HFMA CRCR – HEALTHCARE FINANCIAL
EXAM 2026 WITH 100% CORRECT ANSWERS
1. Describe the role of the patient's health plan in the pre-service stage of
revenue cycle management.
The health plan is irrelevant during the pre-service stage.
The patient's health plan is used to determine the benefits and
calculate the expected out-of-pocket costs for the scheduled
service.
The health plan only affects the billing process after the service is
rendered.
The health plan is used solely for emergency services.
2. Interpret the significance of accounts aged greater than 90 days in the
context of hospital revenue cycle management.
It indicates inefficiencies in the revenue cycle that may lead to
cash flow issues.
It suggests that case managers are effectively managing
accounts.
It shows that patients are satisfied with their billing.
It reflects a high level of compliance with financial assistance
regulations.
3. Discuss how customer dissatisfaction can impact a hospital's revenue
cycle management.
Customer dissatisfaction has no impact on revenue cycle
management.
Customer dissatisfaction can lead to loss of future revenue and
,damage the hospital's reputation.
, Customer dissatisfaction improves financial assistance
regulations.
Customer dissatisfaction only affects patient satisfaction scores.
4. If a hospital fails to obtain accurate patient and guarantor information
before service delivery, what potential issue could arise during the
billing process?
Higher insurance reimbursements
Improved financial assistance compliance
Increased patient satisfaction
Delayed account resolution
5. When does the account resolution clock start in hospital revenue cycle
management?
The patient receives treatment
The insurance claim is submitted
The first statement is sent to the patient
The patient is admitted to the hospital
6. What is the primary benefit of providing clarity to patients about their
financial obligations early in the revenue cycle?
Enhances staff productivity
Increases patient satisfaction
Improves insurance reimbursements
Reduces hospital costs
7. Why is it important for hospitals to communicate financial obligations to
patients early in the revenue cycle?
, It helps patients understand what they owe, leading to
increased satisfaction.
It reduces the need for case managers.
It ensures compliance with financial assistance regulations.
It allows hospitals to collect payments faster.
8. Which service do Medicare patients not need a physician's order for?
Screening mammograms
Flu vaccine
Pneumonia vaccine
Routine blood tests
9. In a situation where an uninsured patient is unable to pay their medical
bills, what steps should the hospital take to ensure compliance with
financial assistance regulations?
Send the patient to collections immediately.
Involve a financial counselor to assess the patient's situation
and provide assistance options.
Offer a discount without assessing the patient's needs.
Ignore the patient's financial status and proceed with billing.
10. Medicare patients are NOT required to produce a physician order to
receive which of these services
Diagnostic Mammography, flu vaccine, or B-12 shots
Screening Mammography, flu vaccine or pneumonia vaccine
Diagnostic Mammography, flu vaccine, or pneumonia vaccine
Screening Mammography, flu vaccine or B-12 shots
EXAM 2026 WITH 100% CORRECT ANSWERS
1. Describe the role of the patient's health plan in the pre-service stage of
revenue cycle management.
The health plan is irrelevant during the pre-service stage.
The patient's health plan is used to determine the benefits and
calculate the expected out-of-pocket costs for the scheduled
service.
The health plan only affects the billing process after the service is
rendered.
The health plan is used solely for emergency services.
2. Interpret the significance of accounts aged greater than 90 days in the
context of hospital revenue cycle management.
It indicates inefficiencies in the revenue cycle that may lead to
cash flow issues.
It suggests that case managers are effectively managing
accounts.
It shows that patients are satisfied with their billing.
It reflects a high level of compliance with financial assistance
regulations.
3. Discuss how customer dissatisfaction can impact a hospital's revenue
cycle management.
Customer dissatisfaction has no impact on revenue cycle
management.
Customer dissatisfaction can lead to loss of future revenue and
,damage the hospital's reputation.
, Customer dissatisfaction improves financial assistance
regulations.
Customer dissatisfaction only affects patient satisfaction scores.
4. If a hospital fails to obtain accurate patient and guarantor information
before service delivery, what potential issue could arise during the
billing process?
Higher insurance reimbursements
Improved financial assistance compliance
Increased patient satisfaction
Delayed account resolution
5. When does the account resolution clock start in hospital revenue cycle
management?
The patient receives treatment
The insurance claim is submitted
The first statement is sent to the patient
The patient is admitted to the hospital
6. What is the primary benefit of providing clarity to patients about their
financial obligations early in the revenue cycle?
Enhances staff productivity
Increases patient satisfaction
Improves insurance reimbursements
Reduces hospital costs
7. Why is it important for hospitals to communicate financial obligations to
patients early in the revenue cycle?
, It helps patients understand what they owe, leading to
increased satisfaction.
It reduces the need for case managers.
It ensures compliance with financial assistance regulations.
It allows hospitals to collect payments faster.
8. Which service do Medicare patients not need a physician's order for?
Screening mammograms
Flu vaccine
Pneumonia vaccine
Routine blood tests
9. In a situation where an uninsured patient is unable to pay their medical
bills, what steps should the hospital take to ensure compliance with
financial assistance regulations?
Send the patient to collections immediately.
Involve a financial counselor to assess the patient's situation
and provide assistance options.
Offer a discount without assessing the patient's needs.
Ignore the patient's financial status and proceed with billing.
10. Medicare patients are NOT required to produce a physician order to
receive which of these services
Diagnostic Mammography, flu vaccine, or B-12 shots
Screening Mammography, flu vaccine or pneumonia vaccine
Diagnostic Mammography, flu vaccine, or pneumonia vaccine
Screening Mammography, flu vaccine or B-12 shots
