CRC Exam Questions and Answers 2025–2026 –
Complete Certification Prep Material
Introduction:
This document provides the latest and most comprehensive collection
of CRC (Certified Rehabilitation Counselor) exam questions and
answers for 2025–2026. It includes accurate, up-to-date responses
covering all key topics such as ethics, assessment, case management,
career development, and disability legislation. The material also
reviews healthcare and Medicare risk adjustment concepts, including
HEDIS, RADV, and ACO models, offering a complete resource for
mastering the CRC exam.
Exam Questions and Answers
PQRS --- correct precise answer ---Physician Quality Reporting
System
PQRS 2 --- correct precise answer ---A Reporting program using a
combination of incentive payments and payment adjustments to
promote reporting of quality information by eligible professionals
(EP)
Valued-Based Payment Modifier Program --- correct precise answer
---Provide Performance information to physicians as part of
,Medicare's efforts to improve the quality and efficiency of medical
care
HEDIS --- correct precise answer ---The Healthcare Effectiveness
Data and Information Set)
HEDIS 3 --- correct precise answer ---Tract year to year
performance
81 HEDIS Measures DIVIDED into five domains of care --- correct
precise answer ---1. Effectiveness of Care
2. Access/Availability of Care
3. Experience of Care
4. Utilization and relative resource use
5. Health Plan Descriptive Information
Major Reason for RA --- correct precise answer ---To identify all
current diagnoses to highest specificity.
Annual RA Audits --- correct precise answer ---CMS conducts audits
of the risk adjustment data submitted by or on behalf of health
plans to ensure program integrity
, Error in RA Audits --- correct precise answer ---once error
determine will then be applied to the premiums for the entire
patient population for that health plan
RADV(Risk Adustment Data Validation) --- correct precise answer -
--CMS identifies a random stratified sample of patients audit. Only
Part C HCC'S are audited in a RADV
RADV submission --- correct precise answer ---must submit up to
five best recrods demonstrating diagnoses as current in year being
audited and support the HCC values
Two types of RADV audit --- correct precise answer ---National
Radv audit and Targeted RADV
National RADV audit --- correct precise answer ---Selection of
patients using a stratfied sample metholology, where a percentage
of patients are selected randomly from high risk, medium risk, and
low risk based on HCC risk scores
Selection of MA plan and/or contracts is random
Targeted RADV audit --- correct precise answer ---Targeted
contract of those who have had problematic past audit findings
plans with higher risk scores when compared to traditional
FFS(Fee-For-Service Medicare)
Complete Certification Prep Material
Introduction:
This document provides the latest and most comprehensive collection
of CRC (Certified Rehabilitation Counselor) exam questions and
answers for 2025–2026. It includes accurate, up-to-date responses
covering all key topics such as ethics, assessment, case management,
career development, and disability legislation. The material also
reviews healthcare and Medicare risk adjustment concepts, including
HEDIS, RADV, and ACO models, offering a complete resource for
mastering the CRC exam.
Exam Questions and Answers
PQRS --- correct precise answer ---Physician Quality Reporting
System
PQRS 2 --- correct precise answer ---A Reporting program using a
combination of incentive payments and payment adjustments to
promote reporting of quality information by eligible professionals
(EP)
Valued-Based Payment Modifier Program --- correct precise answer
---Provide Performance information to physicians as part of
,Medicare's efforts to improve the quality and efficiency of medical
care
HEDIS --- correct precise answer ---The Healthcare Effectiveness
Data and Information Set)
HEDIS 3 --- correct precise answer ---Tract year to year
performance
81 HEDIS Measures DIVIDED into five domains of care --- correct
precise answer ---1. Effectiveness of Care
2. Access/Availability of Care
3. Experience of Care
4. Utilization and relative resource use
5. Health Plan Descriptive Information
Major Reason for RA --- correct precise answer ---To identify all
current diagnoses to highest specificity.
Annual RA Audits --- correct precise answer ---CMS conducts audits
of the risk adjustment data submitted by or on behalf of health
plans to ensure program integrity
, Error in RA Audits --- correct precise answer ---once error
determine will then be applied to the premiums for the entire
patient population for that health plan
RADV(Risk Adustment Data Validation) --- correct precise answer -
--CMS identifies a random stratified sample of patients audit. Only
Part C HCC'S are audited in a RADV
RADV submission --- correct precise answer ---must submit up to
five best recrods demonstrating diagnoses as current in year being
audited and support the HCC values
Two types of RADV audit --- correct precise answer ---National
Radv audit and Targeted RADV
National RADV audit --- correct precise answer ---Selection of
patients using a stratfied sample metholology, where a percentage
of patients are selected randomly from high risk, medium risk, and
low risk based on HCC risk scores
Selection of MA plan and/or contracts is random
Targeted RADV audit --- correct precise answer ---Targeted
contract of those who have had problematic past audit findings
plans with higher risk scores when compared to traditional
FFS(Fee-For-Service Medicare)
