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CRCR Exam Questions and Answers
1. Which of the following statements are true of HFMA's Financial Commu-
nications Best Practices: Ans- The best practices were developed specifically
to help patients understand the cost of services, their individual insurance
benefits, and their responsibility for balances after insurance, if any.
2. The patient experience includes all of the following except:: Ans- The
average number of positive mentions received by the health system or practice
and the public comments refuting unfriendly posts on social media sites.
3. Corporate compliance programs play an important role in protecting
the integrity of operations and ensuring compliance with federal and state
re- quirements. The code of conduct is:: Ans- All of the above
4. Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment?: Ans- Public health service
programs, Federal grant programs, veteran affairs programs, black lung program
services and work-re- lated injuries and accidents (worker' compensation claims)

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5. Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include:: Ans- All of the
above
6. Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration
among providers.
What is the intended outcome of collaborations made through an ACO deliv-
ery system for a population of patients?: To eliminate duplicate services,
prevent medical errors and ensure appropriateness of care.
7. Historically, revenue cycle has delt with contractual adjustments, bad
debt and charity deductions from gross revenue. Although deductions
continue to exist, the definition of net revenue has been modified through
the implemen- tation of ASC 606. Developed by the Financial Accounting
Standards Board (FASB), this change became effective in 2018.
What is the new terminology now employed in the calculation of net patient
services revenues?: Explicit prices concessions and implicit price concessions
8. Key performance indicators set standards for A/R and provide a method
for measuring the control and collection of A/R.

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9. Consents are signed as part of the post-services process.: True
**False
10. Patient service costs are calculated in the pre-service process for
schedule patients: **True
False
11. The patient is scheduled and registered for service is a time-of-
service activity: True
**False
12. The patient account is monitored for payment is a time-of-service activity-
: True
**False
13. Case management and discharge planning services are a post-service
activty: True
**False
14. Sending the bill electronically to the health plan is a time-of-service
activ- ity: True
**False

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15. What happens during the post-service stage?: **A. Final coding of all ser-
vices, preparation and submission of claims, payment processing and balance
billing and resolution.
B. Orders are entered, results are reported, charges are generated, and diagnostic
and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor information
is obtained and/or updated as required.
D.The focus is on the patient and his/her financial care, in addition to the clinical
care provided for the patient.
16. The following statements describe best practices established by the
Med- ical Debt Task Force. Check the box next to the True statements:
**Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers about
scheduled services
**Be consistent in key aspects of account resolution

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**Follow best practices for communication
17. Which option is NOT a main HFMA Healthcare Dollars & Sense
revenue cycle initiative?: A. Patient Financial Communications
B. Price Transparency
C. Medical Account Resolution
**D. Process Compliance
18. What is the objective of the HCAHPS initiative?: **A. To provide a
standard- ized method for evaluating patients' perspective on hospital care.
B. To provide clear communication and good customer service, which will give
the provider a competitive edge.
C. To conduct evaluations concerning patients' perspective on hospital care.
D. To make certain that during registration key information is verified by means of
a picture ID and an insurance card.
19. Which option is NOT a department that supports and collaborates with
the revenue cycle?: A. Information Technology
B. Clinical Services
C. Finance
**D. Assisted Living Services

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20. Which option is NOT a continuum of care provider?: A. Physician
**B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
21. Which of the following are essential elements of an effective compliance
program?: **Reasonable methods to achieve compliance with standards,
including monitoring systems and hotlines
**Established compliance standards and procedures
Automatic dismissal of any employee excluded from participation in a federal
health- care program
**Designation of a compliance officer employed within the Billing Department
**Oversight of personnel by high-level personnel.
22. Annually, the OIG publishes a work plan of compliance issues and
objec- tives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.: A.
Payments to Physicians for Co-Surgery Procedures

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B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and Post-Acute-
Care Transfer Policies
**D. Standard Unique Employer Identifier
23. In order to promote the use of correct coding methods on a national
basis and prevent payment errors due to improper coding, CMS
developed what?: **A. The Correct Coding Initiative (CCI)
B. The Advance Beneficiary Notice of Noncoverage (ABN)
C. The Medicare Secondary Payer (MSP)
D. Modifiers
24. Indicate if the activity is described by the appropriate description of the
violation involved:: True - A staff member receives cash in the mail and does not
immediately report the case to the manager for special handling. This is an
example of financial misconduct
False - A mother sees a charge on her hospital bill for a circumcision for a
newborn girl. This is an example of falsifying medical records to boost
reimbursement.

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True - A patient access staff member takes several file folders and highlighters
home for personal use. This is an example of theft of property.
False - A physician documents a fictitious epidural in a patient's medical record in
an effort to receive additional payment. This is an example of miscoding claims
True - Several unauthorized claims are sent to a health plan with the wrong
proce- dure code. This is an example of overcharging.
25. What do business/organizational ethics represent?: **A. Principles
and standards by which organizations operate
B. A healthcare provider's practices and principles
C. An employee's actions influenced by experiences and value system
D. The patient privacy standard within healthcare
26. What is the intended outcome of collaborations made through an ACO
delivery system?: **A. To ensure appropriateness of care, elimination of
duplicate services, and prevention of medical errors for a population of patients.
B. To create cost-containment provisions to reform the healthcare delivery system.

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CRCR Practice Exam with Answers (100 Solved Questions)

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