[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
CRCR Certification HFMA Exam
Questions & Answer Key Solutions Latest
2026/2027 Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
202 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 202 verified questions with correct answers related to healthcare management, focusing on financial
and regulatory aspects of healthcare services. Each question is paired with the answer, providing a comprehensive resource for
study and certification preparation in the field of healthcare finance and compliance.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Explores the regulations and practices surrounding emergency medical services and the legal
Emergency Medical Treatment implications of patient treatment.
Covers the operational and financial management aspects of rural health clinics, including funding and
Rural Health Clinics service delivery.
Employer Identification Numbers Discusses the significance of EINs in healthcare transactions and regulatory compliance.
Local Coverage Determinations Examines the guidelines set by Medicare regarding what services are covered in specific local regions.
Details the role of MACs in administering Medicare services and ensuring compliance with federal
Medicare Administrative Contractor regulations.
Focuses on the metrics used to evaluate the financial and operational performance of healthcare
Key Performance Indicators organizations.
Financial Assistance Policies Analyzes the essential elements of financial assistance policies required by healthcare providers.
Patient Financial Communications Investigates best practices for communicating financial information to patients effectively.
Insurance Verification Processes Explores the procedures for verifying patients' insurance and the impact on billing and reimbursement.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 37
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Discusses the comprehensive process of managing claims, payments, and revenue generation in
Revenue Cycle Management healthcare.
Examines the measures healthcare organizations implement to prevent fraud and ensure compliance
Compliance and Fraud Prevention with regulations.
Healthcare Financial Reporting Covers the principles and practices of financial reporting within healthcare organizations.
Total Exam Coverage 12 Integrated Topic Modules • 202 Examination Questions
HIGH-YIELD: QUESTIONS & VERIFIED ANSWERS
Complete Examination Questions • 202 Questions • Sequential Exam Layout
QUESTION 1
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by
Answer: The Medicare Administrative Contractor (MAC) at the end of the hospice cap period.
QUESTION 2
Which of the following is required for participation in Medicaid
Answer: Meet Income and Assets Requirements.
QUESTION 3
In choosing a setting for patient financial discussions, organizations should first and foremost
Answer: Respect the patients privacy.
QUESTION 4
A nightly room charge will be incorrect if the patient's
Answer: Transfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 37
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 5
The Affordable Care Act legislated the development of Health Insurance Exchanges, where
individuals and
Answer: Small businesses can Purchase qualified health benefit plans regardless of insured's health status.
QUESTION 6
A portion of the accounts receivable inventory which has NOT qualified for billing includes:
Answer: Charitable pledges.
QUESTION 7
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from
Medicare?
Answer: Revenue codes.
QUESTION 8
This directive was developed to promote and ensure healthcare quality and value and also to
protect
Answer: Consumers and workers in the healthcare system. This directive is called Patient bill of rights.
QUESTION 9
The activity which results in the accurate recording of patient bed and level of care assessment,
patient
Answer: Transfer and patient discharge status on a real-time basis is known as Case management.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 37
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 10
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation?
Answer: Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by
the on-duty physician.
QUESTION 11
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactions
to identify
Answer: The employer of an individual described in a transaction EIN's are assigned by The Internal Revenue Service.
QUESTION 12
Checks received through mail, cash received through mail, and lockbox are all examples of
Answer: Control points for cash posting.
QUESTION 13
What are some core elements if a board-approved financial assistance policy?
Answer: Eligibility, application process, and nonpayment collection activities.
QUESTION 14
A recurring/series registration is characterized by
Answer: The creation of one registration record for multiple days of service.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 37
CRCR Certification HFMA Exam
Questions & Answer Key Solutions Latest
2026/2027 Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
202 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 202 verified questions with correct answers related to healthcare management, focusing on financial
and regulatory aspects of healthcare services. Each question is paired with the answer, providing a comprehensive resource for
study and certification preparation in the field of healthcare finance and compliance.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus
Explores the regulations and practices surrounding emergency medical services and the legal
Emergency Medical Treatment implications of patient treatment.
Covers the operational and financial management aspects of rural health clinics, including funding and
Rural Health Clinics service delivery.
Employer Identification Numbers Discusses the significance of EINs in healthcare transactions and regulatory compliance.
Local Coverage Determinations Examines the guidelines set by Medicare regarding what services are covered in specific local regions.
Details the role of MACs in administering Medicare services and ensuring compliance with federal
Medicare Administrative Contractor regulations.
Focuses on the metrics used to evaluate the financial and operational performance of healthcare
Key Performance Indicators organizations.
Financial Assistance Policies Analyzes the essential elements of financial assistance policies required by healthcare providers.
Patient Financial Communications Investigates best practices for communicating financial information to patients effectively.
Insurance Verification Processes Explores the procedures for verifying patients' insurance and the impact on billing and reimbursement.
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 37
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Discusses the comprehensive process of managing claims, payments, and revenue generation in
Revenue Cycle Management healthcare.
Examines the measures healthcare organizations implement to prevent fraud and ensure compliance
Compliance and Fraud Prevention with regulations.
Healthcare Financial Reporting Covers the principles and practices of financial reporting within healthcare organizations.
Total Exam Coverage 12 Integrated Topic Modules • 202 Examination Questions
HIGH-YIELD: QUESTIONS & VERIFIED ANSWERS
Complete Examination Questions • 202 Questions • Sequential Exam Layout
QUESTION 1
Overall aggregate payments made to a hospice are subject to a computed "cap amount"
calculated by
Answer: The Medicare Administrative Contractor (MAC) at the end of the hospice cap period.
QUESTION 2
Which of the following is required for participation in Medicaid
Answer: Meet Income and Assets Requirements.
QUESTION 3
In choosing a setting for patient financial discussions, organizations should first and foremost
Answer: Respect the patients privacy.
QUESTION 4
A nightly room charge will be incorrect if the patient's
Answer: Transfer from ICU (intensive care unit) to the Medical/Surgical floor is not reflected in the registration system.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 37
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 5
The Affordable Care Act legislated the development of Health Insurance Exchanges, where
individuals and
Answer: Small businesses can Purchase qualified health benefit plans regardless of insured's health status.
QUESTION 6
A portion of the accounts receivable inventory which has NOT qualified for billing includes:
Answer: Charitable pledges.
QUESTION 7
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from
Medicare?
Answer: Revenue codes.
QUESTION 8
This directive was developed to promote and ensure healthcare quality and value and also to
protect
Answer: Consumers and workers in the healthcare system. This directive is called Patient bill of rights.
QUESTION 9
The activity which results in the accurate recording of patient bed and level of care assessment,
patient
Answer: Transfer and patient discharge status on a real-time basis is known as Case management.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 37
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 10
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act)
violation?
Answer: Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by
the on-duty physician.
QUESTION 11
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactions
to identify
Answer: The employer of an individual described in a transaction EIN's are assigned by The Internal Revenue Service.
QUESTION 12
Checks received through mail, cash received through mail, and lockbox are all examples of
Answer: Control points for cash posting.
QUESTION 13
What are some core elements if a board-approved financial assistance policy?
Answer: Eligibility, application process, and nonpayment collection activities.
QUESTION 14
A recurring/series registration is characterized by
Answer: The creation of one registration record for multiple days of service.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 37
