Certified Revenue Cycle Representative CRCR
Certification Exam Prep Test Bank 2 with a
Review of 500 Latest Questions and Correct
Answers/ Newest CRCR Exam Prep (Correctly
Answered Practice Test )
1. What is the first step of the revenue cycle?
A) Claim submission
B) Patient registration
C) Payment posting
D) Denial management
Correct Answer: B) Patient registration
Rationale: Patient registration begins the revenue cycle by capturing
accurate demographic and insurance information that supports all
downstream billing activities .
2. What is a clean claim?
, A) A claim containing no patient information
B) A claim that can be processed without needing additional information
or correction
C) A claim that is always paid at 100%
D) A claim submitted only to Medicare
Correct Answer: B) A claim that can be processed without needing
additional information or correction
Rationale: Clean claims contain all required information and pass payer
processing requirements without needing correction .
3. What is the difference between a claim rejection and a claim denial?
A) They are always identical
B) A rejection typically prevents adjudication, while a denial occurs after
payer adjudication
C) A denial occurs before submission
,
D) A rejection is always caused by the patient
Correct Answer: B) A rejection typically prevents adjudication, while a
denial occurs after payer adjudication
Rationale: Rejected claims contain errors that prevent them from
entering normal adjudication; denials occur when a payer reviews and
refuses payment after adjudication .
4. What is a claim denial?
A) A claim that has been paid in full
B) A payer's refusal to pay a claim or portion of a claim
C) A patient registration form
D) A medical record
Correct Answer: B) A payer's refusal to pay a claim or portion of a claim
Rationale: Denials can result from issues such as eligibility, authorization,
coding, medical necessity, or timely filing .
, 5. Which of the following is a Key Performance Indicator (KPI) for
accounts receivable?
A) Patient satisfaction scores
B) Days in Accounts Receivable (DAR)
C) Employee turnover rate
D) Number of registered patients
Correct Answer: B) Days in Accounts Receivable (DAR)
Rationale: KPIs set standards for accounts receivable and provide
methods for measuring collection and control of A/R .
6. Which of the following is NOT a phase of the revenue cycle?
A) Pre-Service
B) Time of Service
Certification Exam Prep Test Bank 2 with a
Review of 500 Latest Questions and Correct
Answers/ Newest CRCR Exam Prep (Correctly
Answered Practice Test )
1. What is the first step of the revenue cycle?
A) Claim submission
B) Patient registration
C) Payment posting
D) Denial management
Correct Answer: B) Patient registration
Rationale: Patient registration begins the revenue cycle by capturing
accurate demographic and insurance information that supports all
downstream billing activities .
2. What is a clean claim?
, A) A claim containing no patient information
B) A claim that can be processed without needing additional information
or correction
C) A claim that is always paid at 100%
D) A claim submitted only to Medicare
Correct Answer: B) A claim that can be processed without needing
additional information or correction
Rationale: Clean claims contain all required information and pass payer
processing requirements without needing correction .
3. What is the difference between a claim rejection and a claim denial?
A) They are always identical
B) A rejection typically prevents adjudication, while a denial occurs after
payer adjudication
C) A denial occurs before submission
,
D) A rejection is always caused by the patient
Correct Answer: B) A rejection typically prevents adjudication, while a
denial occurs after payer adjudication
Rationale: Rejected claims contain errors that prevent them from
entering normal adjudication; denials occur when a payer reviews and
refuses payment after adjudication .
4. What is a claim denial?
A) A claim that has been paid in full
B) A payer's refusal to pay a claim or portion of a claim
C) A patient registration form
D) A medical record
Correct Answer: B) A payer's refusal to pay a claim or portion of a claim
Rationale: Denials can result from issues such as eligibility, authorization,
coding, medical necessity, or timely filing .
, 5. Which of the following is a Key Performance Indicator (KPI) for
accounts receivable?
A) Patient satisfaction scores
B) Days in Accounts Receivable (DAR)
C) Employee turnover rate
D) Number of registered patients
Correct Answer: B) Days in Accounts Receivable (DAR)
Rationale: KPIs set standards for accounts receivable and provide
methods for measuring collection and control of A/R .
6. Which of the following is NOT a phase of the revenue cycle?
A) Pre-Service
B) Time of Service
