LATEST 2026 ENHANCED CRC CERTIFICATION
EXAM MULTIPLE CHOICE QUESTIONS
1. What are collection agency fees based on?
A. Flat administrative fee
B. Hourly rate agreement
C. A percentage of dollars collected
D. Fixed annual contract rate
2. Self-funded benefit plans may coordinate benefits
using the gender rule or which other rule?
A. Employment rule
B. Dependent rule
C. Birthday rule
D. Seniority rule
,3. In what type of payment methodology is a lump sum
or bundled payment negotiated between the payer and
providers?
A. Per diem
B. Fee-for-service
C. Capitation
D. Case rates
4. What customer service improvement may enhance
the patient accounts department?
A. Increasing late fees
B. Reducing call center hours
C. Holding staff accountable for customer service
during performance reviews
D. Eliminating follow-up calls
,5. What is an ABN (Advance Beneficiary Notice of
Non-coverage) required to do?
A. Guarantee Medicare payment
B. Bill secondary insurance automatically
C. Authorize hospital admission
D. Inform a Medicare beneficiary that Medicare may
not pay for the order or service
6. What type of account adjustment results from a
patient's unwillingness to pay a self-pay balance?
A. Charity adjustment
B. Administrative adjustment
C. Contractual adjustment
D. Bad debt adjustment
, 7. What is the initial hospice benefit?
A. One 180-day period
B. One 90-day period
C. Two 90-day periods and an unlimited number of
subsequent periods
D. Three 60-day periods
8. When does a hospital add ambulance charges to a
Medicare inpatient claim?
A. For all emergency transports
B. When requested by the physician
C. If the patient requires ambulance transportation to a
skilled nursing facility
D. For outpatient procedures
EXAM MULTIPLE CHOICE QUESTIONS
1. What are collection agency fees based on?
A. Flat administrative fee
B. Hourly rate agreement
C. A percentage of dollars collected
D. Fixed annual contract rate
2. Self-funded benefit plans may coordinate benefits
using the gender rule or which other rule?
A. Employment rule
B. Dependent rule
C. Birthday rule
D. Seniority rule
,3. In what type of payment methodology is a lump sum
or bundled payment negotiated between the payer and
providers?
A. Per diem
B. Fee-for-service
C. Capitation
D. Case rates
4. What customer service improvement may enhance
the patient accounts department?
A. Increasing late fees
B. Reducing call center hours
C. Holding staff accountable for customer service
during performance reviews
D. Eliminating follow-up calls
,5. What is an ABN (Advance Beneficiary Notice of
Non-coverage) required to do?
A. Guarantee Medicare payment
B. Bill secondary insurance automatically
C. Authorize hospital admission
D. Inform a Medicare beneficiary that Medicare may
not pay for the order or service
6. What type of account adjustment results from a
patient's unwillingness to pay a self-pay balance?
A. Charity adjustment
B. Administrative adjustment
C. Contractual adjustment
D. Bad debt adjustment
, 7. What is the initial hospice benefit?
A. One 180-day period
B. One 90-day period
C. Two 90-day periods and an unlimited number of
subsequent periods
D. Three 60-day periods
8. When does a hospital add ambulance charges to a
Medicare inpatient claim?
A. For all emergency transports
B. When requested by the physician
C. If the patient requires ambulance transportation to a
skilled nursing facility
D. For outpatient procedures
