CRCR Certification: Master the Certified Revenue Cycle Representative Exam with Expert Study Guides & Practice Tests

1. Overall aggregate payments made to a hospice are subject to a computed “cap
amount” calculated by:
A) The U.S. Department of Health and Human Services (HHS)
B) The Medicare Administrative Contractor (MAC)
C) The Centers for Medicare & Medicaid Services (CMS)
D) The National Hospice and Palliative Care Organization (NHPCO)
Correct Answer: B) The Medicare Administrative Contractor (MAC)
Rationale: The Medicare Administrative Contractor (MAC) calculates the hospice cap
amount at the end of the hospice cap period to ensure Medicare payments do not exceed
the limit set by CMS.
2. Which of the following is required for participation in Medicaid?
A) Having a medical emergency
B) Meeting income and asset requirements
C) Being a U.S. citizen
D) Being enrolled in a private insurance plan
Correct Answer: B) Meeting income and asset requirements
Rationale: Medicaid eligibility is primarily based on financial need, requiring applicants to
meet specific income and asset thresholds determined by federal and state guidelines.
3. When choosing a setting for patient financial discussions, organizations should
prioritize:
A) Efficiency of staff scheduling
B) Availability of security personnel
C) Respecting the patient’s privacy
D) Proximity to billing offices
Correct Answer: C) Respecting the patient’s privacy
Rationale: Discussions about a patient’s financial responsibilities involve sensitive
personal and medical information, making privacy a priority to comply with HIPAA
regulations.