Certified Revenue Cycle Representative
CRCR Certification Exam Prep Test Bank
2 Latest Questions and Correct Answers/
Newest CRCR Exam Prep (MOST RECENT)
GRADED A+
Domain: Revenue Cycle Fundamentals & Key Concepts
Q1. What is a "clean claim"?
A. A claim that has been paid in full.
B. A claim that has no errors and can be processed without additional
information.
C. A claim that has been appealed and overturned.
D. A claim that was submitted electronically.
Correct Answer: B
Q2. What is the primary purpose of a clearinghouse in the revenue cycle?
A. To audit provider credentials.
B. To set Medicare reimbursement rates.
C. To format and transmit claims between providers and payers.
D. To provide direct patient care.
Correct Answer: C
Domain: Patient Access & Pre-Service
Q3. What is a benefit of pre-registering patients for service?
A. It eliminates all no-show appointments.
,B. It allows the provider to bill the patient before services are rendered.
C. Patient arrival processing is expedited, reducing wait times and delays.
D. It guarantees that payment will be received from the insurance company.
Correct Answer: C
Q4. Insurance verification results in what?
A. The patient's out-of-pocket cost being reduced to zero.
B. The accurate identification of the patient's eligibility and benefits.
C. A guarantee of payment from the insurance company.
D. The patient's medical record being finalized.
Correct Answer: B
Domain: Claims, Billing, and Reimbursement
Q5. Which Medicare Part covers inpatient hospital stays?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: A
Q6. In addition to being supported by information found in the patient's
chart, a CMS-1500 claim must be coded using what?
A. ICD-10-CM codes only.
B. HCPCS (Healthcare Common Procedure Coding System).
C. Revenue codes only.
D. DRG codes.
Correct Answer: B
,Domain: Compliance and Regulatory
Q7. The 501(r) regulations require not-for-profit providers 501(c)(3) to do
which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally billed to
all other patients.
Correct Answer: A
Q8. What is the purpose of a compliance program?
A. To increase the hospital's revenue.
B. To ensure all patients have insurance.
C. To mitigate potential fraud and abuse in the industry-specific key risk
areas.
D. To reduce the number of staff needed in the revenue cycle department.
Correct Answer: C
Q9. What is the daily out-of-pocket amount for each lifetime reserve day
used?
A. 25% of the current deductible amount.
B. 50% of the current deductible amount.
C. 75% of the current deductible amount.
D. 100% of the current deductible amount.
Correct Answer: B
, Q10. What customer service improvement might improve the patient
accounts department?
A. Reducing the number of billing statements sent.
B. Holding staff accountable for customer service during performance
reviews.
C. Outsourcing all customer service calls to a third party.
D. Increasing the number of automated phone tree options.
Correct Answer: B
Q11. What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance?
A. Contractual adjustment.
B. Charity adjustment.
C. Bad debt adjustment.
D. Courtesy adjustment.
Correct Answer: C
Q12. What is the initial hospice benefit period?
A. One 90-day period and an unlimited number of subsequent periods.
B. Two 90-day periods and an unlimited number of subsequent periods.
C. One 60-day period and an unlimited number of subsequent periods.
D. Two 60-day periods and an unlimited number of subsequent periods.
Correct Answer: B
CRCR Certification Exam Prep Test Bank
2 Latest Questions and Correct Answers/
Newest CRCR Exam Prep (MOST RECENT)
GRADED A+
Domain: Revenue Cycle Fundamentals & Key Concepts
Q1. What is a "clean claim"?
A. A claim that has been paid in full.
B. A claim that has no errors and can be processed without additional
information.
C. A claim that has been appealed and overturned.
D. A claim that was submitted electronically.
Correct Answer: B
Q2. What is the primary purpose of a clearinghouse in the revenue cycle?
A. To audit provider credentials.
B. To set Medicare reimbursement rates.
C. To format and transmit claims between providers and payers.
D. To provide direct patient care.
Correct Answer: C
Domain: Patient Access & Pre-Service
Q3. What is a benefit of pre-registering patients for service?
A. It eliminates all no-show appointments.
,B. It allows the provider to bill the patient before services are rendered.
C. Patient arrival processing is expedited, reducing wait times and delays.
D. It guarantees that payment will be received from the insurance company.
Correct Answer: C
Q4. Insurance verification results in what?
A. The patient's out-of-pocket cost being reduced to zero.
B. The accurate identification of the patient's eligibility and benefits.
C. A guarantee of payment from the insurance company.
D. The patient's medical record being finalized.
Correct Answer: B
Domain: Claims, Billing, and Reimbursement
Q5. Which Medicare Part covers inpatient hospital stays?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: A
Q6. In addition to being supported by information found in the patient's
chart, a CMS-1500 claim must be coded using what?
A. ICD-10-CM codes only.
B. HCPCS (Healthcare Common Procedure Coding System).
C. Revenue codes only.
D. DRG codes.
Correct Answer: B
,Domain: Compliance and Regulatory
Q7. The 501(r) regulations require not-for-profit providers 501(c)(3) to do
which of the following activities?
A. Complete a community needs assessment and develop a discount
program for patient balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for
financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured patients.
D. Discount all charges to self-pay patients to an amount generally billed to
all other patients.
Correct Answer: A
Q8. What is the purpose of a compliance program?
A. To increase the hospital's revenue.
B. To ensure all patients have insurance.
C. To mitigate potential fraud and abuse in the industry-specific key risk
areas.
D. To reduce the number of staff needed in the revenue cycle department.
Correct Answer: C
Q9. What is the daily out-of-pocket amount for each lifetime reserve day
used?
A. 25% of the current deductible amount.
B. 50% of the current deductible amount.
C. 75% of the current deductible amount.
D. 100% of the current deductible amount.
Correct Answer: B
, Q10. What customer service improvement might improve the patient
accounts department?
A. Reducing the number of billing statements sent.
B. Holding staff accountable for customer service during performance
reviews.
C. Outsourcing all customer service calls to a third party.
D. Increasing the number of automated phone tree options.
Correct Answer: B
Q11. What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance?
A. Contractual adjustment.
B. Charity adjustment.
C. Bad debt adjustment.
D. Courtesy adjustment.
Correct Answer: C
Q12. What is the initial hospice benefit period?
A. One 90-day period and an unlimited number of subsequent periods.
B. Two 90-day periods and an unlimited number of subsequent periods.
C. One 60-day period and an unlimited number of subsequent periods.
D. Two 60-day periods and an unlimited number of subsequent periods.
Correct Answer: B
