HFMA CRCR CERTIFICATION EXAM 2025 | WITH
100% VERIFIED QUESTIONS & ANSWERS
1. Describe the financial responsibility structure of a self-insured plan.
In a self-insured plan, the insurance company covers all medical
expenses.
In a self-insured plan, the employer bears the costs of medical
care on a pay-as-you-go basis.
In a self-insured plan, the employee pays upfront for all medical
expenses.
In a self-insured plan, costs are shared equally between employer
and employee.
2. Which of the following is the best description of the purpose of financial
reporting?
To allow users to access the daily detailed records of a business
To allow users access to a list of all the individuals who owe the
company money
To provide users with an assessment of how long the company will
continue as a going concern
To help the users reach their decisions in an informed manner
3. If a healthcare provider fails to maintain clear and transparent financial
communications, what potential impact could this have on patient
satisfaction?
It would improve patient satisfaction by reducing confusion.
,It would have no impact on patient satisfaction.
, It could lead to decreased patient satisfaction and trust in the
healthcare provider.
It would only affect the billing department's efficiency.
4. Describe the significance of categorizing accounts receivable into aging
reports in healthcare billing.
Aging reports are primarily for tracking patient demographics.
Categorizing accounts receivable into aging reports helps
healthcare providers manage cash flow and identify overdue
payments.
Aging reports are used to determine patient satisfaction levels.
Aging reports help in the recruitment of healthcare staff.
5. What must the scheduling staff member confirm when there is a request for
service?
The patient's correct information in the historical database
The patient's appointment history
The patient's insurance coverage
The patient's medical history
6. In resolving medical accounts, a law firm may be used as:
Legal counsel to patients regarding financing options
An independent broker of patient financial assistance from banks
A substitute for a collection agency
An independent auditor of a financial assistance policy
,7. Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is:
That hospitals don't want to establish a price without knowing if the
patient has insurance and how much reimbursement can be
expected
The fact that charge master lists the total charge, not net charges
that reflect charges after a payer's contractual adjustment
That hospitals don't want to be put in the position of
8. If a Rural Health Clinic (RHC) wanted to expand its services to include
inpatient care, what regulatory considerations would they need to address?
They would need to comply with state licensing requirements and
federal regulations for inpatient facilities.
They would only need to inform their patients about the change.
They would need to increase their outpatient services first.
They could simply add beds and start admitting patients.
9. In a scenario where a healthcare facility is experiencing high rates of billing
errors, what strategy should be implemented to improve patient information
accuracy?
Require clinical staff to verify information at each treatment
encounter
Implement a new billing software without staff training
Reduce the frequency of patient information checks
Increase the number of billing staff
,10. Why is accurate patient identification crucial in healthcare compliance
programs?
Accurate patient identification helps in marketing strategies.
Accurate patient identification is not important in healthcare
compliance.
Accurate patient identification is only necessary for insurance
purposes.
Accurate patient identification is essential to ensure proper
billing, treatment, and adherence to regulations.
11. If a healthcare facility identifies a significant number of credit balances due
to posting errors, what corrective action should be prioritized?
Review and improve the patient accounting system for accuracy.
Implement stricter payment collection policies.
Increase patient financial communication efforts.
Focus solely on reducing patient overpayments.
12. Interpret the criteria that determine whether a patient should be admitted
as an inpatient based on their condition.
A patient should be admitted as an inpatient if they have insurance
coverage for hospitalization.
A patient should be admitted as an inpatient if they are
experiencing severe pain.
A patient should be admitted as an inpatient if they have a chronic
condition that requires ongoing monitoring.
, A patient should be admitted as an inpatient if they require
hospital-level care due to the inability to evaluate or treat their
condition within 24 hours or if there is no expected improvement
in that timeframe.
13. When there is a request for service, the scheduling staff member must
confirm the patient's unique identification information to
Verify the patient's insurance coverage if the patient is a returning
customer
Check if there is any patient balance due
Confirm that physician orders have been received
Ensure that she/he accesses the correct information in the
historical database
14. What role do case managers play in the documentation of treatment in
healthcare?
They document the clinical reasons for treatment.
They oversee financial discussions with patients.
They ensure compliance with EMTALA.
They manage patient accounts receivable.
