicial review by a federal district court
c) Redetermination by the company that handles claims for
Medicare
d) Review by the Medicare Appeals Council (Appeals
Council)
Correct answer: B
Question : Business ethics, or organizational ethics represent:
a) The principles and standards by which organizations
operate
b) Regulations that must be followed by law
c) Definitions of appropriate customer service
d) The code of acceptable conduct
Correct answer: A
Question : A portion of the accounts receivable inventory
which has NOT qualified for billing
includes:
a) Charitable pledges
b) Accounts created during pre-registration but not activated
c) Accounts coded but held within the suspense period
d) Accounts assigned to a pre-collection agency
Correct answer: A
Question : Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) are
Medicare established guideline(s) used to determine:
a) Medicare and Medicaid provider eligibility
b) Medicare outpatient reimbursement rates
c) Which diagnoses, signs, or symptoms are reimbursable
d) What Medicare reimburses and what should be referred to
Medicaid
Correct answer: C
Question : Days in A/R is calculated based on the value of:
a) The total accounts receivable on a specific date
b) Total anticipated revenue minus expenses
c) The time it takes to collect anticipated revenue
d) Total cash received to date
Correct answer: C
Question : Patients are contacting hospitals to proactively
inquire about costs and fees prior to agreeing to service. The problem for hospitals in providing
such information is:
a) That hospitals don't want to establish a price without
knowing if the patient has insurance and how much reimbursement can be expected
b) The fact that charge master lists the total charge, not net
charges that reflect charges after a payer's contractual adjustment
c) That hospitals don't want to be put in the position of
"guaranteeing" price without having room for additional charges that may arise in the course of treatment