HFMA CRCR Test Questions and 100% Correct Answers/ HFMA CRCR Test Question Updated
Question 1: What are collection agency fees based on?
CORRECT ANSWER: A percentage of dollars collected
Question 2: Self-funded benefit plans may choose to
coordinate benefits using the gender rule or what other rule?
CORRECT ANSWER: Birthday
Question 3: In what type of payment methodology is a lump
sum or bundled payment negotiated between the payer and some or all providers?
CORRECT ANSWER: Case rates
Question 4: What customer service improvements might
improve the patient accounts department?
CORRECT ANSWER: Holding staff accountable for
customer service during performance reviews
Question 5: What is an ABN (Advance Beneficiary Notice of
Non-coverage) required to do?
CORRECT ANSWER: Inform a Medicare beneficiary that
Medicare may not pay for the order or service
Question 6: What type of account adjustment results from the
patient's unwillingness to pay for a self-pay balance?
CORRECT ANSWER: Bad debt adjustment
Question 7: What is the initial hospice benefit?
CORRECT ANSWER: Two 90-day periods and an unlimited
number of subsequent periods
Question 8: When does a hospital add ambulance charges to
the Medicare inpatient claim?
CORRECT ANSWER: If the patient requires ambulance
transportation to a skilled nursing facility
Question 9: How should a provider resolve a late-charge
credit posted after an account is billed?
CORRECT ANSWER: Post a late-charge adjustment to the
account
Question 10: an increase in the dollars aged greater than 90
days from date of service indicate what about accounts
CORRECT ANSWER: They are not being processed in a
timely manner
Question 11: What is an advantage of a preregistration
program?
CORRECT ANSWER: It reduces processing times at the time
of service
Question 12: What are the two statutory exclusions from
hospice coverage?
CORRECT ANSWER: Medically unnecessary services and
custodial care
Question 13: What core financial activities are resolved
within patient access?
CORRECT ANSWER: Scheduling, insurance verification,
discharge processing, and payment of point-of-service receipts
Question 14: What statement applies to the scheduled
outpatient?
CORRECT ANSWER: The services do not involve an
overnight stay
Question 15: How is a mis-posted contractual allowance
resolved?
CORRECT ANSWER: Comparing the contract
reimbursement rates with the contract on the admittance advice to identify the correct amount
Question 16: What type of patient status is used to evaluate
the patient's need for inpatient care?