CPB (Certified Professional Biller) Certification Practice Exam

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What does CRI mean in the context of healthcare billing and coding?

  1. Customized Sub-Capitation Plan

  2. CHAMPUS Reform Initative

  3. Coordination of Benefits

  4. Consolidated Omnibus Budget Reconciliation Act of 1985

The correct answer is: Customized Sub-Capitation Plan

In the context of healthcare billing and coding, CRI stands for "CHAMPUS Reform Initiative." This initiative refers to a program designed to improve the healthcare services provided to military personnel and their families under the CHAMPUS (Civilian Health and Medical Program of the Uniformed Services). Understanding the significance of CRI is essential for professionals in the billing and coding field as it relates to the management of healthcare benefits and the complexities surrounding military healthcare systems. This term helps navigate the specifics of coding for services provided to eligible beneficiaries and the associated reimbursement processes. The other options, while relevant to healthcare in different aspects, do not define CRI accurately. Customized Sub-Capitation Plan relates to specific payment models in managed care, Coordination of Benefits deals with how multiple insurance plans work together, and the Consolidated Omnibus Budget Reconciliation Act of 1985 is a significant law regarding health coverage but does not pertain specifically to the CHAMPUS or military health initiatives.