CRCR Exam Practice Questions

CRCR Exam Practice Questions

Successful account resolution beings with:

• Educating patients on their estimated financial responsibility
• Collecting all deductibles and copayments during the pre-service stage
• Accurate documentation of services
• Patient compliance with the course of treatment

Correct Answer:

• Educating patients on their estimated financial responsibility

A successful pre-registration program:

• Helps the patient feel welcome
• Identifies clearly what information must be gathered including demographic

data, insurance data, and financial information

• Thoroughly discusses the patient's financial obligation
• Collects patient deductibles and co-pays

Correct Answer:

• Identifies clearly what information must be gathered including demographic

data, insurance data, and financial information

• / 4

Telemed seeks to improve a patient's health by:

• Permitting two-way, real time interactive communication between the

patient, and the clinical professional

• Using high-compression fiber optics to transmit medical data
• Providing relevant, on-demand consumer medical education
• Providing physician access to the most current medical research

Correct Answer:

• Permitting two-way, real time interactive communication between the

patient, and the clinical professional

Tests and services can only be provided:

• As inpatient services
• Once the patient agrees to meet their financial responsibilities
• With valid physician orders
• After any authorizations are obtained

Correct Answer:

• With valid physician orders

This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system.

Theis directive is called:

• Payer quality monitoring
• Patient bill of rights
• Medicare patient and staff safety standards
• Joint Commission for Accreditation of Healthcare Organization(JCAHO)

safety standards

Correct Answer:

• Patient bill of rights 2 / 4

The three types of utilization reviews used to ensure that resources and

services are provided in the most efficient and effective ways are:

• Prospective review, Retrospective review and payment review
• Retrospective review, Systemic review and testing review
• Concurrent review, Discharge review and Placement review
• Prospective review, Concurrent review and Retrospective review

Correct Answer:

• Prospective review, Concurrent review and Retrospective review

To be eligible for Medicaid, and individual must:

• Have no unpaid income taxes
• Meet income and asset requirements
• Be employed at least 15 hours a week
• Be actively seeking employment if unemployed

Correct Answer:

• Meet income and asset requirement

To provide a patient with information that is meaningful to them, all the

following factors must be included EXCEPT:

• The actual physician reimbursement
• The patient's benefit plan
• The type of hospital service based on CPT or MD-DRG code
• The patient's insurance carrier

Correct Answer:

• The actual physician reimbursement

• / 4

The Two Midnight Rule allows hospitals to account for total hospital time

including:

• Off site ancillary services
• Costs outside of what is regular and customary occurring within the first 48

hours of inpatient care

• Outpatient time directly preceding the inpatient admission
• Attending physician "on-call" time

Correct Answer:

• Outpatient time directly preceding the inpatient admission

Under EMTALA (Emergency Medial Treatment Labor Act) regulations, the provider may not ask about a patient's insurance information if it would delay what?

• Transfer to another facility
• Complete course of treatment
• Admission to observation status
• Medical screening and stabilizing treatment

Correct Answer:

• Medical screening and stabilizing treatment

The unscheduled "direct" admission represents a patient who:

a) Is admitted from a physician's office on an urgent basis

b) Arrives at the hospital via ambulance for treatment in the emergency room

c) Is an ambulatory patient who collapses in the hospital lobby

d) Arrives on the medical helicopter for trauma services

Correct Answer:

• Is admitted from the physician's office on an urgent basis
• / 4