CERTIFIED REVENUE CYCLE
REPRESENTATIVE CRCR ACTUAL
EXAMINATION TEST 2026 QUESTIONS
WITH FULL ANSWERS
⩥ The patient experience includes all of the following except:. Answer:
The average number of positive mentions received by the health system
or practice and the public comments refuting unfriendly posts on social
media sites.
⩥ Corporate compliance programs play an important role in protecting
the integrity of operations and ensuring compliance with federal and
state requirements. The code of conduct is:. Answer: All of the above
⩥ Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment?. Answer: Public health
service programs, Federal grant programs, veteran affairs programs,
black lung program services and work-related injuries and accidents
(worker' compensation claims)
⩥ Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include:. Answer: All
of the above
,⩥ Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration
among providers.
What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients?. Answer: To eliminate
duplicate services, prevent medical errors and ensure appropriateness of
care.
⩥ Historically, revenue cycle has delt with contractual adjustments, bad
debt and charity deductions from gross revenue. Although deductions
continue to exist, the definition of net revenue has been modified
through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net
patient services revenues?. Answer: Explicit prices concessions and
implicit price concessions
⩥ Key performance indicators set standards for A/R and provide a
method for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
,(self-pay)?. Answer: Elapsed days from discharge to final bill and
elapsed days from final bill to claim/bill submission.
⩥ Consents are signed as part of the post-services process.. Answer:
True
**False
⩥ Patient service costs are calculated in the pre-service process for
schedule patients. Answer: **True
False
⩥ The patient is scheduled and registered for service is a time-of-service
activity. Answer: True
**False
⩥ The patient account is monitored for payment is a time-of-service
activity. Answer: True
**False
⩥ Case management and discharge planning services are a post-service
activty. Answer: True
**False
, ⩥ Sending the bill electronically to the health plan is a time-of-service
activity. Answer: True
**False
⩥ What happens during the post-service stage?. Answer: **A. Final
coding of all services, preparation and submission of claims, payment
processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and
diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor
information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to
the clinical care provided for the patient.
⩥ The following statements describe best practices established by the
Medical Debt Task Force. Check the box next to the True statements.
Answer: **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers
about scheduled services
**Be consistent in key aspects of account resolution
REPRESENTATIVE CRCR ACTUAL
EXAMINATION TEST 2026 QUESTIONS
WITH FULL ANSWERS
⩥ The patient experience includes all of the following except:. Answer:
The average number of positive mentions received by the health system
or practice and the public comments refuting unfriendly posts on social
media sites.
⩥ Corporate compliance programs play an important role in protecting
the integrity of operations and ensuring compliance with federal and
state requirements. The code of conduct is:. Answer: All of the above
⩥ Specific to Medicare fee-for-service patients, which of the following
payers have always been liable for payment?. Answer: Public health
service programs, Federal grant programs, veteran affairs programs,
black lung program services and work-related injuries and accidents
(worker' compensation claims)
⩥ Provider policies and procedures should be in place to reduce the risk
of ethics violations. Examples of ethics violations include:. Answer: All
of the above
,⩥ Providers are now being reimbursed with a focus on the value of the
services provided, rather than volume, which requires collaboration
among providers.
What is the intended outcome of collaborations made through an ACO
delivery system for a population of patients?. Answer: To eliminate
duplicate services, prevent medical errors and ensure appropriateness of
care.
⩥ Historically, revenue cycle has delt with contractual adjustments, bad
debt and charity deductions from gross revenue. Although deductions
continue to exist, the definition of net revenue has been modified
through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net
patient services revenues?. Answer: Explicit prices concessions and
implicit price concessions
⩥ Key performance indicators set standards for A/R and provide a
method for measuring the control and collection of A/R.
What are the two KPIs used to monitor performance related to the
production and submission of claims to third party payers and patients
,(self-pay)?. Answer: Elapsed days from discharge to final bill and
elapsed days from final bill to claim/bill submission.
⩥ Consents are signed as part of the post-services process.. Answer:
True
**False
⩥ Patient service costs are calculated in the pre-service process for
schedule patients. Answer: **True
False
⩥ The patient is scheduled and registered for service is a time-of-service
activity. Answer: True
**False
⩥ The patient account is monitored for payment is a time-of-service
activity. Answer: True
**False
⩥ Case management and discharge planning services are a post-service
activty. Answer: True
**False
, ⩥ Sending the bill electronically to the health plan is a time-of-service
activity. Answer: True
**False
⩥ What happens during the post-service stage?. Answer: **A. Final
coding of all services, preparation and submission of claims, payment
processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and
diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor
information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to
the clinical care provided for the patient.
⩥ The following statements describe best practices established by the
Medical Debt Task Force. Check the box next to the True statements.
Answer: **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers
about scheduled services
**Be consistent in key aspects of account resolution
