AAHAM CRCP
AAHAM CRCP – CERTIFIED REVENUE CYCLE PROFESSIONAL
| EXAM QUESTIONS AND CORRECT ANSWERS | LATEST
2026/2027
AAHAM CERTIFIED REVENUE CYCLE PROFESSIONAL (CRCP)
1. For a Medicare beneficiary receiving recurring outpatient services,
how often must the hospital verify Medicare Secondary Payer (MSP)
information?
A. Once every 90 days
B. At every single visit
C. Once every 12 months
D. Only at the first visit of the series
A. Once every 90 days
CMS allows hospitals to verify MSP data once every 90 days for
recurring outpatient services, provided the original questionnaire is
retained and referenced.
Page 1 of 68
, AAHAM CRCP
2. What is the primary purpose of insurance eligibility and benefits
verification before a scheduled service?
A. To determine the patient's credit score
B. To obtain the physician's order for the service
C. To assign the final MS-DRG to the account
D. To confirm active coverage and the patient's benefits, limits and cost-
sharing before care is delivered
D. To confirm active coverage and the patient's benefits, limits and
cost-sharing before care is delivered
Verifying eligibility up front prevents eligibility denials and lets staff
estimate and collect the patient's share.
3. A child is covered under both parents' group health plans. The
mother was born on March 4, 1985, and the father on July 19, 1982.
Under the birthday rule, which plan is primary?
A. The plan with the lower deductible
B. The plan that has been in effect the longest
C. The father's plan, because he is older
D. The mother's plan, because her birthday falls earlier in the calendar
year
D. The mother's plan, because her birthday falls earlier in the
calendar year
The birthday rule uses only month and day; the parent whose birthday
comes first in the calendar year carries the primary plan.
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, AAHAM CRCP
4. Under EMTALA, when may a hospital emergency department ask a
patient about insurance or method of payment?
A. Only after the patient signs a financial responsibility form
B. Before the patient is triaged
C. Only when doing so does not delay the medical screening
examination or necessary stabilizing treatment
D. Before the patient is seen by a physician
C. Only when doing so does not delay the medical screening
examination or necessary stabilizing treatment
EMTALA prohibits delaying the medical screening exam or stabilizing
care to inquire about payment; routine registration may proceed only if
it causes no delay.
5. The Advance Beneficiary Notice of Noncoverage (ABN, CMS-R-131) is
issued to which patients?
A. Medicare Advantage enrollees before every office visit
B. Medicaid recipients receiving emergency care
C. Original Medicare beneficiaries when the provider expects Medicare
may deny an item or service as not reasonable and necessary
D. All commercially insured patients before outpatient surgery
C. Original Medicare beneficiaries when the provider expects
Medicare may deny an item or service as not reasonable and
necessary
The ABN shifts financial liability to an Original Medicare beneficiary
only when it is properly delivered before a service expected to be
denied.
Page 3 of 68
, AAHAM CRCP
6. When must hospitals deliver the Important Message from Medicare
(IM) to inpatient Medicare beneficiaries?
A. Within 30 days after discharge
B. Only when the patient requests an appeal
C. Within two calendar days of admission and again no more than two
calendar days before discharge
D. Only on the day of discharge
C. Within two calendar days of admission and again no more than
two calendar days before discharge
The IM explains discharge appeal rights; a follow-up copy is required
within two days before discharge when the stay allows.
7. The Medicare Outpatient Observation Notice (MOON) must be given
to beneficiaries who receive observation services for more than how
long?
A. 8 hours
B. 72 hours
C. 24 hours
D. 48 hours
C. 24 hours
The MOON is required once observation exceeds 24 hours and must be
delivered no later than 36 hours after observation begins.
8. Under HIPAA, what must a direct treatment provider attempt to
obtain at the first service delivery?
A. A signed authorization for all future disclosures
B. A written acknowledgment that the patient received the Notice of
Privacy Practices
C. A copy of the patient's credit report
D. A notarized consent for treatment
B. A written acknowledgment that the patient received the Notice
of Privacy Practices
Providers must make a good-faith effort to get written acknowledgment
of the Notice of Privacy Practices and document why if it cannot be
obtained.
