CRCR Certification Exam Questions With
Correct Answers 2026
T/F Consents are signed as part of the post-service process - CORRECT ANSWER -False
T/F Patient service costs are calculated in the pre-serviceprocess for scheduled patients -
CORRECT ANSWER -True
T/F The patient is scheduled and registered for service is a time-of-service activity - CORRECT
ANSWER -False
T/F The patient account is monitored for payment is a time-of-service activity - CORRECT
ANSWER -False
T/F Case management and discharge planning services are a post-service activity - CORRECT
ANSWER -False
T/F Sending the bill electronically to the health plan is a time-of-service activity - CORRECT
ANSWER -False
Revenue Cycle Initiatives - CORRECT ANSWER -Healthcare Dollars & Sense:pt financial comm.
best practices, best practices for price transparency, medical accounts resolution
PFC Best Practices - CORRECT ANSWER -6 areas:Annual staff training, training program topics,
process observation, executive level metrics reporting, technology verification, feedback and
response
,Where individuals and small businesses can compare and purchase qualified health benefit plans
- CORRECT ANSWER -Health Insurance Marketplace/Health Insurance exchange
Medical Debt Task Force - CORRECT ANSWER -developed a best practice workflow that builds
off of HFMA's previous patient friendly billingwork and spansthe patient-centric revenue cycle.
The following statements describe best practices established by the Medical Debt Task Force -
CORRECT ANSWER -Educate patients, coordinate to avoid duplicate patient contacts, be
consistent in key aspects of account resolution, follow best practices for communication
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - CORRECT
ANSWER -standardized method for evaluating patients' perspective on hospital care
Hard Costs - CORRECT ANSWER -loss of future revenue
Soft Costs - CORRECT ANSWER -customer's passing on information about their negative
experience to potential patients or through social media channels
Post Acute Services - CORRECT ANSWER -include skilled nursing , home health, durable medical
equipment, hospice, and assisted living
Skilled Nursing Facility (SNF) - CORRECT ANSWER -institution (skilled nursing
home/rehabilitation center) engaged in provided skilled nursing care for injured/disabled/sick
persons
Durable Medical Equipment (DME) - CORRECT ANSWER -Medical equipment that is prescribed
by a doctor for use in the home
Home Health Agency (HHA) - CORRECT ANSWER -public agency or private organization
, Level 1 Modifier - CORRECT ANSWER -usually provide info about performance of a
procedures/apply to CPT/consist of 2 numbers
Level 2 Modifiers - CORRECT ANSWER -used for OPPS/provide addtl detail ab out an anatomical
location or about a procedure or service/apply to HCPCS codes/consist of either 2 letters or a 1
letter & 1 number
Correct Coding Initiative(CCI) E - CORRECT ANSWER -purpose is to ensure that the most
comprehensive groups of codes, rather than the component parts, are billed. THe program
consists of edits that are implemented within providers' claim processing systems
Ethics Violations - CORRECT ANSWER -Financial misconduct/Overcharging/Theft of property/
Falsifying records to boos reimbursement/miscoding claims
Affordable Care Act (ACA) - CORRECT ANSWER -includes provisions to improve the quality of
care/reform the healthcare delivery system/encourage pricing transparency and modernized
financing systems/address the issues of waste,fraud, and abuse
Accountable Care Organization (ACO) - CORRECT ANSWER -delivery system of physicians,
hospitals, and other healthcare providers, who work collaboratively to manage and coordinate the
care of a patient population. Includes appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients
Bundled Payments for Care Improvement (BPCI) - CORRECT ANSWER -initiative was developed
by the Center for Medicare and Medicaid Innovation to link payments for multiple services
beneficiaries receive during an episode of care
Balance Sheet - CORRECT ANSWER -statement is a summary of the organizations wealth as of
the date of the statement. it represents the summary of the organizations assets, liabilities and
accumulated excesses from operations less any accumulated losses.
