Certified Revenue Cycle Representative - CRCR
(2025) Questions and Correct Solutions A+
Graded Material
Which of the following statements are true of HFMA's Financial Communications Best
Practices 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: 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.
1
,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: ANSWER >>> All of the above
Specific to Medicare fee-for-service patients, which of the following payers have always
been liable for payment? 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: 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? 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? ANSWER >>> Explicit prices concessions and implicit price concessions
2
, 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)? 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. ANSWER >>> True
**False
Patient service costs are calculated in the pre-service process for schedule patients
ANSWER >>> **True
False
The patient is scheduled and registered for service is a time-of-service activity
ANSWER >>> True
**False
The patient account is monitored for payment is a time-of-service activity ANSWER >>>
True
**False
Case management and discharge planning services are a post-service activty
ANSWER >>> True
3
(2025) Questions and Correct Solutions A+
Graded Material
Which of the following statements are true of HFMA's Financial Communications Best
Practices 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: 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.
1
,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: ANSWER >>> All of the above
Specific to Medicare fee-for-service patients, which of the following payers have always
been liable for payment? 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: 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? 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? ANSWER >>> Explicit prices concessions and implicit price concessions
2
, 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)? 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. ANSWER >>> True
**False
Patient service costs are calculated in the pre-service process for schedule patients
ANSWER >>> **True
False
The patient is scheduled and registered for service is a time-of-service activity
ANSWER >>> True
**False
The patient account is monitored for payment is a time-of-service activity ANSWER >>>
True
**False
Case management and discharge planning services are a post-service activty
ANSWER >>> True
3
