HFMA CRCR EXAM 2024-
m m m
2025 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
m m m m m m m m m
Businessmethics,mormorganizationalmethicsmrepresent:
a) The mprinciplesmandmstandardsmbymwhichmorganizationsmoperate
b) Regulationsmthatmmustmbe mfollowedmbymlaw
c) Definitionsmof mappropriate mcustomermservice
d) The mcode mof macceptable mconductm-manswer>>A
Amportionmofmthemaccountsmreceivable minventorymwhichmhasmNOTmqualifiedmformbillingmincl
udes:
a) Charitable mpledges
b) Accountsmcreatedmduringmpre-registrationmbutmnotmactivated
c) Accountsmcodedmbutmheldmwithinmthe msuspense mperiod
d) Accountsmassignedmtomampre-collectionmagencym-manswer>>A
WhichmoptionmismNOTmamtype mof mdenial?m-manswer>>A.mTechnical
B.mClinical
C.mUnderpayment
**D.mContractualmAdjustment
WhichmoptionmismNOTmamlienmtype?m- manswer>>A. mJudicial
**B.mSubrogation
C.mStatutory
D.mAgreementm(Consensus)
,Basedmonmwhatmyoumhavemjustmread,mwhichmactivitymismnotmconsideredmwhenminitiatingmself
-paymfollow-upmandmaccountmresolutionmactivities?m-manswer>>A.mPovertymGuidelines
B.mFinancialmProfile
C.mPresumptive mFinancialmAssistance mDetermination
**D.mPatientmOpenmBalance mBilling
WhichmoptionmismNOTmamrequiredmcomponentmofmamFAP?m-manswer>>A.mEligibilitymcriteria
B.mApplicationmprocess
C.mApplicationmassistance
**D.mOut-of-networkmproviders
WhichmoptionmismNOTmambankruptcymtype mgovernedmbymthe m1979mBankruptcymAct?m-
m answer>>A. m Straightm bankruptcy
B.mDebtormreorganization
**C.mCreditormpriority
D.mDebtormrehabilitation
Whichmevaluationmcriteriamdemonstratesmreputationmexpectations:m-
m answer>>A. m The m agency'sm Yelpm score m andm consumerm comments.
B.mThe mamountmof mmoniesmcollectedmmonthly.
**C.mThe memploymentmofmstaff mwhomhave mdocumentedmexperiencemworkingminmfinancialmareasm
of mhealthmcare.
D.mThe mhighmturnovermrate mformentrymlevelmemployees.
Agencymfeesmare:m-manswer>>A.mPaidmbympatients.
**B.mThe mcostmtomthemprovidermformcollectionmagencymmoniesmoffsetmbymthe mreturnmonmbaddebtm
accounts.
C.mOnlymreportedmannuallymtomthe mprovider.
D.mWaivedmformaccountsmagedmgreatermthanmone myearmfrommdate mof mservice.
,The mcorrectmwaymtomhandle mthe mretentionmandmpaymentmof magencymfeesmis:m-
m answer>>A. mThemagency mprovides manm annualmsettlementmof mmoniesmreceivedmbymthemhealthmca
re mprovidermandmthe magency.
B.mCompare mestimatedmcollectionmcostsmtomactualmcostsmincurred.
C.mValidate mbankmdepositsmweeklymasmfundsmare mreceivedmfrommthe magency.
**D.mFollowmthemcontractualmagreementmbetweenmthemagencymandmthemprovidermasmtomhowmmo
niesmsentmtomthe magencymwillmbe mhandled.
Patientmrelationsminclude:m-
m answer>>**A. mThemability m tomsensitively mdealmwithmpatientsmorm individuals m while mmanag
ingmcollectionmefficiency.
B.mApplyingmhard-
core mtechniquesmtomcollectmmoniesmowedmregardlessmof mwhatmthempatientmormindividualmstatesmd
uringmthe mcall.
C.mIgnoringmallmpatientmcomplaintmcalls.
