Content Preview

CRCR EXAM 2025 QUESTIONS AND ANSWERS What do Case Managers do? - ....ANSWER ...-Monitor high resource cases to ensure effective utilization What is HIM responsible for? - ....ANSWER ...-all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - ....ANSWER ...-manage cases: services correct, on time What are the three types of utilization review? - ....ANSWER ...-Prospective, Concurrent, Retrospective Where can home health services be offered? - ....ANSWER ...-Home, Assist Living, neighbors: just not SNF nor Hospital To receive -Care payments, what must a SNF have when receiving a pt from a hosp? ....ANSWER ...-A transfer agreement approved by -Care. Can a home health agency employ another agency to provide services? ....ANSWER ...-Yes, so long as at least one employee of the original agency provides care. ...©️ 2025, ALL RIGHTS RESERVED 1