CRCR PRACTICE QUESTIONS CORRECT VERIFIED

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CRCR PRACTICE QUESTIONS & CORRECT VERIFIED

ANSWERS || GRADED A+ | LATEST UPDATE

• The 501(r) regulations require not-for-profit providers 501(c) (3) to do which

of the following activities?

• Complete a community needs assessment and develop a discount program

for patient balances after insurance payment.

• Pursue extraordinary collection activities with all patients eligible for finan-

cial assistance.

• Implement a financial assistance program for uninsured and underinsured

patients.

• Discount all charges to self-pay patients to an amount generally billed to

all other patients ANS >> A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment

2. The accurate capture of charges remains critically important because:

• Of the potential of fraud and abuse charges from erroneous billing.
• Charges remain one of the few consistent indicators available to monitor 1 / 4

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resource use.

• Charges are means of measuring physician productivity.
• Charges provide the data used in activity based costing ANS >> B. Charges

remain one of the few consistent indicators available to monitor resource use

3. The ACO investment model will test the use of pre-paid shared savings to:

• Invest in treatment protocols that reduce costs to Medicare
• Attract physicians to participate in the ACO payment system.
• Raise quality ratings in designated hospitals.
• Encourage new ACOs to form in rural and underserved areas ANS >> D.

Encourage new ACOs to form in rural and underserved areas

• Across all care settings, if a patient consents to a financial discussion

during a medical encounter to expedite discharge, the HFMA best practice is

to:

• Have a patient financial responsibilities kit ready for the patient, containing

all of the required registration forms and instructions.

• Make sure that the attending staff can answer questions and assist in

obtaining required patient financial data.

• Support that choice, providing that the discussion does not interfere with

patient care or disrupt patient flow.

• Decline such request as finance discussions can disrupt patient care and

patient flow ANS >> C. Support that choice, providing that the discussion does not interfere with patient care or disrupt patient flow

• Activities completed when the scheduled, pre-registered patient arrives for

service includes:

• Verifying insurance, activating the record and directing the patient to the 2 / 4

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service Barea.

• Scanning Bthe Bdriver's Blicense Bor Bother Bphot Bidentification Band Bdirecting

Bthe Bpatient Bto Bthe Bfinancial Bcounselor.

• Activating Bthe Brecord, Bobtaining Bsignatures Band Bfinalizing Bfinancial Bissues.
• Registering Bthe Bpatient Band Bdirecting Bthe Bpatient Bto Bthe Bservice Barea

BANS B>> B BC. BActivating Bthe Brecord, Bobtaining Bsignatures Band

• The Bactivity Bwhich Bresults Bin Bthe Baccurate Brecording Bof Bpatient Bbed Band

Blevel Bof Bcare Bassessment, Bpatient Btransfer Band Bpatient Bdischarge Bstatus Bon

Ba Breal-time Bbasis Bis Bknown Bas:

• Utilization Breview
• Case BManagement
• Census BManagement

D. Patient Bthrough-put: BA. BUtilization Breview

Bor

• BCase BManagement

7. An Badvantage Bof Ba Bpre-registration Bprogram Bis:

• The Bmarkets Bvalue Bof Bsuch Ba Bprogram
• The Bability Bto Beliminate Bno-show Bappointments.
• The Bopportunity Bto Breduce Bprocessing Btimes Bat Bthe Btime Bof Bservice.
• The Bopportunity Bto Breduce Bcorporate Bcompliance Bfailures Bwithin Bthe Bregistra-

Btion Bprocess BANS B>> B BC. BThe Bopportunity Bto Breduce Bprocessing Btimes Bat Bthe Btime Bof Bservice. 3 / 4

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• The BAffordable BCare BAct Blegislated Bthe Bdevelopment Bof BHealth BInsurance

BExchanges, Bwhere Bindividuals Band Bsmall Bbusinesses Bcan:

• Obtain Bprice Bestimates Bfor Bmedical Bservices
• Negotiate Bthe Bprice Bof Bmedical Bservices Bwith Bproviders
• Purchase Bqualified Bhealth Bbenefit Bplans Bregardless Bof Binsured's Bhealth

Bstatus

• Meet Bfederal Bmandates Bfor Binsurance Bcoverage Band Bobtain Bthe Bcorrespond-

Bing Btax Bdeduction: BC. BPurchase Bqualified Bhealth Bbenefit Bplans Bregardless Bof Bin- Bsured's Bhealth Bstatus.

• All Bof Bthe Bfollowing Bare Bconditions Bthat Bdisqualify Ba Bprocedure Bor

Bservice Bfrom Bbeing Bpaid Bfor Bby BMedicare BEXCEPT:

• Offered Bin Ban Boutpatient Bsetting
• Medically Bunnecessary
• Not Bdelivered Bin Ba BMedicare Blicensed Bcare Bsetting.
• Services Band Bprocedures Bthat Bare Bcustodial Bin Bnature: BC. BNot Bdelivered Bin Ba

BMedicare Blicensed Bcare Bsetting

• All Bof Bthe Bfollowing Bare Breference Bresources Bused Bto Bhelp Bguide Bin

Bthe Bapplication Bfor Bbusiness Bethics BEXCEPT:

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