CRCR FINAL PAPER 2026 EXAM Q AND A
STUDY GUIDE COMPLETE QUESTIONS AND
ANSWERS
●● The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.
Answer: B. Charges remain one of the few consistent indicators
available to monitor resource use
●● The ACO investment model will test the use of pre-paid shared
savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.
Answer: D. Encourage new ACOs to form in rural and underserved
areas
,●● Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient care
and patient flow.
Answer: C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
●● Activities completed when the scheduled, pre-registered patient
arrives for service includes:
A. Verifying insurance, activating the record and directing the patient to
the service area.
B. Scanning the driver's license or other phot identification and directing
the patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D. Registering the patient and directing the patient to the service area.
Answer: C. Activating the record, obtaining signatures and
,●● The activity which results in the accurate recording of patient bed
and level of care assessment, patient transfer and patient discharge status
on a real-time basis is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
Answer: A. Utilization review
or
B. Case Management
●● An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process.
Answer: C. The opportunity to reduce processing times at the time of
service.
●● The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses can:
A. Obtain price estimates for medical services
, B. Negotiate the price of medical services with providers
C. Purchase qualified health benefit plans regardless of insured's health
status
D. Meet federal mandates for insurance coverage and obtain the
corresponding tax deduction
Answer: C. Purchase qualified health benefit plans regardless of
insured's health status.
●● All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature
Answer: C. Not delivered in a Medicare licensed care setting
●● All of the following are reference resources used to help guide in the
application for business ethics EXCEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
Answer: A. Consumer satisfaction reports
STUDY GUIDE COMPLETE QUESTIONS AND
ANSWERS
●● The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing.
Answer: B. Charges remain one of the few consistent indicators
available to monitor resource use
●● The ACO investment model will test the use of pre-paid shared
savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas.
Answer: D. Encourage new ACOs to form in rural and underserved
areas
,●● Across all care settings, if a patient consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to:
A. Have a patient financial responsibilities kit ready for the patient,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data.
C. Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient care
and patient flow.
Answer: C. Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
●● Activities completed when the scheduled, pre-registered patient
arrives for service includes:
A. Verifying insurance, activating the record and directing the patient to
the service area.
B. Scanning the driver's license or other phot identification and directing
the patient to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
D. Registering the patient and directing the patient to the service area.
Answer: C. Activating the record, obtaining signatures and
,●● The activity which results in the accurate recording of patient bed
and level of care assessment, patient transfer and patient discharge status
on a real-time basis is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
Answer: A. Utilization review
or
B. Case Management
●● An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.
D. The opportunity to reduce corporate compliance failures within the
registration process.
Answer: C. The opportunity to reduce processing times at the time of
service.
●● The Affordable Care Act legislated the development of Health
Insurance Exchanges, where individuals and small businesses can:
A. Obtain price estimates for medical services
, B. Negotiate the price of medical services with providers
C. Purchase qualified health benefit plans regardless of insured's health
status
D. Meet federal mandates for insurance coverage and obtain the
corresponding tax deduction
Answer: C. Purchase qualified health benefit plans regardless of
insured's health status.
●● All of the following are conditions that disqualify a procedure or
service from being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature
Answer: C. Not delivered in a Medicare licensed care setting
●● All of the following are reference resources used to help guide in the
application for business ethics EXCEPT:
A. Consumer satisfaction reports
B. Mission & Value Statements
C. Code of Ethics / Code of Conduct
D. Compliance Office & Policies
Answer: A. Consumer satisfaction reports
