CRCR Practice Exam with Answers (100 Solved Questions)

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1/ 15CRCR Exam Questions and Answers1.Which of the following statements are true of HFMA's Financial Commu-nications Best Practices: Ans-The best practices were developed specificallyto help patients understand the cost of services, their individual insurancebenefits, and their responsibility for balances after insurance, if any.2.The patient experience includes all of the following except:: Ans-Theaverage number of positive mentions received by the health system or practiceand the public comments refuting unfriendly posts on social media sites.3.Corporate compliance programs play an important role in protectingthe integrity of operations and ensuring compliance with federal and statere- quirements. The code of conduct is::Ans- All of the above4.Specific to Medicare fee-for-service patients, which of the followingpayers have always been liable for payment?: Ans-Public health serviceprograms, Federal grant programs, veteran affairs programs, black lung programservices and work-re- lated injuries and accidents (worker' compensation claims)

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2/ 155.Provider policies and procedures should be in place to reduce the riskof ethics violations. Examples of ethics violations include::Ans-All of theabove6. Providers are now being reimbursed with a focus on the value of theservices provided, rather than volume, which requires collaborationamong 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, baddebt and charity deductions from gross revenue. Although deductionscontinue to exist, the definition of net revenue has been modified throughthe implemen- tation of ASC 606. Developed by the Financial AccountingStandards Board (FASB), this change became effective in 2018.What is the new terminology now employed in the calculation of net patientservices revenues?:Explicit prices concessions and implicit price concessions8.Key performance indicators set standards for A/R and provide a methodfor measuring the control and collection of A/R.

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3/ 15What are the two KPIs used to monitor performance related to theproduction and submission of claims to third party payers and patients(self-pay)?: -Elapsed days from discharge to final bill and elapsed days from finalbill to claim/bill submission.

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9.Consents are signed as part of the post-services process.:True**False10.Patient service costs are calculated in the pre-service process forschedule patients:**TrueFalse11.The patient is scheduled and registered for service is a time-of-service activity:True**False12.The patient account is monitored for payment is a time-of-service activity-:True**False13.Case management and discharge planning services are a post-serviceactivty:True**False14.Sending the bill electronically to the health plan is a time-of-serviceactiv- 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 balancebilling and resolution.B. Orders are entered, results are reported, charges are generated, and diagnosticand procedural coding is initiated.C. The encounter record is generated, and the patient and guarantor informationis obtained and/or updated as required.D.The focus is on the patient and his/her financial care, in addition to the clinicalcare provided for the patient.16.The following statements describe best practices established by theMed- ical Debt Task Force. Check the box next to the True statements:**Educate Patients**Coordinate to avoid duplicate patient contactsExercise moderate judgement when communicating with providers aboutscheduled services**Be consistent in key aspects of account resolution

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Report to healthcare plans when the patient's account is transferred to collectionagency

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**Follow best practices for communication17.Which option is NOT a main HFMA Healthcare Dollars & Senserevenue cycle initiative?:A. Patient Financial CommunicationsB. Price TransparencyC. Medical Account Resolution**D. Process Compliance18.What is the objective of the HCAHPS initiative?:**A. To provide astandard- ized method for evaluating patients' perspective on hospital care.B. To provide clear communication and good customer service, which will givethe 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 ofa picture ID and an insurance card.19.Which option is NOT a department that supports and collaborates withthe revenue cycle?:A. Information TechnologyB. Clinical ServicesC. Finance**D. Assisted Living Services

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20.Which option is NOT a continuum of care provider?:A. Physician**B. Health Plan ContractingC. HospiceD. Skilled Nursing Facility21.Which of the following are essential elements of an effective complianceprogram?:**Reasonable methods to achieve compliance with standards,including monitoring systems and hotlines**Established compliance standards and proceduresAutomatic dismissal of any employee excluded from participation in a federalhealth- 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 andobjec- tives that will be focused on throughout the following year. Identifywhich 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 DC. Medicare Hospital Payments for Claims Involving the Acute- and Post-Acute-Care Transfer Policies**D. Standard Unique Employer Identifier23.In order to promote the use of correct coding methods on a nationalbasis and prevent payment errors due to improper coding, CMSdeveloped what?:**A. The Correct Coding Initiative (CCI)B. The Advance Beneficiary Notice of Noncoverage (ABN)C. The Medicare Secondary Payer (MSP)D. Modifiers24.Indicate if the activity is described by the appropriate description of theviolation involved::True - A staff member receives cash in the mail and does notimmediately report the case to the manager for special handling. This is anexample of financial misconductFalse - A mother sees a charge on her hospital bill for a circumcision for anewborn girl. This is an example of falsifying medical records to boostreimbursement.

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True - A patient access staff member takes several file folders and highlightershome for personal use. This is an example of theft of property.False - A physician documents a fictitious epidural in a patient's medical record inan effort to receive additional payment. This is an example of miscoding claimsTrue - Several unauthorized claims are sent to a health plan with the wrongproce- dure code. This is an example of overcharging.25.What do business/organizational ethics represent?:**A. Principlesand standards by which organizations operateB. A healthcare provider's practices and principlesC. An employee's actions influenced by experiences and value systemD. The patient privacy standard within healthcare26.What is the intended outcome of collaborations made through an ACOdelivery system?:**A. To ensure appropriateness of care, elimination ofduplicate 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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C. To reform the healthcare system into a system that rewards greater value,improves the quality of care and increases efficiency in the delivery ofservices.D. To provide financial incentives to physicians for reporting quality data to CMS.

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