2026 Certified Revenue Cycle Representative -
CRCR Exam Questions With Correct Answers
Which of the following statements are true of HFMA's Financial Communications Best Practices -
CORRECT ANSWER -The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsibility for balances after
insurance, if any.
The patient experience includes all of the following except: - CORRECT ANSWER -The average
number of positive mentions received by the health system or practice and the public comments
refuting unfriendly posts on social media sites.
Corporate compliance programs play an important role in protecting the integrity of operations
and ensuring compliance with federal and state requirements. The code of conduct is: -
CORRECT ANSWER -All of the above
Specific to Medicare fee-for-service patients, which of the following payers have always been
liable for payment? - CORRECT ANSWER -Public health service programs, Federal grant
programs, veteran affairs programs, black lung program services and work-related injuries and
accidents (worker' compensation claims)
Provider policies and procedures should be in place to reduce the risk of ethics violations.
Examples of ethics violations include: - CORRECT ANSWER -All of the above
Providers are now being reimbursed with a focus on the value of the services provided, rather than
volume, which requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO delivery system for a
population of patients? - CORRECT ANSWER -To eliminate duplicate services, prevent medical
errors and ensure appropriateness of care.
,Historically, revenue cycle has delt with contractual adjustments, bad debt and charity
deductions from gross revenue. Although deductions continue to exist, the definition of net
revenue has been modified through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in 2018.
What is the new terminology now employed in the calculation of net patient services revenues? -
CORRECT ANSWER -Explicit prices concessions and implicit price concessions
Key performance indicators set standards for A/R and provide a method for measuring the control
and collection of A/R.
What are the two KPIs used to monitor performance related to the production and submission of
claims to third party payers and patients (self-pay)? - CORRECT ANSWER -Elapsed days from
discharge to final bill and elapsed days from final bill to claim/bill submission.
Consents are signed as part of the post-services process. - CORRECT ANSWER -True
**False
Patient service costs are calculated in the pre-service process for schedule patients - CORRECT
ANSWER -**True
False
The patient is scheduled and registered for service is a time-of-service activity - CORRECT
ANSWER -True
**False
The patient account is monitored for payment is a time-of-service activity - CORRECT ANSWER -
True
, **False
Case management and discharge planning services are a post-service activty - CORRECT
ANSWER -True
**False
Sending the bill electronically to the health plan is a time-of-service activity - CORRECT ANSWER
-True
**False
What happens during the post-service stage? - CORRECT ANSWER -**A. Final coding of all
services, preparation and submission of claims, payment processing and balance billing and
resolution.
B. Orders are entered, results are reported, charges are generated, and diagnostic and procedural
coding is initiated.
C. The encounter record is generated, and the patient and guarantor information is obtained
and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the clinical care provided for
the patient.
The following statements describe best practices established by the Medical Debt Task Force.
Check the box next to the True statements - CORRECT ANSWER -**Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers about scheduled services
**Be consistent in key aspects of account resolution
CRCR Exam Questions With Correct Answers
Which of the following statements are true of HFMA's Financial Communications Best Practices -
CORRECT ANSWER -The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsibility for balances after
insurance, if any.
The patient experience includes all of the following except: - CORRECT ANSWER -The average
number of positive mentions received by the health system or practice and the public comments
refuting unfriendly posts on social media sites.
Corporate compliance programs play an important role in protecting the integrity of operations
and ensuring compliance with federal and state requirements. The code of conduct is: -
CORRECT ANSWER -All of the above
Specific to Medicare fee-for-service patients, which of the following payers have always been
liable for payment? - CORRECT ANSWER -Public health service programs, Federal grant
programs, veteran affairs programs, black lung program services and work-related injuries and
accidents (worker' compensation claims)
Provider policies and procedures should be in place to reduce the risk of ethics violations.
Examples of ethics violations include: - CORRECT ANSWER -All of the above
Providers are now being reimbursed with a focus on the value of the services provided, rather than
volume, which requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO delivery system for a
population of patients? - CORRECT ANSWER -To eliminate duplicate services, prevent medical
errors and ensure appropriateness of care.
,Historically, revenue cycle has delt with contractual adjustments, bad debt and charity
deductions from gross revenue. Although deductions continue to exist, the definition of net
revenue has been modified through the implementation of ASC 606. Developed by the Financial
Accounting Standards Board (FASB), this change became effective in 2018.
What is the new terminology now employed in the calculation of net patient services revenues? -
CORRECT ANSWER -Explicit prices concessions and implicit price concessions
Key performance indicators set standards for A/R and provide a method for measuring the control
and collection of A/R.
What are the two KPIs used to monitor performance related to the production and submission of
claims to third party payers and patients (self-pay)? - CORRECT ANSWER -Elapsed days from
discharge to final bill and elapsed days from final bill to claim/bill submission.
Consents are signed as part of the post-services process. - CORRECT ANSWER -True
**False
Patient service costs are calculated in the pre-service process for schedule patients - CORRECT
ANSWER -**True
False
The patient is scheduled and registered for service is a time-of-service activity - CORRECT
ANSWER -True
**False
The patient account is monitored for payment is a time-of-service activity - CORRECT ANSWER -
True
, **False
Case management and discharge planning services are a post-service activty - CORRECT
ANSWER -True
**False
Sending the bill electronically to the health plan is a time-of-service activity - CORRECT ANSWER
-True
**False
What happens during the post-service stage? - CORRECT ANSWER -**A. Final coding of all
services, preparation and submission of claims, payment processing and balance billing and
resolution.
B. Orders are entered, results are reported, charges are generated, and diagnostic and procedural
coding is initiated.
C. The encounter record is generated, and the patient and guarantor information is obtained
and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the clinical care provided for
the patient.
The following statements describe best practices established by the Medical Debt Task Force.
Check the box next to the True statements - CORRECT ANSWER -**Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers about scheduled services
**Be consistent in key aspects of account resolution