D.mReferringmallmpatientmcomplaintmcallsmtomthe mhealthcare mprovider.
Collectionmagencymreportsmshouldmbe mprovided:m-
m answer>>A. m Wheneverm staff m have m the m time m tom generate m them.
B.mWhenevermanmaccountmismcancelled.
**C.mInmatmleastmtwomformatsmregardingmaccountsmassignedmonmamroutine mbasis.
D.mAsmneededmtomprove mrecoverymrates.
Collectionmresultsmare:m-manswer>>A.mAlwaysmguaranteedmbymthe mcollectionmagency.
**B.mAccuratelymcalculatedmtomdemonstrate mthe mactualmrecoverympercentage mrate.
C.mCalculatedmusingmagency'smprivate mformula.
D.mNevermreportedmexceptmduringmcontractmnegotiations.
WhatmdoesmEMTALAmrequire mhospitalsmtomdo?m-
m answer>>**A. mTomprovidemammedicalm screeningmexamination mandmstabilizingm treatmentmtomever
ympersonmpresentingmatmanmEDmandmrequestingmmedicalmevaluationmormtreatment.
B.mTominitiallymtriage mpatients,mwheremam"quick"mregistrationmrecordmismgeneratedmtomspecifically
m allow m orderm entry.
, C.mTomcompletemamstandardizedmformmsignedmbymallmpatientsmthatmismusedmtominformmthempatient
m aboutm the m admission m andm conditions m whichm mustm be m agreedm upon.
D.mTomconfirmminformationmthatmmaymbemusedmtomidentifymthempatientminmthe mprovider'smMPI,mw
hichmincludesmthe mpatient'smfull,mlegalmname,mSSN,mand/ormdate mofmbirth.
Inmwhatmmannermdomcase mmanagersmassistmrevenue mcycle mstaff?m-
m answer>>A.mBy mreviewingm ampatient's mindividualmcase mandm recommendm treatmentmchang
es.
B.mWithmmonitoringmthe mprogressionmofmhighmresource mconsumptive mcases.
C.mBymestimatingmhowmlongmthempatientmwillmbeminmthe mhospitalmandmwhatmthemexpectedmoutcom
e mwillmbe.
**D.mProvidingmassistancemwithmwrittenmappealsmtomhealthmplansmrelatedmtomutilizationmandmoth
ermcare missues.
Whymismitmcriticalmthatmamchargemastermismreviewedmandmupdatedmregularly?m-
m answer>>**A. mTomensuremitm supportsm andmrepresentsm the mservicesm provided mwithinmthemorgani
zation.
B.mTomensure mthe mmostmappropriate mmeasure mofmthe mutilizationmof mresources.
C.mSomthe mCPTmdatabasesmcanmhave mthe mmostmcurrentmandmaccurate minformation.
D.mBecause mcharge mdescriptionsmcanmvarymgreatlymbetweenmproviders.
