Certified Revenue Cycle Representative (CRCR) Practice Exam 2025 - Free CRCR Practice Questions and Study Guide

Question: 1 / 670

Which factor is NOT typically accounted for in the determination of total charges?

Diagnosis codes

Patient satisfaction scores

In the context of determining total charges for medical services, patient satisfaction scores are not typically part of the calculation. Total charges are generally based on quantifiable clinical elements such as diagnosis codes, which define the patient's condition; the specific services or tests rendered, which indicate what was performed; and adjudication calculations, which involve the insurance benefits applicable to each patient's situation.

Diagnosis codes are essential as they link to the services billed and help justify the medical necessity. The service or test involved provides a clear itemization of what services were provided, which is fundamental in billing practices. Adjudication calculations ensure that charges are aligned with the patient's insurance coverage and contractual agreements with providers.

In contrast, patient satisfaction scores, while important for assessing quality of care and overall patient experience, do not have a direct financial correlation to the calculation of total charges for services rendered. They are more related to performance metrics rather than the accounting of specific healthcare services and their associated costs.

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Service or test involved

Adjudication calculations based on the patient's benefit package

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