Page 1 of 36
CRCR CERTIFICATION HFMA EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {205 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
The ICD-10 codes set and CPT/HCPCS code sets combines
provide - ✔✔✔ Correct Answer > The specificity and coding needed to
support reimbursement claims
What is Continuum of Care? - ✔✔✔ Correct Answer > The coordination
and linkage of resources needed to avoid the duplication of
services and the facilitation of a seamless movement among
care settings
In a self-insured (or self-funded) plan, the costs of medical care
are - ✔✔✔ Correct Answer > Borne by the employer on a pay-as-you-
go basis
When Recovery Audit Contractors (RAC) identify improper
payments as over payments, the - ✔✔✔ Correct Answer > Send a
demand letter to the provider to recover the over payment
amount
,Page 2 of 36
Indemnity plans usually reimburse: - ✔✔✔ Correct Answer > A certain
percentage of the charges after the patient meets the policy's
annual deductible
The first and most critical step in registering a patient, whether
scheduled or unscheduled, is - ✔✔✔ Correct Answer > Verifying the
patient's identification
Across all care settings, if a patient consents to a financial
discussion during a medical encounter - ✔✔✔ Correct Answer >
Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by: - ✔✔✔ Correct Answer > Each
state's Medicaid plan
Medicare patients are NOT required to produce a physician order
to receive which of these services - ✔✔✔ Correct Answer > Screening
Mammography, flu vaccine or pneumonia vaccine
EFT (electronic funds transfer) is - ✔✔✔ Correct Answer > An
electronic transfer of funds from payer to payee
,Page 3 of 36
The importance of medical records being maintained by HIM is
that the patient records - ✔✔✔ Correct Answer > Are the primary
source for clinical data required for reimbursement by health
plans and liability payers
Days in A/R is calculated based on the value of: - ✔✔✔ Correct Answer
> The time it takes to collect anticipated revenue
To maximize the value derived from customer complaints, all
consumer complaints should be - ✔✔✔ Correct Answer > Responded to
within two business days
A scheduled inpatient represents an opportunity for the provider
to do which of the following? - ✔✔✔ Correct Answer > Complete
registration and insurance approval before service
In the pre-service stage, the requested service is screened for
medical necessity, health - ✔✔✔ Correct Answer > Pre-authorization
are obtained
Hospitals need which of the following information sets to assess
a patient's financial status: - ✔✔✔ Correct Answer > Patient and
guarantor's income, expenses and assets
, Page 4 of 36
Patients are contacting hospitals to proactively inquire about
costs and fees prior to - ✔✔✔ Correct Answer > The fact that charge
master lists the total charge, not net charges that reflect charges
after a payer's contractual adjustment
HIPAA had adopted Employer Identification Numbers (EIN) to be
used in standard transactions to identify the employer of an
individual described in a transaction EIN's are assigned by - ✔✔✔
Correct Answer > The Internal Revenue Service
The HCAHPS (hospital consumer assessment of healthcare
providers and systems) initiative - ✔✔✔ Correct Answer > Provide a
standardized method for evaluating patient's perspective on
hospital care.
A large number of credit balances are not the result of
overpayments but of - ✔✔✔ Correct Answer > Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ✔✔✔ Correct Answer > With
admission as an inpatient
Chapter 13 Bankruptcy, debtor rehabilitation, is a court
proceeding - ✔✔✔ Correct Answer > That reorganizes a debtor's
CRCR CERTIFICATION HFMA EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {205 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
The ICD-10 codes set and CPT/HCPCS code sets combines
provide - ✔✔✔ Correct Answer > The specificity and coding needed to
support reimbursement claims
What is Continuum of Care? - ✔✔✔ Correct Answer > The coordination
and linkage of resources needed to avoid the duplication of
services and the facilitation of a seamless movement among
care settings
In a self-insured (or self-funded) plan, the costs of medical care
are - ✔✔✔ Correct Answer > Borne by the employer on a pay-as-you-
go basis
When Recovery Audit Contractors (RAC) identify improper
payments as over payments, the - ✔✔✔ Correct Answer > Send a
demand letter to the provider to recover the over payment
amount
,Page 2 of 36
Indemnity plans usually reimburse: - ✔✔✔ Correct Answer > A certain
percentage of the charges after the patient meets the policy's
annual deductible
The first and most critical step in registering a patient, whether
scheduled or unscheduled, is - ✔✔✔ Correct Answer > Verifying the
patient's identification
Across all care settings, if a patient consents to a financial
discussion during a medical encounter - ✔✔✔ Correct Answer >
Support that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
Overall aggregate payments made to a hospice are subject to a
computed "cap amount" calculated by: - ✔✔✔ Correct Answer > Each
state's Medicaid plan
Medicare patients are NOT required to produce a physician order
to receive which of these services - ✔✔✔ Correct Answer > Screening
Mammography, flu vaccine or pneumonia vaccine
EFT (electronic funds transfer) is - ✔✔✔ Correct Answer > An
electronic transfer of funds from payer to payee
,Page 3 of 36
The importance of medical records being maintained by HIM is
that the patient records - ✔✔✔ Correct Answer > Are the primary
source for clinical data required for reimbursement by health
plans and liability payers
Days in A/R is calculated based on the value of: - ✔✔✔ Correct Answer
> The time it takes to collect anticipated revenue
To maximize the value derived from customer complaints, all
consumer complaints should be - ✔✔✔ Correct Answer > Responded to
within two business days
A scheduled inpatient represents an opportunity for the provider
to do which of the following? - ✔✔✔ Correct Answer > Complete
registration and insurance approval before service
In the pre-service stage, the requested service is screened for
medical necessity, health - ✔✔✔ Correct Answer > Pre-authorization
are obtained
Hospitals need which of the following information sets to assess
a patient's financial status: - ✔✔✔ Correct Answer > Patient and
guarantor's income, expenses and assets
, Page 4 of 36
Patients are contacting hospitals to proactively inquire about
costs and fees prior to - ✔✔✔ Correct Answer > The fact that charge
master lists the total charge, not net charges that reflect charges
after a payer's contractual adjustment
HIPAA had adopted Employer Identification Numbers (EIN) to be
used in standard transactions to identify the employer of an
individual described in a transaction EIN's are assigned by - ✔✔✔
Correct Answer > The Internal Revenue Service
The HCAHPS (hospital consumer assessment of healthcare
providers and systems) initiative - ✔✔✔ Correct Answer > Provide a
standardized method for evaluating patient's perspective on
hospital care.
A large number of credit balances are not the result of
overpayments but of - ✔✔✔ Correct Answer > Posting errors in the
patient accounting system
A Medicare Part A benefit period begins: - ✔✔✔ Correct Answer > With
admission as an inpatient
Chapter 13 Bankruptcy, debtor rehabilitation, is a court
proceeding - ✔✔✔ Correct Answer > That reorganizes a debtor's
