CRCR EXAM PREP, CERTIFIED
REVENUE CYCLE
REPRESENTATIVE - CRCR EXAM
[2026/2027] UPDATED VERSION
| VERIFIED QUESTIONS
1. What are collection agency fees based on? - CORRECT ANSWER -A
percentage of dollars collected
2. Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - CORRECT ANSWER -Birthday
3. In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
CORRECT ANSWER -Case rates
4. What customer service improvements might improve the patient
accounts department? - CORRECT ANSWER -Holding staff accountable
for customer service during performance reviews
,5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required
to do? - CORRECT ANSWER -Inform a Medicare beneficiary that
Medicare may not pay for the order or service
6. What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - CORRECT ANSWER -Bad
debt adjustment
7. What is the initial hospice benefit? - CORRECT ANSWER -Two 90-day
periods and an unlimited number of subsequent periods
8. When does a hospital add ambulance charges to the Medicare inpatient
claim? - CORRECT ANSWER -If the patient requires ambulance
transportation to a skilled nursing facility
,9. How should a provider resolve a late-charge credit posted after an
account is billed? - CORRECT ANSWER -Post a late-charge adjustment to
the account
10.an increase in the dollars aged greater than 90 days from date of service
indicate what about accounts - CORRECT ANSWER -They are not being
processed in a timely manner
11.What is an advantage of a preregistration program? - CORRECT ANSWER
-It reduces processing times at the time of service
12.What are the two statutory exclusions from hospice coverage? -
CORRECT ANSWER -Medically unnecessary services and custodial care
13.What core financial activities are resolved within patient access? -
CORRECT ANSWER -Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
, 14.What statement applies to the scheduled outpatient? - CORRECT
ANSWER -The services do not involve an overnight stay
15.How is a mis-posted contractual allowance resolved? - CORRECT
ANSWER -Comparing the contract reimbursement rates with the
contract on the admittance advice to identify the correct amount
16.What type of patient status is used to evaluate the patient's need for
inpatient care? - CORRECT ANSWER -Observation
17.Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what? - CORRECT ANSWER -
Medically necessary inpatient hospital services for at least 3 consecutive
days before the skilled nursing care admission
18.When is the word "SAME" entered on the CMS 1500 billing form in Field
0$? - CORRECT ANSWER -When the patient is the insured
REVENUE CYCLE
REPRESENTATIVE - CRCR EXAM
[2026/2027] UPDATED VERSION
| VERIFIED QUESTIONS
1. What are collection agency fees based on? - CORRECT ANSWER -A
percentage of dollars collected
2. Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - CORRECT ANSWER -Birthday
3. In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers? -
CORRECT ANSWER -Case rates
4. What customer service improvements might improve the patient
accounts department? - CORRECT ANSWER -Holding staff accountable
for customer service during performance reviews
,5. What is an ABN (Advance Beneficiary Notice of Non-coverage) required
to do? - CORRECT ANSWER -Inform a Medicare beneficiary that
Medicare may not pay for the order or service
6. What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - CORRECT ANSWER -Bad
debt adjustment
7. What is the initial hospice benefit? - CORRECT ANSWER -Two 90-day
periods and an unlimited number of subsequent periods
8. When does a hospital add ambulance charges to the Medicare inpatient
claim? - CORRECT ANSWER -If the patient requires ambulance
transportation to a skilled nursing facility
,9. How should a provider resolve a late-charge credit posted after an
account is billed? - CORRECT ANSWER -Post a late-charge adjustment to
the account
10.an increase in the dollars aged greater than 90 days from date of service
indicate what about accounts - CORRECT ANSWER -They are not being
processed in a timely manner
11.What is an advantage of a preregistration program? - CORRECT ANSWER
-It reduces processing times at the time of service
12.What are the two statutory exclusions from hospice coverage? -
CORRECT ANSWER -Medically unnecessary services and custodial care
13.What core financial activities are resolved within patient access? -
CORRECT ANSWER -Scheduling, insurance verification, discharge
processing, and payment of point-of-service receipts
, 14.What statement applies to the scheduled outpatient? - CORRECT
ANSWER -The services do not involve an overnight stay
15.How is a mis-posted contractual allowance resolved? - CORRECT
ANSWER -Comparing the contract reimbursement rates with the
contract on the admittance advice to identify the correct amount
16.What type of patient status is used to evaluate the patient's need for
inpatient care? - CORRECT ANSWER -Observation
17.Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what? - CORRECT ANSWER -
Medically necessary inpatient hospital services for at least 3 consecutive
days before the skilled nursing care admission
18.When is the word "SAME" entered on the CMS 1500 billing form in Field
0$? - CORRECT ANSWER -When the patient is the insured
