CRCR EXAM, CRCR Exam Prep, Certified Revenue Cycle
Representative - CRCR (2026) 2026/2027 (Actual Exam)
– 250+ Questions with Correct Answers & Rationales |
Exam Study Guide ||Complete A+ Guide
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
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 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
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
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
Representative - CRCR (2026) 2026/2027 (Actual Exam)
– 250+ Questions with Correct Answers & Rationales |
Exam Study Guide ||Complete A+ Guide
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
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 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
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
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
