Certified Revenue Cycle Representative CRCR Certification
Exam Prep Test Bank 2 with a Review of 500 Latest
Questions and Correct Answers/ Newest CRCR Exam Prep
(Correctly Answered Practice Test 2026-2027)
Recognizing that health coverage is complicated and not all pts are able to navigate
this terrain, HFMA best practices specify that
a) A representative of the health plan be included in the pt financial responsibilities
discussion
b) The patient accounts staff have someone assigned to research coverage on
behalf of
pts
c) Pts should be given the opportunity to request a pt advocate, family
member or other designee to help them In these discussions
d) Pt coverage education may need to be provided by the health plan - ANSWER-
C
Once the price is estimated in the pre-service stage, a provider's financial best
practice is to
a) Allow the pt time to compare prices with other providers
b) Have another employee double check the price estimate
c) Lock-in the prices
d) Explain to the pt their financial responsibility and to determine the plan for
payment - ANSWER-D
Charges as the most appropriate measurement of utilization enables
a) Accuracy of expense and cost capture
1
,b) Managing of expense budgets
c) Effective HIM planning
d) Generation of timely and accurate billing - ANSWER-A
Any healthcare insurance plan that provides or ensures comprehensive health
maintenance
and treatment services for an enrolled group of persons based on; a monthly fee is
known
as a
a) HMO
b) PPO
c) MSO
d) GPO - ANSWER-A
Charges are the basis for
a) Third party and regulatory review of resources used
b) Evaluating quality
c) Separation of fiscal responsibilities between the pt and the health plan
d) Demonstrating medical necessity - ANSWER-C
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding
a) That reorganizes a debtor's holdings and instructs creditors to look to the
debtors' future earnings for payment
b) That establishes a payment priority order to creditos'
c) That creates a clear court-supervised payment accountability plan going forward
2
,d) That classifies the debtor as eligible for government financial assistance for
housing
medical treatment and food as debts are paid - ANSWER-A
Pt financial communications best practices produce communications that are
a) Timely and remind pts of their financial responsibilities
b) Consistent, clear and transparent
c) Current and report the status of a pts claim
d) Timely, comprehensive and specifying next steps - ANSWER-B
Key performance indicators (KPIs) set standards for accounts receivables (A/R)
and
a) Establish productivity targets
b) Provide a method of measuring the collection and control of A/R
c) Provide evidence of financial status
d) Make allowance for accurate revenue forecasting - ANSWER-B
When Recovery Audit Contractors (RAC) identify improper payments as over
payments,
the
claims processing contractor must
a) Assume legal responsibility for repaying the overage amount
b) Make recovery of the overpayment the top processing priority
c) Send a demand letter to the provider to recover the over payment amount
d) Conduct an audit of all the effected providers claims within the past twelve
months - ANSWER-C
3
, A recurring/series registration is characterized by
a) The creation of one registration record for multiple days of service
b) The creation of multiple registrations for multiple services
c) The creation of one registration record per diagnosis per visits
d) The creation of multiple pt types for one date of service - ANSWER-A
It is important to have high registration quality standards because
a) Inaccurate or incomplete pt data will delay payment or cause denials
b) Incomplete registrations will trigger exclusion from Medicare participation
c) Inaccurate registration may cause discharge before full treatment is obtained
d) Incomplete registrations will raise satisfaction scores for the hospital -
ANSWER-A
When recovery audit contractors (RAC) identify improper payments as over
payments the
claims processing contractor must
a) Assume legal responsibility for repaying the overage amount
b) Make recovery of the overpayment the top processing priority
c) Send a demand letter to the provider to recover the over payment
amount
d) Conduct an audit of all the effected providers claims within the past 12 months -
ANSWER-C
Internal controls addressing coding and reimbursement changes are put I place to
guard
against
a) Underpayments
4
Exam Prep Test Bank 2 with a Review of 500 Latest
Questions and Correct Answers/ Newest CRCR Exam Prep
(Correctly Answered Practice Test 2026-2027)
Recognizing that health coverage is complicated and not all pts are able to navigate
this terrain, HFMA best practices specify that
a) A representative of the health plan be included in the pt financial responsibilities
discussion
b) The patient accounts staff have someone assigned to research coverage on
behalf of
pts
c) Pts should be given the opportunity to request a pt advocate, family
member or other designee to help them In these discussions
d) Pt coverage education may need to be provided by the health plan - ANSWER-
C
Once the price is estimated in the pre-service stage, a provider's financial best
practice is to
a) Allow the pt time to compare prices with other providers
b) Have another employee double check the price estimate
c) Lock-in the prices
d) Explain to the pt their financial responsibility and to determine the plan for
payment - ANSWER-D
Charges as the most appropriate measurement of utilization enables
a) Accuracy of expense and cost capture
1
,b) Managing of expense budgets
c) Effective HIM planning
d) Generation of timely and accurate billing - ANSWER-A
Any healthcare insurance plan that provides or ensures comprehensive health
maintenance
and treatment services for an enrolled group of persons based on; a monthly fee is
known
as a
a) HMO
b) PPO
c) MSO
d) GPO - ANSWER-A
Charges are the basis for
a) Third party and regulatory review of resources used
b) Evaluating quality
c) Separation of fiscal responsibilities between the pt and the health plan
d) Demonstrating medical necessity - ANSWER-C
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding
a) That reorganizes a debtor's holdings and instructs creditors to look to the
debtors' future earnings for payment
b) That establishes a payment priority order to creditos'
c) That creates a clear court-supervised payment accountability plan going forward
2
,d) That classifies the debtor as eligible for government financial assistance for
housing
medical treatment and food as debts are paid - ANSWER-A
Pt financial communications best practices produce communications that are
a) Timely and remind pts of their financial responsibilities
b) Consistent, clear and transparent
c) Current and report the status of a pts claim
d) Timely, comprehensive and specifying next steps - ANSWER-B
Key performance indicators (KPIs) set standards for accounts receivables (A/R)
and
a) Establish productivity targets
b) Provide a method of measuring the collection and control of A/R
c) Provide evidence of financial status
d) Make allowance for accurate revenue forecasting - ANSWER-B
When Recovery Audit Contractors (RAC) identify improper payments as over
payments,
the
claims processing contractor must
a) Assume legal responsibility for repaying the overage amount
b) Make recovery of the overpayment the top processing priority
c) Send a demand letter to the provider to recover the over payment amount
d) Conduct an audit of all the effected providers claims within the past twelve
months - ANSWER-C
3
, A recurring/series registration is characterized by
a) The creation of one registration record for multiple days of service
b) The creation of multiple registrations for multiple services
c) The creation of one registration record per diagnosis per visits
d) The creation of multiple pt types for one date of service - ANSWER-A
It is important to have high registration quality standards because
a) Inaccurate or incomplete pt data will delay payment or cause denials
b) Incomplete registrations will trigger exclusion from Medicare participation
c) Inaccurate registration may cause discharge before full treatment is obtained
d) Incomplete registrations will raise satisfaction scores for the hospital -
ANSWER-A
When recovery audit contractors (RAC) identify improper payments as over
payments the
claims processing contractor must
a) Assume legal responsibility for repaying the overage amount
b) Make recovery of the overpayment the top processing priority
c) Send a demand letter to the provider to recover the over payment
amount
d) Conduct an audit of all the effected providers claims within the past 12 months -
ANSWER-C
Internal controls addressing coding and reimbursement changes are put I place to
guard
against
a) Underpayments
4
