CRCR EXAM MULTIPLE CHOICE, CRCR
Exam Prep, Certified Revenue Cycle
Representative - CRCR (2021)updated for 2026
When there is a request for service, the scheduling staff member must confirm the
patient's unique identification information to
a) Check if there is any patient balance due
b) Verify the patient's insurance coverage if the patient is a returning
customer
c) Confirm that physician orders have been received
d) Ensure that she/he accesses the correct information in the
historical database - ,,,,answer,,,..D
Once the price is estimated in the pre-service stage, a provider's financial best
practice
is to
a) Explain to the patient their financial responsibility and to
determine the plan for payment
b) Allow the patient time to compare prices with other providers
c) Lock-in the prices
d) Have another employee double check the price estimate - ,,,,answer,,,..A
What type of account adjustment results from the patient's unwillingness to pay a
self-
pay balance?
a) Charity adjustment
b) Bad debt adjustment
c) Contractual adjustment
d) Administrative adjustment - ,,,,answer,,,..B
,All of the following are conditions that disqualify a procedure or service from
being paid
for by Medicare EXCEPT
a) Medically unnecessary
b) Not delivered in a Medicare licensed care setting
c) Offered in an outpatient setting
d) Services and procedures that are custodial in nature - ,,,,answer,,,..D
All of the following are forms of hospital payment contracting EXCEPT
a) Contracted Rebating
b) Per Diem Payment
c) Fixed Contracting
d) Bundled Payment - ,,,,answer,,,..A
Overall aggregate payments made to a hospice are subject to a computed "cap
amount"
calculated by:
a) The Center for Medicare and Medicaid Services (CMS)
b) Each state's Medicaid plan
c) Medicare
d) The Medicare Administrative Contractor (MAC) at the end of the
hospice cap period - ,,,,answer,,,..D
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
a) Reschedule the visit for non-payment of a prior balance
b) Strictly limit charity care and bad-debt
c) Collect patient's self-pay and deductibles in the first encounter
d) Assist patients in understanding their insurance coverage and
their financial obligation - ,,,,answer,,,..D
A nightly room charge will be incorrect if the patient's
a) Discharge for the next day has not been charted
b) Condition has not been discussed during the shift change report
meeting
,c) Pharmacy orders to the ICU have not been entered in the
pharmacy system
d) Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system - ,,,,answer,,,..D
Which of the following is required for participation in Medicaid?
a) Meet income and assets requirements
b) Meet a minimum yearly premium
c) Be free of chronic conditions
d) Obtain a health insurance policy - ,,,,answer,,,..A
HFMA best practices call for patient financial discussions to be reinforced
a) By issuing a new invoice to the patient
b) By copying the provider's attorney on a written statement of
conversation
c) By obtaining some type of collateral
d) By changing policies to programs - ,,,,answer,,,..B
A Medicare Part A benefit period begins:
a) With admission as an inpatient
b) The first day in which an individual has not been a hospital
inpatient not in a skilled nursing facility for the previous 60 days
c) Upon the day the coverage premium is paid
d) Immediately once authorization for treatment is provided by the
health plan - ,,,,answer,,,..A
If further treatment can only be provided in a hospital setting, the patient's
condition
cannot be evaluated and/or treated within 24 hours, or if there is not an anticipation
of
improvement in the patient's condition with 24 hours, the patient
a) Will remain in observation for up to 72 hours after which the
patient is admitted as an inpatient
b) Will be admitted as an inpatient
c) Will be discharged and if needed, designated to a priority one
outpatient status
d) Will have his/her case reviewed by the attending physician, a
consulting physician and the primary care physician and a future
course of care will then be determined - ,,,,answer,,,..B
, It is important to have high registration quality standards because
a) Incomplete registrations will trigger exclusion from Medicare
participation
b) Incomplete registrations will raise satisfaction scores for the
hospital
c) Inaccurate registration may cause discharge before full treatment
is obtained
d) Inaccurate or incomplete patient data will delay payment or
cause denials - ,,,,answer,,,..D
Medicare will only pay for tests and services that
a) Constitute appropriate treatment and are fairly priced
b) Have solid documentation
c) Can be demonstrated as necessary
d) Medicare determines are "reasonable and necessary" - ,,,,answer,,,..D
Room and bed charges are typically posted
a) From case management reports generated for contracted payers
b) Through the case management daily resource report
c) At the end of each business day
d) From the midnight census - ,,,,answer,,,..D
The process of creating the pre=registration record ensures
a) Ability to pursue extraordinary collection activities
b) Early and productive communication with a third-party payer
c) Accurate billing
d) That access staff will have the compete and valid information
needed to finalize any remaining pre-access activities - ,,,,answer,,,..C
Once the EMTALA requirements are satisfied
a) Third-party payer information should be collected from the
patient and the payer should be notified of the ED visit
b) The patient then assumes full liability for services unless a third-
party is notified or the patient applies for financial assistance with
the first 48 hours
c) The remaining registration processing is initiated at the bedside or
in a registration area
d) An initial registration records is completed so that the proper
Exam Prep, Certified Revenue Cycle
Representative - CRCR (2021)updated for 2026
When there is a request for service, the scheduling staff member must confirm the
patient's unique identification information to
a) Check if there is any patient balance due
b) Verify the patient's insurance coverage if the patient is a returning
customer
c) Confirm that physician orders have been received
d) Ensure that she/he accesses the correct information in the
historical database - ,,,,answer,,,..D
Once the price is estimated in the pre-service stage, a provider's financial best
practice
is to
a) Explain to the patient their financial responsibility and to
determine the plan for payment
b) Allow the patient time to compare prices with other providers
c) Lock-in the prices
d) Have another employee double check the price estimate - ,,,,answer,,,..A
What type of account adjustment results from the patient's unwillingness to pay a
self-
pay balance?