Page 4 of 68
AAHAM CRCP – CERTIFIED REVENUE CYCLE PROFESSIONAL
| EXAM QUESTIONS AND CORRECT ANSWERS | LATEST
2026/2027
AAHAM CERTIFIED REVENUE CYCLE PROFESSIONAL (CRCP)
1. For a Medicare beneficiary receiving recurring outpatient services,
how often must the hospital verify Medicare Secondary Payer (MSP)
information?
A. Once every 90 days
B. At every single visit
C. Once every 12 months
D. Only at the first visit of the series
A. Once every 90 days
CMS allows hospitals to verify MSP data once every 90 days for
recurring outpatient services, provided the original questionnaire is
retained and referenced.
Page 1 of 68
, AAHAM CRCP
2. What is the primary purpose of insurance eligibility and benefits
verification before a scheduled service?
A. To determine the patient's credit score
B. To obtain the physician's order for the service
C. To assign the final MS-DRG to the account
D. To confirm active coverage and the patient's benefits, limits and cost-
sharing before care is delivered
D. To confirm active coverage and the patient's benefits, limits and
cost-sharing before care is delivered
Verifying eligibility up front prevents eligibility denials and lets staff
estimate and collect the patient's share.
3. A child is covered under both parents' group health plans. The
mother was born on March 4, 1985, and the father on July 19, 1982.
Under the birthday rule, which plan is primary?
A. The plan with the lower deductible
B. The plan that has been in effect the longest
C. The father's plan, because he is older
D. The mother's plan, because her birthday falls earlier in the calendar
year
D. The mother's plan, because her birthday falls earlier in the
calendar year
The birthday rule uses only month and day; the parent whose birthday
comes first in the calendar year carries the primary plan.
Page 2 of 68
, AAHAM CRCP
4. Under EMTALA, when may a hospital emergency department ask a
patient about insurance or method of payment?
A. Only after the patient signs a financial responsibility form
B. Before the patient is triaged
C. Only when doing so does not delay the medical screening
examination or necessary stabilizing treatment
D. Before the patient is seen by a physician
C. Only when doing so does not delay the medical screening
examination or necessary stabilizing treatment
EMTALA prohibits delaying the medical screening exam or stabilizing
care to inquire about payment; routine registration may proceed only if
it causes no delay.
5. The Advance Beneficiary Notice of Noncoverage (ABN, CMS-R-131) is
issued to which patients?
A. Medicare Advantage enrollees before every office visit
B. Medicaid recipients receiving emergency care
C. Original Medicare beneficiaries when the provider expects Medicare
may deny an item or service as not reasonable and necessary
D. All commercially insured patients before outpatient surgery
C. Original Medicare beneficiaries when the provider expects
Medicare may deny an item or service as not reasonable and
necessary
The ABN shifts financial liability to an Original Medicare beneficiary
only when it is properly delivered before a service expected to be
denied.
Page 3 of 68
, AAHAM CRCP
6. When must hospitals deliver the Important Message from Medicare
(IM) to inpatient Medicare beneficiaries?
A. Within 30 days after discharge
B. Only when the patient requests an appeal
C. Within two calendar days of admission and again no more than two
calendar days before discharge
D. Only on the day of discharge
C. Within two calendar days of admission and again no more than
two calendar days before discharge
The IM explains discharge appeal rights; a follow-up copy is required
within two days before discharge when the stay allows.
7. The Medicare Outpatient Observation Notice (MOON) must be given
to beneficiaries who receive observation services for more than how
long?
A. 8 hours
B. 72 hours
C. 24 hours
D. 48 hours
C. 24 hours
The MOON is required once observation exceeds 24 hours and must be
delivered no later than 36 hours after observation begins.
8. Under HIPAA, what must a direct treatment provider attempt to
obtain at the first service delivery?
A. A signed authorization for all future disclosures
B. A written acknowledgment that the patient received the Notice of
Privacy Practices
C. A copy of the patient's credit report
D. A notarized consent for treatment
B. A written acknowledgment that the patient received the Notice
of Privacy Practices
Providers must make a good-faith effort to get written acknowledgment
of the Notice of Privacy Practices and document why if it cannot be
obtained.
Page 4 of 68
