CRCR CRCR - Certified Revenue Cycle Representative Program Revenue Cycle Management Fundamentals Questions and Answers 2

Question 1

Which federal program provides health coverage to individuals aged 65 and older or those with qualifying disabilities?

Accepted Answer

Medicare

Answer

Medicaid

Answer

CHIP

Answer

TRICARE

Question 2

What does the acronym EOB stand for in healthcare billing?

Accepted Answer

Explanation of Benefits

Answer

Evidence of Billing

Answer

Estimate of Balance

Answer

End of Billing

Question 3

A healthcare organization's net collection rate drops from 97% to 91%. What is the most likely root cause?

Accepted Answer

Rise in uncollected contractual adjustments or denial write-offs

Answer

Increase in patient volume

Answer

Higher gross charges

Answer

Expansion of service lines

Question 4

What is the function of a charge master (CDM) in the revenue cycle?

Accepted Answer

It is a comprehensive list of all billable services, supplies, and their standard charges

Answer

It tracks outstanding patient balances

Answer

It stores payer contract terms

Answer

It manages employee payroll for revenue cycle staff

Question 5

Which of the following is a front-end revenue cycle function?

Accepted Answer

Patient pre-registration

Answer

Payment posting

Answer

Denial management

Answer

Secondary billing

Question 6

What is the significance of a payer's timely filing deadline in revenue cycle management?

Accepted Answer

It defines the window within which a claim must be submitted to be considered for payment

Answer

It sets the maximum allowed charge for a service

Answer

It determines the patient's copay amount

Answer

It establishes when a secondary claim should be filed