CRCR Exam Multiple Choice – Complete Exam Study Guide 2026/2027 with Verified Answers | Newest Version. A+

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep,
Certified Revenue Cycle Representative - CRCR
(2026)

What are collection agency fees based on? ------- ✔ CORRECT ANSWER ✓✓A percentage of
dollars collected



Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? ------- ✔ CORRECT ANSWER ✓✓Birthday



In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? ------- ✔ CORRECT ANSWER ✓✓Case rates



What customer service improvements might improve the patient accounts department? -------
✔ CORRECT ANSWER ✓✓Holding staff accountable for customer service during performance
reviews



What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? ------- ✔
CORRECT ANSWER ✓✓Inform a Medicare beneficiary that Medicare may not pay for the order
or service



What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance? ------- ✔ CORRECT ANSWER ✓✓Bad debt adjustment



What is the initial hospice benefit? ------- ✔ CORRECT ANSWER ✓✓Two 90-day periods and an
unlimited number of subsequent periods

,When does a hospital add ambulance charges to the Medicare inpatient claim? ------- ✔
CORRECT ANSWER ✓✓If the patient requires ambulance transportation to a skilled nursing
facility



How should a provider resolve a late-charge credit posted after an account is billed? ------- ✔
CORRECT ANSWER ✓✓Post a late-charge adjustment to the account



an increase in the dollars aged greater than 90 days from date of service indicate what about
accounts ------- ✔ CORRECT ANSWER ✓✓They are not being processed in a timely manner



What is an advantage of a preregistration program? ------- ✔ CORRECT ANSWER ✓✓It reduces
processing times at the time of service



What are the two statutory exclusions from hospice coverage? ------- ✔ CORRECT ANSWER
✓✓Medically unnecessary services and custodial care



What core financial activities are resolved within patient access? ------- ✔ CORRECT ANSWER
✓✓Scheduling, insurance verification, discharge processing, and payment of point-of-service
receipts



What statement applies to the scheduled outpatient? ------- ✔ CORRECT ANSWER ✓✓The
services do not involve an overnight stay



How is a mis-posted contractual allowance resolved? ------- ✔ CORRECT ANSWER ✓✓Comparing
the contract reimbursement rates with the contract on the admittance advice to identify the
correct amount



What type of patient status is used to evaluate the patient's need for inpatient care? ------- ✔
CORRECT ANSWER ✓✓Observation

,Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the
beneficiary has received what? ------- ✔ CORRECT ANSWER ✓✓Medically necessary inpatient
hospital services for at least 3 consecutive days before the skilled nursing care admission



When is the word "SAME" entered on the CMS 1500 billing form in Field 0$? ------- ✔ CORRECT
ANSWER ✓✓When the patient is the insured



What are non-emergency patients who come for service without prior notification to the
provider called? ------- ✔ CORRECT ANSWER ✓✓Unscheduled patients



If the insurance verification response reports that a subscriber has a single policy, what is the
status of the subscriber's spouse? ------- ✔ CORRECT ANSWER ✓✓Neither enrolled not entitled
to benefits



Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act,
establishes what? ------- ✔ CORRECT ANSWER ✓✓Disclosure rules for consumer credit sales and
consumer loans



What is a principal diagnosis? ------- ✔ CORRECT ANSWER ✓✓Primary reason for the patient's
admission



Collecting patient liability dollars after service leads to what? ------- ✔ CORRECT ANSWER
✓✓Lower accounts receivable levels



What is the daily out-of-pocket amount for each lifetime reserve day used? ------- ✔ CORRECT
ANSWER ✓✓50% of the current deductible amount

, What service provided to a Medicare beneficiary in a rural health clinic (RHC) is not billable as
an RHC services? ------- ✔ CORRECT ANSWER ✓✓Inpatient care



What code indicates the disposition of the patient at the conclusion of service? ------- ✔
CORRECT ANSWER ✓✓Patient discharge status code



What are hospitals required to do for Medicare credit balance accounts? ------- ✔ CORRECT
ANSWER ✓✓They result in lost reimbursement and additional cost to collect



When an undue delay of payment results from a dispute between the patient and the third
party payer, who is responsible for payment? ------- ✔ CORRECT ANSWER ✓✓Patient



Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information
provided on the order must include: ------- ✔ CORRECT ANSWER ✓✓A valid CPT or HCPCS code



With advances in internet security and encryption, revenue-cycle processes are expanding to
allow patients to do what? ------- ✔ CORRECT ANSWER ✓✓Access their information and perform
functions on-line



What date is required on all CMS 1500 claim forms? ------- ✔ CORRECT ANSWER ✓✓onset date
of current illness



What does scheduling allow provider staff to do ------- ✔ CORRECT ANSWER ✓✓Review
appropriateness of the service request



What code is used to report the provider's most common semiprivate room rate? ------- ✔
CORRECT ANSWER ✓✓Condition code