HFMA CRCR EXAM QUESTIONS AND
ANSWERS
What are collection agency fees based on? -
correct answer ✅A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using
the gender rule or what other rule? -
correct answer ✅Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers?
-
correct answer ✅Case rates
What customer service improvements might improve the patient
accounts department? -
correct answer ✅Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? -
correct answer ✅Inform a Medicare beneficiary that Medicare
may not pay for the order or service
,HFMA CRCR EXAM QUESTIONS AND
ANSWERS
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? -
correct answer ✅Bad debt adjustment
What is the initial hospice benefit? -
correct answer ✅Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? -
correct answer ✅If the patient requires ambulance transportation
to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an
account is billed? -
correct answer ✅Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of
service indicate what about accounts -
correct answer ✅They are not being processed in a timely manner
,HFMA CRCR EXAM QUESTIONS AND
ANSWERS
What is an advantage of a preregistration program? -
correct answer ✅It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
correct answer ✅Medically unnecessary services and custodial
care
What core financial activities are resolved within patient access? -
correct answer ✅Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
correct answer ✅The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? -
correct answer ✅Comparing the contract reimbursement rates
with the contract on the admittance advice to identify the correct
amount
What type of patient status is used to evaluate the patient's need
for inpatient care? -
correct answer ✅Observation
, HFMA CRCR EXAM QUESTIONS AND
ANSWERS
Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what? -
correct answer ✅Medically necessary inpatient hospital services
for at least 3 consecutive days before the skilled nursing care
admission
When is the word "SAME" entered on the CMS 1500 billing form in
Field 0$? -
correct answer ✅When the patient is the insured
What are non-emergency patients who come for service without
prior notification to the provider called? -
correct answer ✅Unscheduled patients
If the insurance verification response reports that a subscriber has a
single policy, what is the status of the subscriber's spouse? -
correct answer ✅Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as
the Truth in Lending Act, establishes what? -
ANSWERS
What are collection agency fees based on? -
correct answer ✅A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using
the gender rule or what other rule? -
correct answer ✅Birthday
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers?
-
correct answer ✅Case rates
What customer service improvements might improve the patient
accounts department? -
correct answer ✅Holding staff accountable for customer service
during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? -
correct answer ✅Inform a Medicare beneficiary that Medicare
may not pay for the order or service
,HFMA CRCR EXAM QUESTIONS AND
ANSWERS
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? -
correct answer ✅Bad debt adjustment
What is the initial hospice benefit? -
correct answer ✅Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? -
correct answer ✅If the patient requires ambulance transportation
to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an
account is billed? -
correct answer ✅Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of
service indicate what about accounts -
correct answer ✅They are not being processed in a timely manner
,HFMA CRCR EXAM QUESTIONS AND
ANSWERS
What is an advantage of a preregistration program? -
correct answer ✅It reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? -
correct answer ✅Medically unnecessary services and custodial
care
What core financial activities are resolved within patient access? -
correct answer ✅Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
correct answer ✅The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? -
correct answer ✅Comparing the contract reimbursement rates
with the contract on the admittance advice to identify the correct
amount
What type of patient status is used to evaluate the patient's need
for inpatient care? -
correct answer ✅Observation
, HFMA CRCR EXAM QUESTIONS AND
ANSWERS
Coverage rules for Medicare beneficiaries receiving skilled nursing
care require that the beneficiary has received what? -
correct answer ✅Medically necessary inpatient hospital services
for at least 3 consecutive days before the skilled nursing care
admission
When is the word "SAME" entered on the CMS 1500 billing form in
Field 0$? -
correct answer ✅When the patient is the insured
What are non-emergency patients who come for service without
prior notification to the provider called? -
correct answer ✅Unscheduled patients
If the insurance verification response reports that a subscriber has a
single policy, what is the status of the subscriber's spouse? -
correct answer ✅Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as
the Truth in Lending Act, establishes what? -