Whatmismthe mresponsibilitymof mHIM?m-manswer>>**A.mTommaintainmallmpatientmmedicalmrecords
B.mTommake minformationmavailable minstantlymandmsecurelymtomauthorizedmusers
C.mTomdenote mthe mmedicalmproceduresmperformedmbymamhealthcare mprovidermonmampatient
D.mTomsubstantiate mhealthminsurance mclaimsmfiledmbymthempatient,mthe mphysician,mandmthe mprovider
Whatmare mclaimmedits?m-
m answer>>A. mVariousmdatamsources mincludingmMedicare mandmMedicaidm bulletins mandm manuals, m i
ndividualmhealthmplanmmanuals
B.mAmmulti-stakeholdermcollaborationmofmmore mthanm130morganizationsm—
m providers, m healthm plans, m vendors, m andm governmentm agencies
**C.mRulesmdevelopedmtomverifymthemaccuracymandmcompletenessmofmclaimsmbasedmonmeachmheal
thmplan'smpolicies
D.mThe msubmission,mreceipt,mandmprocessingmofmautomatedmclaims,mtherebymeliminatingmmailmti
me mandmreducingmdatamentrymtime
m m m
2025 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
m m m m m m m m m
Businessmethics,mormorganizationalmethicsmrepresent:
a) The mprinciplesmandmstandardsmbymwhichmorganizationsmoperate
b) Regulationsmthatmmustmbe mfollowedmbymlaw
c) Definitionsmof mappropriate mcustomermservice
d) The mcode mof macceptable mconductm-manswer>>A
Amportionmofmthemaccountsmreceivable minventorymwhichmhasmNOTmqualifiedmformbillingmincl
udes:
a) Charitable mpledges
b) Accountsmcreatedmduringmpre-registrationmbutmnotmactivated
c) Accountsmcodedmbutmheldmwithinmthe msuspense mperiod
d) Accountsmassignedmtomampre-collectionmagencym-manswer>>A
WhichmoptionmismNOTmamtype mof mdenial?m-manswer>>A.mTechnical
B.mClinical
C.mUnderpayment
**D.mContractualmAdjustment
WhichmoptionmismNOTmamlienmtype?m- manswer>>A. mJudicial
**B.mSubrogation
C.mStatutory
D.mAgreementm(Consensus)
,Basedmonmwhatmyoumhavemjustmread,mwhichmactivitymismnotmconsideredmwhenminitiatingmself
-paymfollow-upmandmaccountmresolutionmactivities?m-manswer>>A.mPovertymGuidelines
B.mFinancialmProfile
C.mPresumptive mFinancialmAssistance mDetermination
**D.mPatientmOpenmBalance mBilling
WhichmoptionmismNOTmamrequiredmcomponentmofmamFAP?m-manswer>>A.mEligibilitymcriteria
B.mApplicationmprocess
C.mApplicationmassistance
**D.mOut-of-networkmproviders
WhichmoptionmismNOTmambankruptcymtype mgovernedmbymthe m1979mBankruptcymAct?m-
m answer>>A. m Straightm bankruptcy
B.mDebtormreorganization
**C.mCreditormpriority
D.mDebtormrehabilitation
Whichmevaluationmcriteriamdemonstratesmreputationmexpectations:m-
m answer>>A. m The m agency'sm Yelpm score m andm consumerm comments.
B.mThe mamountmof mmoniesmcollectedmmonthly.
**C.mThe memploymentmofmstaff mwhomhave mdocumentedmexperiencemworkingminmfinancialmareasm
of mhealthmcare.
D.mThe mhighmturnovermrate mformentrymlevelmemployees.
Agencymfeesmare:m-manswer>>A.mPaidmbympatients.
**B.mThe mcostmtomthemprovidermformcollectionmagencymmoniesmoffsetmbymthe mreturnmonmbaddebtm
accounts.
C.mOnlymreportedmannuallymtomthe mprovider.
D.mWaivedmformaccountsmagedmgreatermthanmone myearmfrommdate mof mservice.
,The mcorrectmwaymtomhandle mthe mretentionmandmpaymentmof magencymfeesmis:m-
m answer>>A. mThemagency mprovides manm annualmsettlementmof mmoniesmreceivedmbymthemhealthmca
re mprovidermandmthe magency.
B.mCompare mestimatedmcollectionmcostsmtomactualmcostsmincurred.
C.mValidate mbankmdepositsmweeklymasmfundsmare mreceivedmfrommthe magency.
**D.mFollowmthemcontractualmagreementmbetweenmthemagencymandmthemprovidermasmtomhowmmo
niesmsentmtomthe magencymwillmbe mhandled.
Patientmrelationsminclude:m-
m answer>>**A. mThemability m tomsensitively mdealmwithmpatientsmorm individuals m while mmanag
ingmcollectionmefficiency.
B.mApplyingmhard-
core mtechniquesmtomcollectmmoniesmowedmregardlessmof mwhatmthempatientmormindividualmstatesmd
uringmthe mcall.
C.mIgnoringmallmpatientmcomplaintmcalls.
D.mReferringmallmpatientmcomplaintmcallsmtomthe mhealthcare mprovider.
