HFMA CRCR EXAM 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
Collection results are: - ANS-A. Always guaranteed by the collection agency.
**B. Accurately calculated to demonstrate the actual recovery percentage rate.
C. Calculated using agency's private formula.
D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? - ANS-A. Coordinate the resolution of bad debt
accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business affiliates
D. Report back to credit bureaus when an account is resolved
True or False: The following statement represents an advantage of outsourcing:
Access to qualified staff - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Vendor absorbs some financial risk based on "efficiency" factor - ANS-**True
False
,True or False: The following statement represents an advantage of outsourcing:
Impact on direct control of accounts receivable - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
Capitalizes on the economies of scale - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Limits internal staffing requirements - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on customer service - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
Legal impact if vendor represents themselves as provider employees - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
,Ineffective vendor results in increased costs - ANS-True
**False
ABC Hospital has experienced a 16% increase in new patients over the past 6 months. The
hospital is understaffed in its insurance claim and payment processing department and cannot
handle this increase in work load. It is considering hiring an outsourcing vendor to assist. What
are the steps that the hospital needs to take to establish and ensure a successful vendor
relationship? - ANS-**A. Distribute a RFP to solicit vendor capabilities, evaluate vendor's
expertise to provide outsourcing services, visit vendor locations, perform vendor reference
checks, talk with vendor clients, interview vendor employees to assess experience level.
B. Evaluate vendor's expertise in providing outsourcing services, visit vendor locations,
interview vendor employees to assess expertise level.
Which function within the revenue cycle is NOT a good candidate for outsourcing? - ANS-**A.
Health Care Patient Services
B. Patient Accounting
C. Patient Access
D. Health Information Management
What are collection agency fees based on? - ANS-A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? - ANS-Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? - ANS-Case rates
, What customer service improvements might improve the patient accounts department? - ANS-
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - ANS-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? - ANS-Bad debt adjustment
What is the initial hospice benefit? - ANS-Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? - ANS-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? - ANS-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 - ANS-They are not being processed in a timely manner
What is an advantage of a preregistration program? - ANS-It reduces processing times at the
time of service
What are the two statutory exclusions from hospice coverage? - ANS-Medically unnecessary
services and custodial care
What core financial activities are resolved within patient access? - ANS-Scheduling, insurance
verification, discharge processing, and payment of point-of-service receipts
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
Collection results are: - ANS-A. Always guaranteed by the collection agency.
**B. Accurately calculated to demonstrate the actual recovery percentage rate.
C. Calculated using agency's private formula.
D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? - ANS-A. Coordinate the resolution of bad debt
accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business affiliates
D. Report back to credit bureaus when an account is resolved
True or False: The following statement represents an advantage of outsourcing:
Access to qualified staff - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Vendor absorbs some financial risk based on "efficiency" factor - ANS-**True
False
,True or False: The following statement represents an advantage of outsourcing:
Impact on direct control of accounts receivable - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
Capitalizes on the economies of scale - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Limits internal staffing requirements - ANS-**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on customer service - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
Legal impact if vendor represents themselves as provider employees - ANS-True
**False
True or False: The following statement represents an advantage of outsourcing:
,Ineffective vendor results in increased costs - ANS-True
**False
ABC Hospital has experienced a 16% increase in new patients over the past 6 months. The
hospital is understaffed in its insurance claim and payment processing department and cannot
handle this increase in work load. It is considering hiring an outsourcing vendor to assist. What
are the steps that the hospital needs to take to establish and ensure a successful vendor
relationship? - ANS-**A. Distribute a RFP to solicit vendor capabilities, evaluate vendor's
expertise to provide outsourcing services, visit vendor locations, perform vendor reference
checks, talk with vendor clients, interview vendor employees to assess experience level.
B. Evaluate vendor's expertise in providing outsourcing services, visit vendor locations,
interview vendor employees to assess expertise level.
Which function within the revenue cycle is NOT a good candidate for outsourcing? - ANS-**A.
Health Care Patient Services
B. Patient Accounting
C. Patient Access
D. Health Information Management
What are collection agency fees based on? - ANS-A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? - ANS-Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? - ANS-Case rates
, What customer service improvements might improve the patient accounts department? - ANS-
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - ANS-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? - ANS-Bad debt adjustment
What is the initial hospice benefit? - ANS-Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim? - ANS-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? - ANS-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 - ANS-They are not being processed in a timely manner
What is an advantage of a preregistration program? - ANS-It reduces processing times at the
time of service
What are the two statutory exclusions from hospice coverage? - ANS-Medically unnecessary
services and custodial care
What core financial activities are resolved within patient access? - ANS-Scheduling, insurance
verification, discharge processing, and payment of point-of-service receipts
