CRCR Certification Exam Review 2026/2027 Questions and Answers (37pages)

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - correct answer The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - correct answer Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - correct answer Respect the patients privacy A nightly room charge will be incorrect if the patient's - correct answer Transfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can - correct answer Purchase qualified health benefit plans regardless of insured's health status CRCR Certification exam review 2026 questions and answers A portion of the accounts receivable inventory which has NOT qualified for billing includes: - correct answer Charitable pledges What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? - correct answer Revenue codes This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system. This directive is called - correct answer Patient bill of rights The activity which results in the accurate recording of patient bed and level of care assessment, patient transfer and patient discharge status on a real-time basis is known as - correct answer Case management Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation? - correct answer Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the on-duty physician