15. Which situation would result in a credit balance for the patient?
the dental office purchases supplies from a vendor
the insurance company refuses to pay a claim
the patient does not pay a bill by the due date
the patient overpays for services in advance
100% VERIFIED QUESTIONS & ANSWERS
1. Describe the financial responsibility structure of a self-insured plan.
In a self-insured plan, the insurance company covers all medical
expenses.
In a self-insured plan, the employer bears the costs of medical
care on a pay-as-you-go basis.
In a self-insured plan, the employee pays upfront for all medical
expenses.
In a self-insured plan, costs are shared equally between employer
and employee.
2. Which of the following is the best description of the purpose of financial
reporting?
To allow users to access the daily detailed records of a business
To allow users access to a list of all the individuals who owe the
company money
To provide users with an assessment of how long the company will
continue as a going concern
To help the users reach their decisions in an informed manner
3. If a healthcare provider fails to maintain clear and transparent financial
communications, what potential impact could this have on patient
satisfaction?
It would improve patient satisfaction by reducing confusion.
,It would have no impact on patient satisfaction.
, It could lead to decreased patient satisfaction and trust in the
healthcare provider.
It would only affect the billing department's efficiency.
4. Describe the significance of categorizing accounts receivable into aging
reports in healthcare billing.
Aging reports are primarily for tracking patient demographics.
Categorizing accounts receivable into aging reports helps
healthcare providers manage cash flow and identify overdue
payments.
Aging reports are used to determine patient satisfaction levels.
Aging reports help in the recruitment of healthcare staff.
5. What must the scheduling staff member confirm when there is a request for
service?
The patient's correct information in the historical database
The patient's appointment history
The patient's insurance coverage
The patient's medical history
6. In resolving medical accounts, a law firm may be used as:
Legal counsel to patients regarding financing options
An independent broker of patient financial assistance from banks
A substitute for a collection agency
An independent auditor of a financial assistance policy
,7. Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is:
That hospitals don't want to establish a price without knowing if the
patient has insurance and how much reimbursement can be
expected
The fact that charge master lists the total charge, not net charges
that reflect charges after a payer's contractual adjustment
That hospitals don't want to be put in the position of
8. If a Rural Health Clinic (RHC) wanted to expand its services to include
inpatient care, what regulatory considerations would they need to address?
They would need to comply with state licensing requirements and
federal regulations for inpatient facilities.
They would only need to inform their patients about the change.
They would need to increase their outpatient services first.
They could simply add beds and start admitting patients.
9. In a scenario where a healthcare facility is experiencing high rates of billing
errors, what strategy should be implemented to improve patient information
accuracy?
Require clinical staff to verify information at each treatment
encounter
Implement a new billing software without staff training
Reduce the frequency of patient information checks
Increase the number of billing staff
,10. Why is accurate patient identification crucial in healthcare compliance
programs?
Accurate patient identification helps in marketing strategies.
Accurate patient identification is not important in healthcare
compliance.
Accurate patient identification is only necessary for insurance
purposes.
Accurate patient identification is essential to ensure proper
billing, treatment, and adherence to regulations.
11. If a healthcare facility identifies a significant number of credit balances due
to posting errors, what corrective action should be prioritized?
Review and improve the patient accounting system for accuracy.
Implement stricter payment collection policies.
Increase patient financial communication efforts.
Focus solely on reducing patient overpayments.
12. Interpret the criteria that determine whether a patient should be admitted
as an inpatient based on their condition.
A patient should be admitted as an inpatient if they have insurance
coverage for hospitalization.
A patient should be admitted as an inpatient if they are
experiencing severe pain.
A patient should be admitted as an inpatient if they have a chronic
condition that requires ongoing monitoring.
, A patient should be admitted as an inpatient if they require
hospital-level care due to the inability to evaluate or treat their
condition within 24 hours or if there is no expected improvement
in that timeframe.
13. When there is a request for service, the scheduling staff member must
confirm the patient's unique identification information to
Verify the patient's insurance coverage if the patient is a returning
customer
Check if there is any patient balance due
Confirm that physician orders have been received
Ensure that she/he accesses the correct information in the
historical database
14. What role do case managers play in the documentation of treatment in
healthcare?
They document the clinical reasons for treatment.
They oversee financial discussions with patients.
They ensure compliance with EMTALA.
They manage patient accounts receivable.
15. Which situation would result in a credit balance for the patient?
the dental office purchases supplies from a vendor
the insurance company refuses to pay a claim
the patient does not pay a bill by the due date
the patient overpays for services in advance
