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

Medicare is the federal health insurance program primarily for individuals 65 and older and for certain younger individuals with disabilities or end-stage renal disease.

Question 2

What does the acronym EOB stand for in healthcare billing?

Accepted Answer

Explanation of Benefits

Answer

An Explanation of Benefits (EOB) is a statement sent to the patient or insured summarizing how a claim was processed by their insurance plan.

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

A declining net collection rate typically signals that a greater proportion of net-collectible revenue is being written off, often due to increased denials or collections failures.

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

The charge master (CDM) is the organization's master list of every service, procedure, and supply with associated charges and billing codes used to generate claims.

Question 5

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

Accepted Answer

Patient pre-registration

Answer

Patient pre-registration is a front-end function that occurs before or at the time of service, collecting demographic and insurance information to support accurate billing.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

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