a) Charity adjustment
b) Bad debt adjustment
c) Contractual adjustment
d) Administrative adjustment - ,,,,answer,,,..B
,All of the following are conditions that disqualify a procedure or service from
being paid
for by Medicare EXCEPT
a) Medically unnecessary
b) Not delivered in a Medicare licensed care setting
c) Offered in an outpatient setting
d) Services and procedures that are custodial in nature - ,,,,answer,,,..D
All of the following are forms of hospital payment contracting EXCEPT
a) Contracted Rebating
b) Per Diem Payment
c) Fixed Contracting
d) Bundled Payment - ,,,,answer,,,..A
Overall aggregate payments made to a hospice are subject to a computed "cap
amount"
calculated by:
a) The Center for Medicare and Medicaid Services (CMS)
b) Each state's Medicaid plan
c) Medicare
d) The Medicare Administrative Contractor (MAC) at the end of the
hospice cap period - ,,,,answer,,,..D
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
a) Reschedule the visit for non-payment of a prior balance
b) Strictly limit charity care and bad-debt
c) Collect patient's self-pay and deductibles in the first encounter
d) Assist patients in understanding their insurance coverage and
their financial obligation - ,,,,answer,,,..D
A nightly room charge will be incorrect if the patient's
a) Discharge for the next day has not been charted
b) Condition has not been discussed during the shift change report
meeting
,c) Pharmacy orders to the ICU have not been entered in the
pharmacy system
d) Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system - ,,,,answer,,,..D
Which of the following is required for participation in Medicaid?
a) Meet income and assets requirements
b) Meet a minimum yearly premium
c) Be free of chronic conditions
d) Obtain a health insurance policy - ,,,,answer,,,..A
HFMA best practices call for patient financial discussions to be reinforced
a) By issuing a new invoice to the patient
b) By copying the provider's attorney on a written statement of
conversation
c) By obtaining some type of collateral
d) By changing policies to programs - ,,,,answer,,,..B
A Medicare Part A benefit period begins:
a) With admission as an inpatient
b) The first day in which an individual has not been a hospital
inpatient not in a skilled nursing facility for the previous 60 days
c) Upon the day the coverage premium is paid
d) Immediately once authorization for treatment is provided by the
health plan - ,,,,answer,,,..A
If further treatment can only be provided in a hospital setting, the patient's
condition
cannot be evaluated and/or treated within 24 hours, or if there is not an anticipation
of
improvement in the patient's condition with 24 hours, the patient
a) Will remain in observation for up to 72 hours after which the
patient is admitted as an inpatient
b) Will be admitted as an inpatient
c) Will be discharged and if needed, designated to a priority one
outpatient status
d) Will have his/her case reviewed by the attending physician, a
consulting physician and the primary care physician and a future
course of care will then be determined - ,,,,answer,,,..B
, It is important to have high registration quality standards because
a) Incomplete registrations will trigger exclusion from Medicare
participation
b) Incomplete registrations will raise satisfaction scores for the
hospital
c) Inaccurate registration may cause discharge before full treatment
is obtained
d) Inaccurate or incomplete patient data will delay payment or
cause denials - ,,,,answer,,,..D
Medicare will only pay for tests and services that
a) Constitute appropriate treatment and are fairly priced
b) Have solid documentation
c) Can be demonstrated as necessary
d) Medicare determines are "reasonable and necessary" - ,,,,answer,,,..D
Room and bed charges are typically posted
a) From case management reports generated for contracted payers
b) Through the case management daily resource report
c) At the end of each business day
d) From the midnight census - ,,,,answer,,,..D
The process of creating the pre=registration record ensures
a) Ability to pursue extraordinary collection activities
b) Early and productive communication with a third-party payer
c) Accurate billing
d) That access staff will have the compete and valid information
needed to finalize any remaining pre-access activities - ,,,,answer,,,..C
Once the EMTALA requirements are satisfied
a) Third-party payer information should be collected from the
patient and the payer should be notified of the ED visit
b) The patient then assumes full liability for services unless a third-
party is notified or the patient applies for financial assistance with
the first 48 hours
c) The remaining registration processing is initiated at the bedside or
in a registration area
d) An initial registration records is completed so that the proper
