Prepare for your exams
Get points
Guidelines and tips

Prepare for your exams

Study with the several resources on Docsity

Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips

Sell on Docsity

Log in Sign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents

20 Points

For each uploaded document

Answer questions

5 Points

For each given answer (max 1 per day)

All the ways to get free points

Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study

Go to the blog

CRCR Exam Questions and Answers: Healthcare Revenue Cycle Management, Exams of Financial Accounting

Harrisburg Area Community College (HACC) - Lancaster Financial Accounting

A comprehensive set of multiple-choice questions and answers covering key aspects of healthcare revenue cycle management. It delves into topics such as patient financial communications, price transparency, medical account resolution, compliance programs, and the role of key performance indicators (kpis) in revenue cycle management. Valuable for students and professionals seeking to understand the intricacies of healthcare revenue cycle operations.

Typology: Exams

2024/2025

Available from 11/08/2024

smartstudies 🇺🇸

239 documents

1 / 56

This page cannot be seen from the preview

Don't miss anything!

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)

Partial preview of the text

Download CRCR Exam Questions and Answers: Healthcare Revenue Cycle Management and more Exams Financial Accounting in PDF only on Docsity!

CRCR Exam Questions and Answers

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.
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.
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
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)

for measuring the control and collection of A/R. 2 / 15

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

Consents are signed as part of the post-services process.: True **False
Patient service costs are calculated in the pre-service process for schedule patients: **True False
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
Case management and discharge planning services are a post- service activty: True **False
Sending the bill electronically to the health plan is a time-of- service activ- ity: True **False

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

**Follow best practices for communication

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
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.
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

Identify which option is NOT a work plan task mentioned in this course.: A. Payments to Physicians for Co-Surgery Procedures

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

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
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.

delivery system.

C. To reform the healthcare system into a system that rewards greater value, improves the quality of care and increases efficiency in the delivery of services. D.To provide financial incentives to physicians for reporting quality data to CMS.

receivable (A/R) and provide a method of measuring the collection and control of A/R.

C. Days in A/R is calculated based on the value of the total accounts receivable on a specific date. D. A component that can divide the accounts receivable into 30, 60, 90, 120 days, and over 120 days categories, based on the date of service/discharge

While the highest level of differentiation among patients is scheduled pa- tient vs unscheduled patient, a variety of patient types are routinely identified in both the acute and non-acute settings. Which patient types are typically considered acute care patient types?: Observation, newborn, Emergency (ED)
Accurate identification of the patient is the first step in the scheduling process. Identifiers used in various combination to achieve accurate patient identification include?: Full legal name, date of birth, sex and social security number
Pre-registration is defined as:: The collection of demographic information, insurance data, financial information, providing reminders, prep information, and identifying the potential need for financial assistance for scheduled patients. 32. Medicare has unique features not found in other health plan programs. It is government sponsored and financed through taxes and general

CRCR Exam Questions and Answers: Healthcare Revenue Cycle Management, Exams of Financial Accounting

Related documents

Partial preview of the text

Download CRCR Exam Questions and Answers: Healthcare Revenue Cycle Management and more Exams Financial Accounting in PDF only on Docsity!

CRCR Exam Questions and Answers