1/27/26, 6:23 PM HFMA CRCR Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS @ 202…
HFMA CRCR Exam comprehensive questions |
FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS @ 2026
Save
Terms in this set (172)
Through what document does a code of conduct
hospital establish compliance
standards?
What is the purpose OIG work plant? Identify Acceptable compliance programs in
various provider setting
If a Medicare patient is admitted on Non-diagnostic service provided on Tuesday
Friday, what services fall within the through Friday
three-day DRG window rule?
What does a modifier allow a Report a specific circumstance that affected a
provider to do? procedure or service without changing the code or
its definition
IF outpatient diagnostic services are They must be billed separately to the part B Carrier
provided within three days of the
admission of a Medicare beneficiary
to an IPPS (Inpatient Prospective
Payment System) hospital, what must
happen to these charges
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 1/24
,1/27/26, 6:23 PM HFMA CRCR Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS @ 202…
what is a recurring or series One registration record is created for multiple days
registration? of service
What are nonemergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statement It is used to evaluate the need for an inpatient
apply to the observation patient admission
type?
which services are hospice programs Physician, Nursing, Pharmacy
required to provide around the clock
patient
Scheduler instructions are used to Complete the scheduling process correctly based
prompt the scheduler to do what? on service requeste
The Time needed to prepare the Procedure time
patient before service is the
difference between the patients
arrival time and which of the
following?
Medicare guidelines require that Documentation of the medical necessity for the
when a test is ordered for a LCD or test
NCD exists, the information provided
on the order must include:
What is the advantage of a pre- It reduces processing times at the time of service
registration program
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 2/24
, 1/27/26, 6:23 PM HFMA CRCR Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS @ 202…
What date are required to establish a The responsible party's full legal name, date of
new MPI(Master patient Index) entry birth, and social security number
Which of the following statements is The payments are received by the provider from
true about third-party payments? the payer responsible for reimbursing the provider
for the patient's covered services.
Which provision protects the patient stop loss
from medical expenses that exceed
the pre-set level
what documentation must a primary Referral
care physician send to HMO patient
to authorize a visit to a specialist for
additional testing or care?
Under EMTALA (Emergency Medical Medical screening and stabilizing treatment
Treatment and Labor Act)
regulations, the provider may not ask
about a patient's insurance
information if it would delay what?
Which of the following is a step in Have a case management service complete the
the discharge process? discharge plan
The hospital has a APC based To the approved APC payment rate
contract for the payment of
outpatient services. Total anticipated
charges for the visit are $2,380. The
approved APC payment rate is $780.
Where will the patients benefit
package be applied?
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 3/24
HFMA CRCR Exam comprehensive questions |
FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS @ 2026
Save
Terms in this set (172)
Through what document does a code of conduct
hospital establish compliance
standards?
What is the purpose OIG work plant? Identify Acceptable compliance programs in
various provider setting
If a Medicare patient is admitted on Non-diagnostic service provided on Tuesday
Friday, what services fall within the through Friday
three-day DRG window rule?
What does a modifier allow a Report a specific circumstance that affected a
provider to do? procedure or service without changing the code or
its definition
IF outpatient diagnostic services are They must be billed separately to the part B Carrier
provided within three days of the
admission of a Medicare beneficiary
to an IPPS (Inpatient Prospective
Payment System) hospital, what must
happen to these charges
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 1/24
,1/27/26, 6:23 PM HFMA CRCR Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS @ 202…
what is a recurring or series One registration record is created for multiple days
registration? of service
What are nonemergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statement It is used to evaluate the need for an inpatient
apply to the observation patient admission
type?
which services are hospice programs Physician, Nursing, Pharmacy
required to provide around the clock
patient
Scheduler instructions are used to Complete the scheduling process correctly based
prompt the scheduler to do what? on service requeste
The Time needed to prepare the Procedure time
patient before service is the
difference between the patients
arrival time and which of the
following?
Medicare guidelines require that Documentation of the medical necessity for the
when a test is ordered for a LCD or test
NCD exists, the information provided
on the order must include:
What is the advantage of a pre- It reduces processing times at the time of service
registration program
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 2/24
, 1/27/26, 6:23 PM HFMA CRCR Exam comprehensive questions | FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS @ 202…
What date are required to establish a The responsible party's full legal name, date of
new MPI(Master patient Index) entry birth, and social security number
Which of the following statements is The payments are received by the provider from
true about third-party payments? the payer responsible for reimbursing the provider
for the patient's covered services.
Which provision protects the patient stop loss
from medical expenses that exceed
the pre-set level
what documentation must a primary Referral
care physician send to HMO patient
to authorize a visit to a specialist for
additional testing or care?
Under EMTALA (Emergency Medical Medical screening and stabilizing treatment
Treatment and Labor Act)
regulations, the provider may not ask
about a patient's insurance
information if it would delay what?
Which of the following is a step in Have a case management service complete the
the discharge process? discharge plan
The hospital has a APC based To the approved APC payment rate
contract for the payment of
outpatient services. Total anticipated
charges for the visit are $2,380. The
approved APC payment rate is $780.
Where will the patients benefit
package be applied?
https://quizlet.com/1135960375/hfma-crcr-exam-comprehensive-questions-frequently-most-tested-questions-and-verified-solutions-2026-flash-cards/… 3/24
