CramX Logo
RegisterLog in
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Document preview page 1

2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 1

Document preview content for 2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions)

2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions)

Master important exam concepts with 2023 CRCR Health Care Assessment Certification Review Exam With Answers, featuring past test questions.

Madison Taylor
Contributor
5.0
0
12 months ago
Preview (12 of 37 Pages)
100%
Log in to unlock
Page 1 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 1 preview imageCRCR Certificationexam review 2023questions and answersOverall aggregate payments made to a hospice are subject to a computed "capamount" calculated by-correct answerThe Medicare Administrative Contractor(MAC) at the end of the hospice cap periodWhich of the following is required for participation in Medicaid-correct answerMeet Income and Assets RequirementsIn choosing a setting for patient financial discussions, organizations should firstand foremost-correct answerRespect the patients privacyA nightly room charge will be incorrect if the patient's-correct answerTransferfrom ICU (intensive care unit) to the Medical/Surgicalfloor is not reflected in the registration systemThe Affordable Care Act legislated the development of HealthInsuranceExchanges, where individuals and small businesses can-correct answerPurchasequalified health benefit plans regardless of insured'shealth status
Page 2 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 2 preview image
Page 3 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 3 preview imageA portion of the accounts receivable inventory which has NOT qualified for billingincludes:-correct answerCharitable pledgesWhat is required for the UB-04/837-I, used by Rural Health Clinics to generatepayment from Medicare?-correct answerRevenue codesThis directive was developed to promote and ensure healthcare quality and valueand also to protect consumers and workers in the healthcare system. Thisdirective is called-correct answerPatient bill of rightsThe activity which results in the accurate recording of patient bed and level ofcare assessment, patient transfer and patient discharge status on a real-time basisis known as-correct answerCase managementWhich statement is an EMTALA (Emergency Medical Treatment and Active LaborAct) violation?-correct answerRegistration staff may routinely contact managedare plans for prior authorizations before the patient is seen by the on-dutyphysician
Page 4 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 4 preview imageHIPAA had adopted Employer Identification Numbers (EIN) to be used in standardtransactions to identify the employer of an individual described in a transactionEIN's areassigned by-correct answerThe Internal Revenue ServiceChecks received through mail, cash received through mail, and lock box are allexamples of-correct answerControl points for cash postingWhat are some core elements if a board-approved financial assistance policy?-correct answerEligibility, application process, and nonpayment collectionactivitiesA recurring/series registration is characterized by-correct answerThe creation ofone registration record for multiple days of serviceWith the advent of the Affordable Care Act Health Insurance Marketplaces andthe expansion of Medicaid in some states, it is more important than ever forhospitals to-correct answerAssist patients in understanding their insurancecoverage and their financial obligation
Page 5 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 5 preview imageThe purpose of a financial report is to:-correct answerPresent financialinformation to decision makersPatient financial communications best practices produce communications that are-correct answerConsistent, clear and transparentMedicare has established guidelines called the Local Coverage Determinations(LCD) and National Coverage Determinations (NCD) that establish-correct answerWhat services or healthcare items are covered under MedicareAny provider that has filed a timely cost report may appeal an adverse finaldecision received from the Medicare Administrative Contractor (MAC). This appealmay be filed with-correct answerThe Provider Reimbursement Review BoardConcurrent review and discharge planning-correct answerOccurs during serviceDuplicate payments occur:-correct answerWhen providers re-bill claims basedon nonpayment from the initial bill submission
Page 6 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 6 preview imageAn individual enrolled in Medicare who is dissatisfied with the government's claimdetermination is entitled to reconsideration of the decision. This type of appeal isknown as-correct answerA beneficiary appealInsurance verification results in which of the following-correct answerTheaccurate identification of the patient's eligibility and benefitsThe Medicare fee-for service appeal process for both beneficiaries and providersincludes all of the following levels EXCEPT:-correct answerJudicial review by afederal district courtUnder EMTALA (Emergency Medical Treatment and Labor Act) regulations, theprovidermay not ask about a patient's insurance information if it would delaywhat?-correct answerMedical screening and stabilizing treatmentAmbulance services are billed directly to the health plan for-correct answerServices provided beforea patient is admitted and for ambulance rides arrangedto pick up the patient from the hospital after discharge to take him/her home orto another facility
Page 7 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 7 preview imageKey performance indicators (KPIs) set standards for accounts receivables (A/R) and-correct answerProvide a method of measuring the collection and control of A/Rhe patient discharge process begins when-correct answerThe physician writesthe discharge ordersThe nightly room charge will be incorrect if the patient's-correct answerTransferfrom ICU to the Medical/Surgical floor is not reflected in the registration system.The soft cost of a dissatisfied customer is-correct answerThe customer passingon info about their negative experience to potential pts or through social mediachannelsAn advantage of a pre-registration program is-correct answerThe opportunity toreduce the corporate compliance failures within the registration processIt is important to have high registration quality standards because-correctanswerInaccurate orincomplete patient data will delay payment or cause denials
