WALDEN UNIVERSITY
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
HFMA CRCR DOCTORAL COMPREHENSIVE EXAM
(2026 Expanded 150-Question A+ Edition)
1. Through what document does a hospital formally
establish compliance standards? – Code of Conduct
2. The primary purpose of the OIG Work Plan is to: –
Identify risk areas and acceptable compliance
programs in provider settings
3. Under the Medicare three-day payment window rule,
non-diagnostic services provided within how many
days prior to admission must be bundled? – Three
calendar days
1|Page
,WALDEN UNIVERSITY
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
4. What is the primary function of CPT/HCPCS
modifiers? – Report specific circumstances affecting
a procedure without changing the code definition
5. When outpatient diagnostic services occur within
three days prior to inpatient admission in an IPPS
hospital, charges must be: – Bundled to the inpatient
claim
6. A recurring registration is best defined as: – One
registration record covering multiple dates of
service
7. Nonemergency patients presenting without prior
scheduling are classified as: – Unscheduled patients
2|Page
, WALDEN UNIVERSITY
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
8. Observation status is primarily used to: – Evaluate
the need for inpatient admission
9. Hospice programs must provide which services 24/7?
– Physician, nursing, and pharmacy services
10. A pre-registration program improves revenue
cycle performance by: – Reducing time-of-service
processing delays
11. Medical necessity documentation must support
compliance with: – LCD and NCD guidelines
12. The first and most critical step in patient
registration is: – Verifying patient identity
13. Stop-loss provisions protect patients from: –
Excessive financial liability beyond preset limits
3|Page
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
HFMA CRCR DOCTORAL COMPREHENSIVE EXAM
(2026 Expanded 150-Question A+ Edition)
1. Through what document does a hospital formally
establish compliance standards? – Code of Conduct
2. The primary purpose of the OIG Work Plan is to: –
Identify risk areas and acceptable compliance
programs in provider settings
3. Under the Medicare three-day payment window rule,
non-diagnostic services provided within how many
days prior to admission must be bundled? – Three
calendar days
1|Page
,WALDEN UNIVERSITY
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
4. What is the primary function of CPT/HCPCS
modifiers? – Report specific circumstances affecting
a procedure without changing the code definition
5. When outpatient diagnostic services occur within
three days prior to inpatient admission in an IPPS
hospital, charges must be: – Bundled to the inpatient
claim
6. A recurring registration is best defined as: – One
registration record covering multiple dates of
service
7. Nonemergency patients presenting without prior
scheduling are classified as: – Unscheduled patients
2|Page
, WALDEN UNIVERSITY
College of Health Sciences – Revenue Cycle Leadership & Healthcare Financial Strategy
Course Code: CRCR 7525 (Doctoral Level)
8. Observation status is primarily used to: – Evaluate
the need for inpatient admission
9. Hospice programs must provide which services 24/7?
– Physician, nursing, and pharmacy services
10. A pre-registration program improves revenue
cycle performance by: – Reducing time-of-service
processing delays
11. Medical necessity documentation must support
compliance with: – LCD and NCD guidelines
12. The first and most critical step in patient
registration is: – Verifying patient identity
13. Stop-loss provisions protect patients from: –
Excessive financial liability beyond preset limits
3|Page
