CRCR Certification Exam Questions and Answers
2026 (Verified Answers)
1. Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
2. Which of the following is required for participation in Medicaid - ANSWER-Meet Income
and Assets Requirements
3. In choosing a setting for patient financial discussions, organizations should first and
foremost - ANSWER-Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's - ANSWER-Transfer from ICU
(intensive care unit) to the Medical/Surgical floor is not reflected in the registration
system
5. The Affordable Care Act legislated the development of Health Insurance Exchanges,
where individuals and small businesses can - ANSWER-Purchase qualified health benefit
plans regardless of insured's health status
6. A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - ANSWER-Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
from Medicare? - ANSWER-Revenue codes
,8. This directive was developed to promote and ensure healthcare quality and value and
also to protect consumers and workers in the healthcare system. This directive is called -
ANSWER-Patient bill of rights
9. The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is known
as - ANSWER-Case management
10. Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation? - ANSWER-Registration staff may routinely contact managed are plans for
prior authorizations before the patient is seen by the on-duty physician
11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction EIN's are
12. assigned by - ANSWER-The Internal Revenue Service
13. Checks received through mail, cash received through mail, and lock box are all examples
of - ANSWER-Control points for cash posting
14. What are some core elements if a board-approved financial assistance policy? -
ANSWER-Eligibility, application process, and nonpayment collection activities
15. A recurring/series registration is characterized by - ANSWER-The creation of one
registration record for multiple days of service
16. 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 -
ANSWER-Assist patients in understanding their insurance coverage and their financial
obligation
, 17. The purpose of a financial report is to: - ANSWER-Present financial information to
decision makers
18. Patient financial communications best practices produce communications that are -
ANSWER-Consistent, clear and transparent
19. Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - ANSWER-What services or
healthcare items are covered under Medicare
20. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be filed
with - ANSWER-The Provider Reimbursement Review Board
21. Concurrent review and discharge planning - ANSWER-Occurs during service
22. Duplicate payments occur: - ANSWER-When providers re-bill claims based on
nonpayment from the initial bill submission
23. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known
as - ANSWER-A beneficiary appeal
24. Insurance verification results in which of the following - ANSWER-The accurate
identification of the patient's eligibility and benefits
25. The Medicare fee-for service appeal process for both beneficiaries and providers
includes all of the following levels EXCEPT: - ANSWER-Judicial review by a federal district
court
2026 (Verified Answers)
1. Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
2. Which of the following is required for participation in Medicaid - ANSWER-Meet Income
and Assets Requirements
3. In choosing a setting for patient financial discussions, organizations should first and
foremost - ANSWER-Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's - ANSWER-Transfer from ICU
(intensive care unit) to the Medical/Surgical floor is not reflected in the registration
system
5. The Affordable Care Act legislated the development of Health Insurance Exchanges,
where individuals and small businesses can - ANSWER-Purchase qualified health benefit
plans regardless of insured's health status
6. A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - ANSWER-Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment
from Medicare? - ANSWER-Revenue codes
,8. This directive was developed to promote and ensure healthcare quality and value and
also to protect consumers and workers in the healthcare system. This directive is called -
ANSWER-Patient bill of rights
9. The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is known
as - ANSWER-Case management
10. Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation? - ANSWER-Registration staff may routinely contact managed are plans for
prior authorizations before the patient is seen by the on-duty physician
11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction EIN's are
12. assigned by - ANSWER-The Internal Revenue Service
13. Checks received through mail, cash received through mail, and lock box are all examples
of - ANSWER-Control points for cash posting
14. What are some core elements if a board-approved financial assistance policy? -
ANSWER-Eligibility, application process, and nonpayment collection activities
15. A recurring/series registration is characterized by - ANSWER-The creation of one
registration record for multiple days of service
16. 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 -
ANSWER-Assist patients in understanding their insurance coverage and their financial
obligation
, 17. The purpose of a financial report is to: - ANSWER-Present financial information to
decision makers
18. Patient financial communications best practices produce communications that are -
ANSWER-Consistent, clear and transparent
19. Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish - ANSWER-What services or
healthcare items are covered under Medicare
20. Any provider that has filed a timely cost report may appeal an adverse final decision
received from the Medicare Administrative Contractor (MAC). This appeal may be filed
with - ANSWER-The Provider Reimbursement Review Board
21. Concurrent review and discharge planning - ANSWER-Occurs during service
22. Duplicate payments occur: - ANSWER-When providers re-bill claims based on
nonpayment from the initial bill submission
23. An individual enrolled in Medicare who is dissatisfied with the government's claim
determination is entitled to reconsideration of the decision. This type of appeal is known
as - ANSWER-A beneficiary appeal
24. Insurance verification results in which of the following - ANSWER-The accurate
identification of the patient's eligibility and benefits
25. The Medicare fee-for service appeal process for both beneficiaries and providers
includes all of the following levels EXCEPT: - ANSWER-Judicial review by a federal district
court
