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CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue
Cycle Representative - CRCR (2026 | 2027) Questions and Answers with
100% Correct Solutions UPDATED!!!
What are collection agency fees based on? - ANSWER A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule? - ANSWER Birthday
In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some or
all providers? - ANSWER Case rates
What customer service improvements might improve the
patient accounts department? - ANSWER Holding staff
accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? - ANSWER Inform a Medicare beneficiary that
Medicare may not pay for the order or service
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What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - ANSWER Bad debt
adjustment
What is the initial hospice benefit? - ANSWER Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? - ANSWER If the patient requires ambulance
transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after
an account is billed? - ANSWER Post a late-charge adjustment to
the account
an increase in the dollars aged greater than 90 days from date
of service indicate what about accounts - ANSWER They are not
being processed in a timely manner
What is an advantage of a preregistration program? - ANSWER
It reduces processing times at the time of service
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What are the two statutory exclusions from hospice coverage? -
ANSWER Medically unnecessary services and custodial care
What core financial activities are resolved within patient
access? - ANSWER Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
ANSWER The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANSWER
Comparing the contract reimbursement rates with the contract
on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's
need for inpatient care? - ANSWER Observation
Coverage rules for Medicare beneficiaries receiving skilled
nursing care require that the beneficiary has received what? -
ANSWER Medically necessary inpatient hospital services for at
least 3 consecutive days before the skilled nursing care
admission
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When is the word "SAME" entered on the CMS 1500 billing
form in Field 0$? - ANSWER When the patient is the insured
What are non-emergency patients who come for service
without prior notification to the provider called? - ANSWER
Unscheduled patients
If the insurance verification response reports that a subscriber
has a single policy, what is the status of the subscriber's
spouse? - ANSWER Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known
as the Truth in Lending Act, establishes what? - ANSWER
Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - ANSWER Primary reason for the
patient's admission
Collecting patient liability dollars after service leads to what? -
ANSWER Lower accounts receivable levels
CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue
Cycle Representative - CRCR (2026 | 2027) Questions and Answers with
100% Correct Solutions UPDATED!!!
What are collection agency fees based on? - ANSWER A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule? - ANSWER Birthday
In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some or
all providers? - ANSWER Case rates
What customer service improvements might improve the
patient accounts department? - ANSWER Holding staff
accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage)
required to do? - ANSWER Inform a Medicare beneficiary that
Medicare may not pay for the order or service
,2|Page
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - ANSWER Bad debt
adjustment
What is the initial hospice benefit? - ANSWER Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare
inpatient claim? - ANSWER If the patient requires ambulance
transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after
an account is billed? - ANSWER Post a late-charge adjustment to
the account
an increase in the dollars aged greater than 90 days from date
of service indicate what about accounts - ANSWER They are not
being processed in a timely manner
What is an advantage of a preregistration program? - ANSWER
It reduces processing times at the time of service
,3|Page
What are the two statutory exclusions from hospice coverage? -
ANSWER Medically unnecessary services and custodial care
What core financial activities are resolved within patient
access? - ANSWER Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
ANSWER The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANSWER
Comparing the contract reimbursement rates with the contract
on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's
need for inpatient care? - ANSWER Observation
Coverage rules for Medicare beneficiaries receiving skilled
nursing care require that the beneficiary has received what? -
ANSWER Medically necessary inpatient hospital services for at
least 3 consecutive days before the skilled nursing care
admission
, 4|Page
When is the word "SAME" entered on the CMS 1500 billing
form in Field 0$? - ANSWER When the patient is the insured
What are non-emergency patients who come for service
without prior notification to the provider called? - ANSWER
Unscheduled patients
If the insurance verification response reports that a subscriber
has a single policy, what is the status of the subscriber's
spouse? - ANSWER Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known
as the Truth in Lending Act, establishes what? - ANSWER
Disclosure rules for consumer credit sales and consumer loans
What is a principal diagnosis? - ANSWER Primary reason for the
patient's admission
Collecting patient liability dollars after service leads to what? -
ANSWER Lower accounts receivable levels
