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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Document preview page 1

2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 1

Document preview content for 2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions)

2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions)

2023 CRCR Health Care Assessment Certification Exam With Answers ensures complete syllabus coverage with a broad selection of past exams.

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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 1 preview image1/ 15CRCR Certification Exam2023Questions andAnswers(Verified Answers by Expert)1.Overallaggregatepaymentsmadetoahospicearesubjecttoacomputed"capamount" calculated by✔✔✔The Medicare Administrative Contractor(MAC) atthe end of the hospice cap period2.WhichofthefollowingisrequiredforparticipationinMedicaid✔✔✔MeetIn-come and Assets Requirements3.Inchoosingasettingforpatientfinancialdiscussions,organizationsshouldfirst andforemost✔✔✔Respectthe patients privacy4.Anightlyroomchargewillbeincorrectifthepatient's✔✔✔Tr✔✔✔ferfromICU(intensivecare unit) to the Medical/Surgicalflooris notreflected intheregistrationsystem5.The Affordable Care Act legislated the development of Health InsuranceExchanges,whereindividualsandsmallbusinessescan✔✔✔Purchase
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 2 preview image
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 3 preview image2/ 15qualifiedhealth benefit pl✔✔✔regardless of insured'shealth status6.AportionoftheaccountsreceivableinventorywhichhasNOTqualifiedforbillingincludes✔✔✔Charitable pledges7.WhatisrequiredfortheUB-04/837-I,usedbyRuralHealthClinicstogeneratepaymentfromMedicare?✔✔✔Revenuecodes8.Thisdirectivewasdevelopedtopromoteandensurehealthcarequalityand value and also to protect consumers and workers in the healthcaresystem.Thisdirective is called✔✔✔Patient bill of rights9.The activity which results in the accurate recording of patient bed andlevelofcareassessment,patienttr✔✔✔ferandpatientdischargestatusonareal-timebasis is known as✔✔✔Case management10.Which statementis an EMTALA (Emergency Medical Treatment and Ac-tiveLaborAct)violation?✔✔✔Registrationstaffmayroutinelycontactmanagedarepl✔✔✔forpriorauthorizationsbeforethepatientisseenbytheon-dutyphysician
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 4 preview image3/ 1511.HIPAAhadadoptedEmployerIdentificationNumbers(EIN)tobeusedinstandard tr✔✔✔actions to identify the employer of an individual describedina tr✔✔✔action EIN's areassignedby✔✔✔TheInternalRevenueService12.Checksreceivedthroughmail,cashreceivedthroughmail,andlockboxareall examples of✔✔✔Control points forcash posting13.Whataresomecoreelementsifaboard-approvedfinancialassistancepolicy?✔✔✔Eligibility,applicationprocess,andnonpaymentcollectionactivities
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 5 preview image4/ 1514.Arecurring/seriesregistrationischaracterizedby✔✔✔Thecreationofoneregistrationrecord for multipledays of service15.WiththeadventoftheAffordableCareActHealthInsuranceMarketplacesandtheexp✔✔✔ionofMedicaidinsomestates,itismoreimportantthaneverfor hospitals to✔✔✔Assist patients in understanding their insurancecoverage andtheirfinancial obligation16.Thepurposeofafinancialreportisto✔✔✔Presentfinancialinformationtodecisionmakers17.Patientfinancialcommunicationsbestpracticesproducecommunica-tionsthat are✔✔✔Consistent, clear and tr✔✔✔parent18.MedicarehasestablishedguidelinescalledtheLocalCoverageDetermi-nations(LCD)andNationalCoverageDeterminations(NCD)thatestablish✔✔✔-Whatservices or healthcare items are covered under Medicare19.Any provider that has filed a timely cost report may appeal an adversefinaldecisionreceivedfromtheMedicareAdministrativeContractor(MAC).Thisappealmaybefiledwith✔✔✔TheProviderReimbursementReview
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 6 preview image5/ 15Board20.Concurrentreview anddischarge planning✔✔✔Occursduring service21.Duplicatepaymentsoccur✔✔✔Whenprovidersre-billclaimsbasedonnonpay-ment from the initial bill submission22.An individualenrolled in Medicare who is dissatisfied with the govern-ment'sclaimdeterminationisentitledtoreconsiderationofthedecision.Thistype of appeal is known as✔✔✔A beneficiary appeal23.Insuranceverificationresultsinwhichofthefollowing✔✔✔Theaccurateidentification of the patient's eligibility and benefits24.TheMedicarefee-forserviceappealprocessforbothbeneficiariesandproviders includes all of the following levels EXCEPT✔✔✔Judicial reviewby afederal district court25.Under EMTALA(Emergency Medical Treatment and Labor Act) regula-tions,theprovidermaynotaskaboutapatient'sinsuranceinformationifitwoulddelay what?✔✔✔Medical screeningand stabilizingtreatment26.Ambulance services are billed directly to the health plan for✔✔✔Servicesprovidedbeforeapatientisadmittedandforambulanceridesarrangedtopickupthepatientfromthehospitalafterdischargetotakehim/herhomeortoanotherfacility
