CERTIFIED REVENUE CYCLE REPRESENTATIVE UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS

CERTIFIED REVENUE CYCLE REPRESENTATIVE UPDATED ACTUAL EXAM QUESTIONS
CORRECT ANSWERS GRADED A PLUS
Certified Revenue Cycle Representative Actual
EXAM Script 2026/2027 Complete Questions and
Answers Verified Solutions Latest Update

Question:
What is a serious consequence of misidentifying a patient in the MPI?

Answer:
The services will be documented in the wrong record



Question:
When a patient reports directly to a clinical department for service, what will the clinical department
staff do?

Answer:
Redirect the patient to the patient access department for registration



Question:
What process can be used to shorten claim turnaround time?

Answer:
Send high-dollar hard-copy claims with required attachments by overnight mail or registered mail



Question:
How are patient reminder calls used?

Answer:
To make sure the patient follows the prep instructions and arrives at the scheduled time for service



Question:

,If a patient declares a straight bankruptcy, what must the provider do?

Answer:
Write off the account to the contractual adjustment account



Question:
According to the Department of Health and Human Services guidelines, what is NOT considered
income?

Answer:
Sale of property, house, or car



Question:
The situation where neither the patient nor spouse is employed is described to the patient using:

Answer:
A condition code



Question:
What option is an alternative to valid long-term payment plans?

Answer:
Bank loans



Question:
What is an advantage of using a collection agency to collect delinquent patient accounts?

Answer:
Collection agencies collect accounts faster than hospital does



Question:
What statement DOES NOT apply to revenue codes?

,Answer:
revenue codes identify the payer



Question:
When a patient's illness results in an unusually high amount of medical bills not covered by
insurance or other patient pay resources, what type of account is created

Answer:
catastrophic charity



Question:
What happens when a patient receives non-emergent services from and out-of-network provider?

Answer:
Patient payment responsibility is higher



Question:
Every patient who is new to the healthcare provider must be offered what?

Answer:
A printed copy of the provider's privacy notice



Question:
How may a collection agency demonstrate its performance?

Answer:
Calculate the rate of recovery



Question:
What is true of the information the provider supplies to indicate that an authorization for service has
been received from the patient's primary payer?

, Answer:
It is posted on the remittance advice by the payer



Question:
What standard claim forms are currently used by the healthcare industry to submit claims to
third-party payers?

Answer:
The UB-04 and the CMS 1500



Question:
Unless the patient encounter is an emergency, what is the efficient and effective procedure for
obtaining information?

Answer:
Obtain the required demographic and insurance information before services are rendered



Question:
what protocol was developed through the Patient Friendly Billing Project?

Answer:
Provide information using language that is easily understood by the average reader



Question:
What technique is acceptable way to complete the MSP screening for a facility situation?

Answer:
Ask if the patient's current services was accident related



Question:
What is a valid reason for a payer to delay a claim?