Certified Revenue Cycle Representative (CRCR)
Certification Exam |UB-04 requirements |
Accounts Receivable | Medicare bundled
payments| & ICD-10 coding.
UB-04 (CMS-1450) REQUIREMENTS
1. The UB-04 claim form is primarily used by:
A. Physicians
👉 B. Institutional providers
C. Patients
D. Clearinghouses
Explanation: UB-04 is used by hospitals and other facilities.
2. Which UB-04 field reports the principal diagnosis?
A. FL 42
B. FL 44
👉 C. FL 67
D. FL 76
3. Revenue codes are reported in which UB-04 field?
👉 A. FL 42
B. FL 4
C. FL 67
D. FL 81
4. The Type of Bill (TOB) identifies:
A. Diagnosis
👉 B. Facility type and billing sequence
C. Patient responsibility
D. Provider specialty
,5. Incorrect UB-04 data most often results in:
A. Overpayment
👉 B. Claim rejection or denial
C. Automatic appeal
D. Faster reimbursement
6. Which code set is reported alongside revenue codes on UB-04?
A. ICD-10-PCS
👉 B. HCPCS/CPT
C. DRG
D. NDC
7. The attending provider NPI is reported in:
A. FL 4
B. FL 67
👉 C. FL 76
D. FL 80
8. UB-04 claims are submitted for:
A. Professional services only
👉 B. Facility services
C. Pharmacy claims only
D. Dental claims
9. Which field shows the service date range?
A. FL 42
👉 B. FL 6
C. FL 76
D. FL 81
10. UB-04 errors most commonly impact:
A. Patient satisfaction
👉 B. Payment timeliness
C. Coding education
D. Staffing levels
, ACCOUNTS RECEIVABLE (A/R)
11. Accounts receivable represents:
👉 A. Money owed for services already provided
B. Future charges
C. Patient estimates
D. Contractual write-offs
12. Days in A/R measures:
A. Claim volume
👉 B. Average time to collect payment
C. Coding accuracy
D. Denial rate
13. A/R aging buckets categorize accounts by:
A. Diagnosis
B. Provider
👉 C. Length of time outstanding
D. Insurance type
14. Which bucket requires the MOST follow-up?
A. 0–30 days
B. 31–60 days
C. 61–90 days
👉 D. 91+ days
15. High A/R days usually indicate:
A. Strong cash flow
👉 B. Payment delays or denials
C. Overstaffing
D. Accurate claims
16. Clean claims help reduce:
👉 A. Days in A/R
B. Patient satisfaction
C. Coding specificity
Certification Exam |UB-04 requirements |
Accounts Receivable | Medicare bundled
payments| & ICD-10 coding.
UB-04 (CMS-1450) REQUIREMENTS
1. The UB-04 claim form is primarily used by:
A. Physicians
👉 B. Institutional providers
C. Patients
D. Clearinghouses
Explanation: UB-04 is used by hospitals and other facilities.
2. Which UB-04 field reports the principal diagnosis?
A. FL 42
B. FL 44
👉 C. FL 67
D. FL 76
3. Revenue codes are reported in which UB-04 field?
👉 A. FL 42
B. FL 4
C. FL 67
D. FL 81
4. The Type of Bill (TOB) identifies:
A. Diagnosis
👉 B. Facility type and billing sequence
C. Patient responsibility
D. Provider specialty
,5. Incorrect UB-04 data most often results in:
A. Overpayment
👉 B. Claim rejection or denial
C. Automatic appeal
D. Faster reimbursement
6. Which code set is reported alongside revenue codes on UB-04?
A. ICD-10-PCS
👉 B. HCPCS/CPT
C. DRG
D. NDC
7. The attending provider NPI is reported in:
A. FL 4
B. FL 67
👉 C. FL 76
D. FL 80
8. UB-04 claims are submitted for:
A. Professional services only
👉 B. Facility services
C. Pharmacy claims only
D. Dental claims
9. Which field shows the service date range?
A. FL 42
👉 B. FL 6
C. FL 76
D. FL 81
10. UB-04 errors most commonly impact:
A. Patient satisfaction
👉 B. Payment timeliness
C. Coding education
D. Staffing levels
, ACCOUNTS RECEIVABLE (A/R)
11. Accounts receivable represents:
👉 A. Money owed for services already provided
B. Future charges
C. Patient estimates
D. Contractual write-offs
12. Days in A/R measures:
A. Claim volume
👉 B. Average time to collect payment
C. Coding accuracy
D. Denial rate
13. A/R aging buckets categorize accounts by:
A. Diagnosis
B. Provider
👉 C. Length of time outstanding
D. Insurance type
14. Which bucket requires the MOST follow-up?
A. 0–30 days
B. 31–60 days
C. 61–90 days
👉 D. 91+ days
15. High A/R days usually indicate:
A. Strong cash flow
👉 B. Payment delays or denials
C. Overstaffing
D. Accurate claims
16. Clean claims help reduce:
👉 A. Days in A/R
B. Patient satisfaction
C. Coding specificity
