Certified Revenue Cycle Representative Certification Exam
Questions and Verified Answers
100% Guarantee Pass
1. HFMA patient financial communications best practices call for annual train-
ing for all staff EXCEPT: A. Patient access
B. Customer service representatives
Ans>>C. Nursing
D. Staff who engage in patient financial communications discussions
2. What is required for the UB-04/837-I, used by Rural Health Clinics to gener-
ate payment from Medicare?: Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
Ans>>D. Revenue codes
3. The most common resolution methods for credit balances include all of the
following EXCEPT: A. Designate the overpayment for charity care
B. Determine the correct primary payer and notify incorrect payer of overpayment
,C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the payer.
4. Net Accounts Receivable is: A. The total bad debt
B. Total debt owed by an entity
Ans>>C. The amount an entity is reasonably confident of collecting from overall
accounts receivable
E. The total claims amount billed to health plans
5. For routine scenarios, such as patients with insurance coverage or a known
ability to pay, financial discussions: A. May take place between the patient and
discharge planning
Ans>>B. Should take place between the patient or guarantor and properly trained
provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
6. Scheduled procedures routinely include: A. Physician's office contact informa-
tion
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
Ans>>D. Patient preparation instructions
, 7. ICD-10-CM and ICD-10-PCS code sets are modifications of: A. DRGs
B. CPT codes
C. ICD 9 codes
Ans>>D. The international ICD-10 codes as developed by the WHO (World Health
Organization)
8. The Medicare Bundled Payments for Care Initiative (BCPI) is designed to: A.
Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down through a
lump-sum payment to providers
Ans>>C. Align incentives between hospitals, physicians, and non-physician
providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in one payment
9. Which of the following is required for participation in Medicaid: A. Be free of
chronic conditions
B. Meet a minimum yearly premium
C. Obtain a supplemental health insurance policy
Ans>>D. Meet income and assets requirements
10. A four digit number code established by the National Uniform Billing
Questions and Verified Answers
100% Guarantee Pass
1. HFMA patient financial communications best practices call for annual train-
ing for all staff EXCEPT: A. Patient access
B. Customer service representatives
Ans>>C. Nursing
D. Staff who engage in patient financial communications discussions
2. What is required for the UB-04/837-I, used by Rural Health Clinics to gener-
ate payment from Medicare?: Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
Ans>>D. Revenue codes
3. The most common resolution methods for credit balances include all of the
following EXCEPT: A. Designate the overpayment for charity care
B. Determine the correct primary payer and notify incorrect payer of overpayment
,C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the payer.
4. Net Accounts Receivable is: A. The total bad debt
B. Total debt owed by an entity
Ans>>C. The amount an entity is reasonably confident of collecting from overall
accounts receivable
E. The total claims amount billed to health plans
5. For routine scenarios, such as patients with insurance coverage or a known
ability to pay, financial discussions: A. May take place between the patient and
discharge planning
Ans>>B. Should take place between the patient or guarantor and properly trained
provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
6. Scheduled procedures routinely include: A. Physician's office contact informa-
tion
B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
Ans>>D. Patient preparation instructions
, 7. ICD-10-CM and ICD-10-PCS code sets are modifications of: A. DRGs
B. CPT codes
C. ICD 9 codes
Ans>>D. The international ICD-10 codes as developed by the WHO (World Health
Organization)
8. The Medicare Bundled Payments for Care Initiative (BCPI) is designed to: A.
Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down through a
lump-sum payment to providers
Ans>>C. Align incentives between hospitals, physicians, and non-physician
providers in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in one payment
9. Which of the following is required for participation in Medicaid: A. Be free of
chronic conditions
B. Meet a minimum yearly premium
C. Obtain a supplemental health insurance policy
Ans>>D. Meet income and assets requirements
10. A four digit number code established by the National Uniform Billing
