Certified Revenue Cycle Representative
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : What is the primary objective of an
efficient revenue cycle in health care?
- A) Maximizing reimbursement
- B) Improving patient experience
- C) Minimizing claim denials
- D) All of the above
ANS : D
Rationale : An efficient revenue cycle aims to achieve
multiple goals, including maximizing reimbursement, minimizing
denials, and enhancing patient satisfaction.
©2025
,2. Fill-in-the-Blank : The revenue cycle begins with ________
and ends with the collection of payment for services rendered.
ANS : Patient scheduling/registration
Rationale : The cycle starts with scheduling and registration,
as this is when patient and insurance information is collected.
3. True/False : Revenue cycle optimization has little impact on
the financial sustainability of healthcare organizations.
ANS : False
Rationale : Efficient revenue cycle management is vital for
ensuring the financial sustainability of healthcare organizations.
4. Multiple Response : Which of the following are components
of the revenue cycle?
- A) Claim submission
- B) Medical coding
- C) Accounts receivable follow-up
- D) Patient discharge planning
ANS : A, B, C
Rationale : Discharge planning is part of care delivery, not the
revenue cycle.
©2025
,---
Pre-Service Financial Care
5. Multiple Choice : What is a critical activity during the pre-
service financial care phase?
- A) Claim adjudication
- B) Financial clearance
- C) Payment posting
- D) Denial management
ANS : B
Rationale : Financial clearance ensures that patients' insurance
is verified and payment responsibility is communicated upfront.
6. Fill-in-the-Blank : Pre-service financial counseling is
essential to reduce the risk of ________.
ANS : Bad debt
Rationale : Clear communication about financial obligations
upfront reduces the likelihood of unpaid bills.
7. True/False : Insurance verification is optional in pre-service
financial care.
ANS : False
©2025
, Rationale : Insurance verification is critical to determine
coverage and avoid billing errors later.
8. Multiple Response : Which actions are included in pre-
service financial care?
- A) Insurance eligibility checks
- B) Collection of co-pays
- C) Pre-authorization for procedures
- D) Payment posting
ANS : A, B, C
Rationale : Payment posting occurs later in the revenue cycle.
---
Time of Service Financial Care
9. Multiple Choice : Collecting co-payments at the time of
service reduces the likelihood of which issue?
- A) Claim rejection
- B) Revenue leakage
- C) Payer audits
- D) Overpayment refunds
©2025
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : What is the primary objective of an
efficient revenue cycle in health care?
- A) Maximizing reimbursement
- B) Improving patient experience
- C) Minimizing claim denials
- D) All of the above
ANS : D
Rationale : An efficient revenue cycle aims to achieve
multiple goals, including maximizing reimbursement, minimizing
denials, and enhancing patient satisfaction.
©2025
,2. Fill-in-the-Blank : The revenue cycle begins with ________
and ends with the collection of payment for services rendered.
ANS : Patient scheduling/registration
Rationale : The cycle starts with scheduling and registration,
as this is when patient and insurance information is collected.
3. True/False : Revenue cycle optimization has little impact on
the financial sustainability of healthcare organizations.
ANS : False
Rationale : Efficient revenue cycle management is vital for
ensuring the financial sustainability of healthcare organizations.
4. Multiple Response : Which of the following are components
of the revenue cycle?
- A) Claim submission
- B) Medical coding
- C) Accounts receivable follow-up
- D) Patient discharge planning
ANS : A, B, C
Rationale : Discharge planning is part of care delivery, not the
revenue cycle.
©2025
,---
Pre-Service Financial Care
5. Multiple Choice : What is a critical activity during the pre-
service financial care phase?
- A) Claim adjudication
- B) Financial clearance
- C) Payment posting
- D) Denial management
ANS : B
Rationale : Financial clearance ensures that patients' insurance
is verified and payment responsibility is communicated upfront.
6. Fill-in-the-Blank : Pre-service financial counseling is
essential to reduce the risk of ________.
ANS : Bad debt
Rationale : Clear communication about financial obligations
upfront reduces the likelihood of unpaid bills.
7. True/False : Insurance verification is optional in pre-service
financial care.
ANS : False
©2025
, Rationale : Insurance verification is critical to determine
coverage and avoid billing errors later.
8. Multiple Response : Which actions are included in pre-
service financial care?
- A) Insurance eligibility checks
- B) Collection of co-pays
- C) Pre-authorization for procedures
- D) Payment posting
ANS : A, B, C
Rationale : Payment posting occurs later in the revenue cycle.
---
Time of Service Financial Care
9. Multiple Choice : Collecting co-payments at the time of
service reduces the likelihood of which issue?
- A) Claim rejection
- B) Revenue leakage
- C) Payer audits
- D) Overpayment refunds
©2025