Correct Answers 2026
T/F Consents are signed as part of the post-service process - CORRECT ANSWER -False
T/F Patient service costs are calculated in the pre-serviceprocess for scheduled patients -
CORRECT ANSWER -True
T/F The patient is scheduled and registered for service is a time-of-service activity - CORRECT
ANSWER -False
T/F The patient account is monitored for payment is a time-of-service activity - CORRECT
ANSWER -False
T/F Case management and discharge planning services are a post-service activity - CORRECT
ANSWER -False
T/F Sending the bill electronically to the health plan is a time-of-service activity - CORRECT
ANSWER -False
Revenue Cycle Initiatives - CORRECT ANSWER -Healthcare Dollars & Sense:pt financial comm.
best practices, best practices for price transparency, medical accounts resolution
PFC Best Practices - CORRECT ANSWER -6 areas:Annual staff training, training program topics,
process observation, executive level metrics reporting, technology verification, feedback and
response
,Where individuals and small businesses can compare and purchase qualified health benefit plans
- CORRECT ANSWER -Health Insurance Marketplace/Health Insurance exchange
Medical Debt Task Force - CORRECT ANSWER -developed a best practice workflow that builds
off of HFMA's previous patient friendly billingwork and spansthe patient-centric revenue cycle.
The following statements describe best practices established by the Medical Debt Task Force -
CORRECT ANSWER -Educate patients, coordinate to avoid duplicate patient contacts, be
consistent in key aspects of account resolution, follow best practices for communication
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - CORRECT
ANSWER -standardized method for evaluating patients' perspective on hospital care
Hard Costs - CORRECT ANSWER -loss of future revenue
Soft Costs - CORRECT ANSWER -customer's passing on information about their negative
experience to potential patients or through social media channels
Post Acute Services - CORRECT ANSWER -include skilled nursing , home health, durable medical
equipment, hospice, and assisted living
Skilled Nursing Facility (SNF) - CORRECT ANSWER -institution (skilled nursing
home/rehabilitation center) engaged in provided skilled nursing care for injured/disabled/sick
persons
Durable Medical Equipment (DME) - CORRECT ANSWER -Medical equipment that is prescribed
by a doctor for use in the home
Home Health Agency (HHA) - CORRECT ANSWER -public agency or private organization
, Level 1 Modifier - CORRECT ANSWER -usually provide info about performance of a
procedures/apply to CPT/consist of 2 numbers
Level 2 Modifiers - CORRECT ANSWER -used for OPPS/provide addtl detail ab out an anatomical
location or about a procedure or service/apply to HCPCS codes/consist of either 2 letters or a 1
letter & 1 number
Correct Coding Initiative(CCI) E - CORRECT ANSWER -purpose is to ensure that the most
comprehensive groups of codes, rather than the component parts, are billed. THe program
consists of edits that are implemented within providers' claim processing systems
Ethics Violations - CORRECT ANSWER -Financial misconduct/Overcharging/Theft of property/
Falsifying records to boos reimbursement/miscoding claims
Affordable Care Act (ACA) - CORRECT ANSWER -includes provisions to improve the quality of
care/reform the healthcare delivery system/encourage pricing transparency and modernized
financing systems/address the issues of waste,fraud, and abuse
Accountable Care Organization (ACO) - CORRECT ANSWER -delivery system of physicians,
hospitals, and other healthcare providers, who work collaboratively to manage and coordinate the
care of a patient population. Includes appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients
Bundled Payments for Care Improvement (BPCI) - CORRECT ANSWER -initiative was developed
by the Center for Medicare and Medicaid Innovation to link payments for multiple services
beneficiaries receive during an episode of care
Balance Sheet - CORRECT ANSWER -statement is a summary of the organizations wealth as of
the date of the statement. it represents the summary of the organizations assets, liabilities and
accumulated excesses from operations less any accumulated losses.