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 7 preview image6/ 1527.Key performance indicators (KPIs) set standards for accounts receiv-ables(A/R)and✔✔✔ProvideamethodofmeasuringthecollectionandcontrolofA/R28.hepatientdischargeprocessbeginswhen✔✔✔Thephysicianwritesthedis-charge orders29.Thenightlyroomchargewillbeincorrectifthepatient's✔✔✔Tr✔✔✔ferfromICUtothe Medical/Surgical floor is not reflected inthe registration system.30.The soft cost of a dissatisfied customer is✔✔✔The customer passingon infoabouttheirnegativeexperiencetopotentialptsorthroughsocialmediachannels31.Anadvantageofapre-registrationprogramis✔✔✔Theopportunitytoreducethecorporate compliance failureswithin the registration process32.Itisimportanttohavehighregistrationqualitystandardsbecause✔✔✔Inac-curateorincompletepatientdatawill delaypaymentorcausedenials33.Telemedseekstoimproveapatient'shealthby✔✔✔Permitting2-wayrealtimeinteractivecommunicationbetweenthepatientandtheclinicalprofessional34.Any healthcare insurance plan that provides or ensures comprehensivehealthmaintenanceandtreatmentservicesforanenrolledgroupofpersonsbasedon a monthly feeis known as a✔✔✔HMO35.Identifying the patient, in the MPI, creatingthe registration record, com-pleting medical necessity screening, determining insurance eligibility and
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 8 preview image7/ 15benefitsresolvingmanagedcare,requirementsandcompletingfinancialed-ucation/resolutionareall✔✔✔Thedatacollectionstepsforschedulingandpre-reg-istering a patient36.MedicarePartBhasanannualdeductible,andthebeneficiaryisrespon-siblefor✔✔✔Aco-insurancepaymentforallPartBcoveredservices37.Thestandardclaimformusedforbillingbyhospitals,nursingfacilities,and otherinpatient✔✔✔UB-0438.Chargesarethebasisfor✔✔✔Separationoffiscalresponsibilitiesbetweenthepatient and the health plan39.AllofthefollowingareformsofhospitalpaymentcontractingEXCEPT✔✔✔-ContractedRebating40.ThemostcommonresolutionmethodsforcreditbalancesincludeallofthefollowingEXCEPT✔✔✔Designatetheoverpaymentforcharitycare41.Ambulanceservicesarebilleddirectlytothehealthplanfor✔✔✔Theportionofthe bill outside of the patient's self-pay
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 9 preview image8/ 1542.Aclaimforreimbursementsubmittedtoathird-partypayerthathasalltheinformationanddocumentationrequiredforthepayertomakeadecisiononitis known as✔✔✔A clean claim43.Thehealthcareindustryisvulnerabletocomplianceissues,inlargepartduetothecomplexityofthestatutesandregulationspertainingto✔✔✔MedicareandMedicaid payments44.TheCorrectCodingInitiativeProgramconsistsof✔✔✔Editsthatareimple-mentedwithin providers' claim processing systems45.Toprovideapatientwithinformationthatismeaningfultothem,allofthefollowing factors must be included EXCEPT✔✔✔The actual physicianreimburse-ment46.Whichdepartmentsupports/collaborateswiththerevenuecycle?✔✔✔Infor-mationTechnology47.MedicarePartBhasanannualdeductibleandthebeneficiaryisrespon-siblefor✔✔✔aco-insurancepaymentforallPartBcoveredservices48.Thetwotypesofclaimsdenialappealsare✔✔✔Beneficiary andProvider49.WhichofthefollowingisaviolationoftheEMTALA(EmergencyMedicalTreatment and Labor Act?)✔✔✔Registration staff members routinely contactman-aged care pl✔✔✔for prior authorizations before the patient is seen by theon dutyphysician50.RuralHealthClinics(RHC)personnelcanprovideservicesinallofthefollowinglocations,EXCEPT✔✔✔Providing inpatient servicesin theRHC
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2023 CRCR Health Care Assessment Certification Exam With Answers (205 Solved Questions) - Page 10 preview image9/ 1551.Thepatientdischargeprocessbeginswhen✔✔✔Thephysicianwritesthedis-charge order52.Departmentsthatneedtobeincludedinchargemastermaintenanceincludeallof thefollowing EXCEPT✔✔✔QualityAssurance53.Thefirstthingahealthplandoeswhenprocessingaclaimis✔✔✔Checkifthepatientis a health plan beneficiaryand what is the coverage54.Vitaltoaccuratecalculations ofapatient's self-payamountis✔✔✔55.Themostaccuratewaytovalidatepatientinformationisto✔✔✔requireclinicalstaffto verify information at each treatment encounter56.InorderforRegulationZtoapply,ahospitalmust✔✔✔57.AllofthefollowingareminimumrequirementsfornewpatientswithnoMPInumber EXCEPT✔✔✔Address
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