Collectionmagencymreportsmshouldmbe mprovided:m-
m answer>>A. m Wheneverm staff m have m the m time m tom generate m them.
B.mWhenevermanmaccountmismcancelled.
**C.mInmatmleastmtwomformatsmregardingmaccountsmassignedmonmamroutine mbasis.
D.mAsmneededmtomprove mrecoverymrates.
Collectionmresultsmare:m-manswer>>A.mAlwaysmguaranteedmbymthe mcollectionmagency.
**B.mAccuratelymcalculatedmtomdemonstrate mthe mactualmrecoverympercentage mrate.
C.mCalculatedmusingmagency'smprivate mformula.
D.mNevermreportedmexceptmduringmcontractmnegotiations.
WhatmdoesmEMTALAmrequire mhospitalsmtomdo?m-
m answer>>**A. mTomprovidemammedicalm screeningmexamination mandmstabilizingm treatmentmtomever
ympersonmpresentingmatmanmEDmandmrequestingmmedicalmevaluationmormtreatment.
B.mTominitiallymtriage mpatients,mwheremam"quick"mregistrationmrecordmismgeneratedmtomspecifically
m allow m orderm entry.
, C.mTomcompletemamstandardizedmformmsignedmbymallmpatientsmthatmismusedmtominformmthempatient
m aboutm the m admission m andm conditions m whichm mustm be m agreedm upon.
D.mTomconfirmminformationmthatmmaymbemusedmtomidentifymthempatientminmthe mprovider'smMPI,mw
hichmincludesmthe mpatient'smfull,mlegalmname,mSSN,mand/ormdate mofmbirth.
Inmwhatmmannermdomcase mmanagersmassistmrevenue mcycle mstaff?m-
m answer>>A.mBy mreviewingm ampatient's mindividualmcase mandm recommendm treatmentmchang
es.
B.mWithmmonitoringmthe mprogressionmofmhighmresource mconsumptive mcases.
C.mBymestimatingmhowmlongmthempatientmwillmbeminmthe mhospitalmandmwhatmthemexpectedmoutcom
e mwillmbe.
**D.mProvidingmassistancemwithmwrittenmappealsmtomhealthmplansmrelatedmtomutilizationmandmoth
ermcare missues.
Whymismitmcriticalmthatmamchargemastermismreviewedmandmupdatedmregularly?m-
m answer>>**A. mTomensuremitm supportsm andmrepresentsm the mservicesm provided mwithinmthemorgani
zation.
B.mTomensure mthe mmostmappropriate mmeasure mofmthe mutilizationmof mresources.
C.mSomthe mCPTmdatabasesmcanmhave mthe mmostmcurrentmandmaccurate minformation.
D.mBecause mcharge mdescriptionsmcanmvarymgreatlymbetweenmproviders.
Whatmismthe mresponsibilitymof mHIM?m-manswer>>**A.mTommaintainmallmpatientmmedicalmrecords
B.mTommake minformationmavailable minstantlymandmsecurelymtomauthorizedmusers
C.mTomdenote mthe mmedicalmproceduresmperformedmbymamhealthcare mprovidermonmampatient
D.mTomsubstantiate mhealthminsurance mclaimsmfiledmbymthempatient,mthe mphysician,mandmthe mprovider
Whatmare mclaimmedits?m-
m answer>>A. mVariousmdatamsources mincludingmMedicare mandmMedicaidm bulletins mandm manuals, m i
ndividualmhealthmplanmmanuals
B.mAmmulti-stakeholdermcollaborationmofmmore mthanm130morganizationsm—
m providers, m healthm plans, m vendors, m andm governmentm agencies
**C.mRulesmdevelopedmtomverifymthemaccuracymandmcompletenessmofmclaimsmbasedmonmeachmheal
thmplan'smpolicies
D.mThe msubmission,mreceipt,mandmprocessingmofmautomatedmclaims,mtherebymeliminatingmmailmti
me mandmreducingmdatamentrymtime
