CRCR (CERTIFIED REVENUE CYCLE
REPRESENTATIVE) CERTIFICATION EXAM
[2026/2027] UPDATED VERSION | VERIFIED
QUESTIONS
CRCR (Certified Revenue Cycle Representative) Certification - CORRECT
ANSWER -Exam Coverage
Exam coverage for the CRCR (Certified Revenue Cycle Representative)
Certification includes essential healthcare revenue cycle management concepts
administered by the Healthcare Financial Management Association (HFMA). It
focuses on patient access functions such as scheduling, registration, insurance
verification, and authorization, as well as billing, coding fundamentals, claims
processing, payment posting, and denial management. The exam also
evaluates understanding of reimbursement systems (Medicare, Medicaid, and
commercial payers), compliance requirements, patient financial
communication, and customer service best practices.
,Emphasis is placed on ensuring accurate and efficient revenue cycle operations,
maintaining regulatory compliance, improving claim acceptance rates, reducing
denials, and enhancing the overall patient financial experience.
Which of the following is required for participation in Medicaid - CORRECT
ANSWER -Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - CORRECT ANSWER -Respect the patients privacy
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - CORRECT ANSWER -The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
A nightly room charge will be incorrect if the patient's - CORRECT ANSWER -
Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
,The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - CORRECT ANSWER -
Purchase qualified health benefit plans regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - CORRECT ANSWER -Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - CORRECT ANSWER -Revenue codes
This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system. This
directive is called - CORRECT ANSWER -Patient bill of rights
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time
basis is known as - CORRECT ANSWER -Case management
, Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? - CORRECT ANSWER -Registration staff may routinely
contact managed are plans for prior authorizations before the patient is seen
by the on-duty physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's are
assigned by - CORRECT ANSWER -The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - CORRECT ANSWER -Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
CORRECT ANSWER -Eligibility, application process, and nonpayment collection
activities
REPRESENTATIVE) CERTIFICATION EXAM
[2026/2027] UPDATED VERSION | VERIFIED
QUESTIONS
CRCR (Certified Revenue Cycle Representative) Certification - CORRECT
ANSWER -Exam Coverage
Exam coverage for the CRCR (Certified Revenue Cycle Representative)
Certification includes essential healthcare revenue cycle management concepts
administered by the Healthcare Financial Management Association (HFMA). It
focuses on patient access functions such as scheduling, registration, insurance
verification, and authorization, as well as billing, coding fundamentals, claims
processing, payment posting, and denial management. The exam also
evaluates understanding of reimbursement systems (Medicare, Medicaid, and
commercial payers), compliance requirements, patient financial
communication, and customer service best practices.
,Emphasis is placed on ensuring accurate and efficient revenue cycle operations,
maintaining regulatory compliance, improving claim acceptance rates, reducing
denials, and enhancing the overall patient financial experience.
Which of the following is required for participation in Medicaid - CORRECT
ANSWER -Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - CORRECT ANSWER -Respect the patients privacy
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - CORRECT ANSWER -The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period
A nightly room charge will be incorrect if the patient's - CORRECT ANSWER -
Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
,The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - CORRECT ANSWER -
Purchase qualified health benefit plans regardless of insured's
health status
A portion of the accounts receivable inventory which has NOT qualified for
billing includes: - CORRECT ANSWER -Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - CORRECT ANSWER -Revenue codes
This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system. This
directive is called - CORRECT ANSWER -Patient bill of rights
The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time
basis is known as - CORRECT ANSWER -Case management
, Which statement is an EMTALA (Emergency Medical Treatment and Active
Labor Act) violation? - CORRECT ANSWER -Registration staff may routinely
contact managed are plans for prior authorizations before the patient is seen
by the on-duty physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's are
assigned by - CORRECT ANSWER -The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all
examples of - CORRECT ANSWER -Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
CORRECT ANSWER -Eligibility, application process, and nonpayment collection
activities