Page 8 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 8 preview imageTelemed seeks to improve a patient's health by-correct answerPermitting 2-wayreal time interactive communication between the patient and the clinicalprofessionalAny healthcare insurance plan that provides or ensures comprehensive healthmaintenance and treatment services for an enrolled group of persons based on amonthly fee is known as a-correct answerHMOIdentifying the patient, in the MPI, creating the registration record, completingmedical necessity screening, determining insurance eligibility and benefitsresolving managed care, requirements and completing financialeducation/resolution are all-correct answerThe data collection steps forscheduling and pre-registering a patientMedicare Part B has an annual deductible, and the beneficiary is responsible for-correct answerA co-insurance payment for all Part B covered servicesThe standard claim form used for billing by hospitals, nursing facilities, and otherinpatient-correct answerUB-04
Page 9 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 9 preview imageCharges are the basis for-correct answerSeparation of fiscal responsibilitiesbetween the patient and the health planAll of the following are forms of hospital payment contracting EXCEPT-correctanswerContracted RebatingThe most common resolution methods for credit balances include all of thefollowing EXCEPT:-correct answerDesignate the overpayment for charity careAmbulance services are billed directly to the health plan for-correct answerTheportion of the bill outside of the patient's self-payA claim for reimbursement submitted to a third-party payer that has all theinformation and documentation required for the payer to make a decision on it isknown as-correct answerA clean claimThe healthcare industry is vulnerable to compliance issues, in large part due to thecomplexity of the statutes and regulations pertaining to-correct answerMedicare and Medicaid payments
Page 10 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 10 preview imageThe Correct Coding Initiative Program consists of-correct answerEdits that areimplemented within providers' claim processing systemsTo provide a patient with information that is meaningful to them, all of thefollowing factors must be included EXCEPT-correct answerThe actual physicianreimbursementWhich department supports/collaborates with the revenue cycle?-correctanswerInformation TechnologyMedicare Part B has an annual deductible and the beneficiary is responsible for-correct answera co-insurance payment for all Part B covered servicesThe two types of claims denial appeals are-correct answerBeneficiary andProviderWhich of the following is a violation of the EMTALA (Emergency MedicalTreatment and Labor Act?)-correct answerRegistration staff members routinelycontact managed care plans for prior authorizations before the patient is seen bythe on duty physician
Page 11 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 11 preview imageRural Health Clinics (RHC) personnel can provide services in all of the followinglocations, EXCEPT-correct answerProviding inpatient services in the RHCThe patientdischarge process begins when-correct answerThe physician writesthe discharge orderDepartments that need to be included in charge master maintenance include allof the following EXCEPT-correct answerQuality AssuranceThe first thing a health plandoes when processing a claim is-correct answerCheck if the patient is a health plan beneficiary and what is the coverageVital to accurate calculations of a patient's self-pay amount is-correct answerThe most accurate way to validate patient information is to-correct answerrequire clinical staff to verify information at each treatment encounterIn order for Regulation Z to apply, a hospital must-correct answer
Page 12 of 12
2023 CRCR Health Care Assessment Certification Review Exam With Answers (207 Solved Questions) - Page 12 preview imageAll of the following are minimum requirements for new patients with no MPInumber EXCEPT-correct answerAddressA typical routine patient financial discussion would include-correct answerExplaining the benefits identified through verifying the patients insuranceComponents of financial education include informing the patient of the hospital'sfinancial policies, assessing the patient's ability to pay and-correct answerReviewing payment alternatives with the patient so appropriate resolution of thehealth care financial obligation is achievedHFMA best practices indicate that the technology evaluation is conducted to-correct answerContinually align technology with processes rather thantechnology dictating processesScheduler instructions are used to prompt the scheduler to-correct answerComplete the scheduling process correctly based on service requested
Preview Mode

This document has 37 pages. Sign in to access the full document!

Study Now!

X-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Healthcare

Related Documents

View all
Solved Assignments

Reflective and Applied Statement

Past Exams

PHR Exploration Worksheet

Solved Assignments

Discussion 5 Life and Death

Solved Assignments

UHDDS in Healthcare Information Management Week 8

Solved Assignments

Healthcare Access and Outcomes U

Solved Assignments

The Impact of Social Determinants of Health Discus

Class Notes

Wk 3 Discussion Different Types of Insurance

Solved Assignments

Policy Proposal Verde Valley Medical Center

Class Notes

Essential Guide to Hemodynamic Monitoring in Criti

Solved Assignments

Usability and Information design for Electronic he