HFMA CRCR EXAM / LATEST NFMA CRCR ACTUAL EXAM
2026/2027 COMPLETE ACCURATE TEST EXAM APPROVED
QUESTIONS WITH WELL ELABORTAED ANSWERS WITH
RATIONALES (CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSION |GUARANTEED SUCCESS
What is the primary goal of revenue cycle management?
A) Improve clinical outcomes
B) Minimize patient wait times
C) Reduce staffing costs
D) correct answer — to optimize the collection of patient revenues
Rationale: Revenue cycle management ensures all services provided are billed and
collected efficiently.
Which activity is part of patient access?
A) Claims reconciliation
B) Denials management
C) correct answer — insurance verification
D) General ledger reconciliation
Rationale: Patient access ensures coverage verification and financial responsibility
are confirmed before service.
Which document informs a Medicare patient that a service may not be covered?
A) Consent form
B) Financial agreement
,C) correct answer — advance beneficiary notice (ABN)
D) Statement of charges
Rationale: ABNs protect providers by making the patient financially responsible if
Medicare denies payment.
An unscheduled patient is:
A) A patient who cancels frequently
B) A patient with multiple insurance plans
C) correct answer — a patient who arrives without prior scheduling
D) A patient scheduled for recurring visits
Rationale: Unscheduled patients require rapid registration and financial
verification.
A bad debt adjustment occurs when:
A) Insurance overpays
B) Contractual discounts are applied
C) correct answer — a patient cannot pay a self-pay balance after collection efforts
D) Services are over-coded
Rationale: Bad debt represents uncollectible balances after collection attempts.
Medicare’s three-day payment window requires:
A) All outpatient services within three days of admission to be included in
inpatient payment
,B) Outpatient services billed separately
C) correct answer — certain outpatient diagnostic services are billed under Part B
D) Automatic claim denial
Rationale: Outpatient diagnostic services within three full days before admission
are billed to Medicare Part B.
A recurring or series registration:
A) Registers multiple patients at once
B) Registers multiple unrelated services
C) correct answer — uses one registration record for multiple days of service
D) Is only for emergency visits
Rationale: Recurring registration simplifies scheduling for repetitive treatments.
Core function of claims processing is:
A) Schedule patients
B) Verify employment
C) correct answer — submit and follow up on claims for reimbursement
D) Manage payroll
Rationale: Claims processing ensures timely and accurate reimbursement from
payers.
Healthcare compliance programs aim to:
A) Maximize revenue at any cost
, B) Improve patient satisfaction only
C) correct answer — ensure adherence to laws, regulations, and internal policies
D) Replace financial reporting
Rationale: Compliance programs prevent fraud and ensure adherence to legal
standards.
Contractual adjustment is:
A) Patient refund
B) correct answer — the difference between billed charges and payer-allowed
amounts
C) Bad debt write-off
D) Optional service charge
Rationale: Contractual adjustments reflect the terms of payer agreements.
Key revenue cycle metric:
A) Patient satisfaction
B) Number of hospital beds
C) correct answer — days in accounts receivable (A/R)
D) Staff meeting frequency
Rationale: Days in A/R measures collection efficiency.
First step in patient access:
A) Claims submission
2026/2027 COMPLETE ACCURATE TEST EXAM APPROVED
QUESTIONS WITH WELL ELABORTAED ANSWERS WITH
RATIONALES (CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSION |GUARANTEED SUCCESS
What is the primary goal of revenue cycle management?
A) Improve clinical outcomes
B) Minimize patient wait times
C) Reduce staffing costs
D) correct answer — to optimize the collection of patient revenues
Rationale: Revenue cycle management ensures all services provided are billed and
collected efficiently.
Which activity is part of patient access?
A) Claims reconciliation
B) Denials management
C) correct answer — insurance verification
D) General ledger reconciliation
Rationale: Patient access ensures coverage verification and financial responsibility
are confirmed before service.
Which document informs a Medicare patient that a service may not be covered?
A) Consent form
B) Financial agreement
,C) correct answer — advance beneficiary notice (ABN)
D) Statement of charges
Rationale: ABNs protect providers by making the patient financially responsible if
Medicare denies payment.
An unscheduled patient is:
A) A patient who cancels frequently
B) A patient with multiple insurance plans
C) correct answer — a patient who arrives without prior scheduling
D) A patient scheduled for recurring visits
Rationale: Unscheduled patients require rapid registration and financial
verification.
A bad debt adjustment occurs when:
A) Insurance overpays
B) Contractual discounts are applied
C) correct answer — a patient cannot pay a self-pay balance after collection efforts
D) Services are over-coded
Rationale: Bad debt represents uncollectible balances after collection attempts.
Medicare’s three-day payment window requires:
A) All outpatient services within three days of admission to be included in
inpatient payment
,B) Outpatient services billed separately
C) correct answer — certain outpatient diagnostic services are billed under Part B
D) Automatic claim denial
Rationale: Outpatient diagnostic services within three full days before admission
are billed to Medicare Part B.
A recurring or series registration:
A) Registers multiple patients at once
B) Registers multiple unrelated services
C) correct answer — uses one registration record for multiple days of service
D) Is only for emergency visits
Rationale: Recurring registration simplifies scheduling for repetitive treatments.
Core function of claims processing is:
A) Schedule patients
B) Verify employment
C) correct answer — submit and follow up on claims for reimbursement
D) Manage payroll
Rationale: Claims processing ensures timely and accurate reimbursement from
payers.
Healthcare compliance programs aim to:
A) Maximize revenue at any cost
, B) Improve patient satisfaction only
C) correct answer — ensure adherence to laws, regulations, and internal policies
D) Replace financial reporting
Rationale: Compliance programs prevent fraud and ensure adherence to legal
standards.
Contractual adjustment is:
A) Patient refund
B) correct answer — the difference between billed charges and payer-allowed
amounts
C) Bad debt write-off
D) Optional service charge
Rationale: Contractual adjustments reflect the terms of payer agreements.
Key revenue cycle metric:
A) Patient satisfaction
B) Number of hospital beds
C) correct answer — days in accounts receivable (A/R)
D) Staff meeting frequency
Rationale: Days in A/R measures collection efficiency.
First step in patient access:
A) Claims submission
