HFMA CRCR EXAM | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What are collection agency fees based on? Answer: A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule? Answer: Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? Answer: Case rates
What customer service improvements might improve the patient accounts department? Answer:
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? Answer:
Inform a Medicare beneficiary that Medicare may not pay for the order or service
What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance? Answer: Bad debt adjustment
What is the initial hospice benefit? Answer: Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? Answer: If the
patient requires ambulance transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account is billed? Answer:
Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate what about
accounts Answer: They are not being processed in a timely manner
What is an advantage of a preregistration program? Answer: It reduces processing times at the
time of service
What are the two statutory exclusions from hospice coverage? Answer: Medically unnecessary
services and custodial care
What core financial activities are resolved within patient access? Answer: Scheduling,
insurance verification, discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? Answer: The services do not involve an
overnight stay
How is a mis-posted contractual allowance resolved? Answer: Comparing the contract
reimbursement rates with the contract on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's need for inpatient care? Answer:
Observation
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What are collection agency fees based on? Answer: A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other
rule? Answer: Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? Answer: Case rates
What customer service improvements might improve the patient accounts department? Answer:
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? Answer:
Inform a Medicare beneficiary that Medicare may not pay for the order or service
What type of account adjustment results from the patient's unwillingness to pay for a self-pay
balance? Answer: Bad debt adjustment
What is the initial hospice benefit? Answer: Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? Answer: If the
patient requires ambulance transportation to a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account is billed? Answer:
Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service indicate what about
accounts Answer: They are not being processed in a timely manner
What is an advantage of a preregistration program? Answer: It reduces processing times at the
time of service
What are the two statutory exclusions from hospice coverage? Answer: Medically unnecessary
services and custodial care
What core financial activities are resolved within patient access? Answer: Scheduling,
insurance verification, discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? Answer: The services do not involve an
overnight stay
How is a mis-posted contractual allowance resolved? Answer: Comparing the contract
reimbursement rates with the contract on the admittance advice to identify the correct amount
What type of patient status is used to evaluate the patient's need for inpatient care? Answer:
Observation
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
