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Exam (elaborations)

CRCR Certification Exam: Guide to Passing the HFMA Patient Financial Services Test

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Prepare for the HFMA CRCR (Certified Revenue Cycle Representative) exam with this comprehensive guide. Learn about the exam format, key domains like patient access, billing, and collections, study tips, and how to earn this essential credential for healthcare revenue cycle professionals.

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Uploaded on
November 14, 2025
Number of pages
104
Written in
2025/2026
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CRCR CERTIFICATION EXAM LATEST 2024/2025
UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+




Overall aggregate payments made to a hospice are
subject to a computed "cap amount" calculated by -
.....ANSWER ...✔✔ The Medicare Administrative
Contractor (MAC) at the end of the hospice cap period


Which of the following is required for participation in
Medicaid - .....ANSWER ...✔✔ Meet Income and
Assets Requirements


In choosing a setting for patient financial discussions,
organizations should first and foremost - .....ANSWER
...✔✔ Respect the patients privacy


A nightly room charge will be incorrect if the patient's -
.....ANSWER ...✔✔ Transfer from ICU (intensive care
unit) to the Medical/Surgical
floor is not reflected in the registration system

,2|Page



The Affordable Care Act legislated the development of
Health Insurance Exchanges, where individuals and small
businesses can - .....ANSWER ...✔✔ Purchase
qualified health benefit plans regardless of insured's
health status


A portion of the accounts receivable inventory which has
NOT qualified for billing includes: - .....ANSWER
...✔✔ Charitable pledges


What is required for the UB-04/837-I, used by Rural
Health Clinics to generate payment from Medicare? -
.....ANSWER ...✔✔ Revenue codes


This directive was developed to promote and ensure
healthcare quality and value and also to protect
consumers and workers in the healthcare system. This
directive is called - .....ANSWER ...✔✔ Patient bill of
rights


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 - .....ANSWER ...✔✔ Case
management

,3|Page




Which statement is an EMTALA (Emergency Medical
Treatment and Active Labor Act) violation? -
.....ANSWER ...✔✔ Registration staff may routinely
contact managed are plans for prior authorizations
before the patient is seen by the on-duty physician


HIPAA had adopted Employer Identification Numbers
(EIN) to be used in standard transactions to identify the
employer of an individual described in a transaction
EIN's are
assigned by - .....ANSWER ...✔✔ The Internal
Revenue Service


Checks received through mail, cash received through
mail, and lock box are all examples of - .....ANSWER
...✔✔ Control points for cash posting


What are some core elements if a board-approved
financial assistance policy? - .....ANSWER ...✔✔
Eligibility, application process, and nonpayment
collection activities

, 4|Page



A recurring/series registration is characterized by -
.....ANSWER ...✔✔ The creation of one registration
record for multiple days of service


With the advent of the Affordable Care Act Health
Insurance Marketplaces and the expansion of Medicaid
in some states, it is more important than ever for
hospitals to - .....ANSWER ...✔✔ Assist patients in
understanding their insurance coverage and their
financial obligation


The purpose of a financial report is to: - .....ANSWER
...✔✔ Present financial information to decision makers


Patient financial communications best practices produce
communications that are - .....ANSWER ...✔✔
Consistent, clear and transparent


Medicare has established guidelines called the Local
Coverage Determinations (LCD) and National Coverage
Determinations (NCD) that establish - .....ANSWER
...✔✔ What services or healthcare items are covered
under Medicare
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