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CRCR Exam Questions and Answers 100%
Pass
Pre-Service (Step 1) - ANS 1. The patient is scheduled and pre-registered for service
Pre-Service (Step 2) - ANS 2. The encounter record is generated, and the patient and
guarantor information is obtained and/or updated as required.
Pre-Service (Step 3) - ANS 3. The requested service is screened for medical necessity; health
plan coverage and benefits are verified, and pre-authorizations are obtained.
Pre-Service (Step 4) - ANS 4. The cost of the scheduled service is identified and the patient's
health plan and benefits are used to calculate the price of the services to the patient.
This price typically includes a deductible, coinsurance and/or copayment amounts.
If the service is identified as "not medically necessary," additional processing is required.
Pre-Service (Step 5) - ANS 5. The patient is notified of their financial responsibility including
copayments and health plan deductibles, and their eligibility for financial assistance is assessed.
Time of Service (steps) - ANS 1. For scheduled patients, a final account review is completed
prior to the patient's arrival.
Ideally, the scheduled patient arrives at the service unit where the pre-registration record is
activated, consents are signed, and co-payments and/or other agreed upon amounts are
collected.
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Positive patient identification is completed, and the patient is given an armband which
corresponds to the activated account number.
Alternatively, scheduled, pre-processed patients can report to a designated "express arrival"
desk located in a centralized access area upon their arrival.
Time of Service (steps) - ANS 2. For unscheduled patients, comprehensive registration and
financial processing is completed at the time-of-service. This process mirrors the work that was
completed for the scheduled patients prior to service.
Post-Service - ANS Post-service includes the account activities that occur after the patient is
discharged until the account reaches a zero balance, such as final coding of all services
provided, preparation and submission of claims, payment processing and balance billing and
resolution, as appropriate.
Healthcare Dollars & Sense Pillars - ANS 1. Patient financial communications best practices
2. Best practices for price transparency
3. Medical account resolution
Dollars & Sense (Patient Financial Communication) - ANS These common-sense best
practices bring consistency, clarity, and transparency to patient financial communications by
outlining steps to help patients understand the cost of services they receive, their insurance
coverage, and their individual responsibility.
Dollars & Sense Time of Service Discussion - ANS The best practices specify that in the ED
setting, no patient financial discussions should occur before a patient is screened and stabilized,
in accordance with the local regulations governing the ED.
Dollars & Sense Emergency Medical Condition - ANS If the medical screening determines that
a patient has an emergency medical condition, the financial discussion should occur during the
discharge process. For patients who do not have an emergency medical condition, following the
medical screening, discussion may occur during either the registration or discharge process.
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Dollars & Sense Non-emergency Conditions - ANS Outside the ED setting, discussions may
take place during the registration or discharge process in a location that does not disrupt
patient flow.
Across all care settings, if a patient consents to a financial discussion during a medical
encounter to expedite discharge, the best practices support that choice, providing that the
discussion does not interfere with patient care or disrupt patient flow.
Dollars & Sense Discussions in Advance of Service - ANS Discussions should use the most
appropriate means of communication for the patient, and may occur via outbound contact to
the patient, inbound contact from patients making inquiries, or through the scheduling or
contact center at the time an appointment is made.
Dollars & Sense Timeliness of Discussions - ANS The best practices stipulate that a
reasonable attempt should be made to have the discussion as early as possible, before a
financial obligation is incurred (i.e., before care is provided).
Timely discussions help ensure that patients understand their financial obligation and that
providers are aware of the patient's ability to pay and/or the source of payment.
Dollars & Sense Routine Scenario - ANS For routine scenarios, such as patients with
insurance coverage or a known ability to pay, financial discussions should take place between
the patient or guarantor (i.e., the person responsible for payment of the bill) and properly
trained provider representatives.
Dollars & Sense Complex Scenario - ANS For non-routine or complex scenarios, such as
uninsured or underinsured patients, a financial counselor or supervisor should be involved.
Dollars & Sense Financial Discussion - ANS The practices detail typical elements of patient
financial discussions, including provision of care, registration, insurance verification, and
financial counseling (i.e. patient share, prior balances (if applicable), and balance resolution).
CRCR Exam Questions and Answers 100%
Pass
Pre-Service (Step 1) - ANS 1. The patient is scheduled and pre-registered for service
Pre-Service (Step 2) - ANS 2. The encounter record is generated, and the patient and
guarantor information is obtained and/or updated as required.
Pre-Service (Step 3) - ANS 3. The requested service is screened for medical necessity; health
plan coverage and benefits are verified, and pre-authorizations are obtained.
Pre-Service (Step 4) - ANS 4. The cost of the scheduled service is identified and the patient's
health plan and benefits are used to calculate the price of the services to the patient.
This price typically includes a deductible, coinsurance and/or copayment amounts.
If the service is identified as "not medically necessary," additional processing is required.
Pre-Service (Step 5) - ANS 5. The patient is notified of their financial responsibility including
copayments and health plan deductibles, and their eligibility for financial assistance is assessed.
Time of Service (steps) - ANS 1. For scheduled patients, a final account review is completed
prior to the patient's arrival.
Ideally, the scheduled patient arrives at the service unit where the pre-registration record is
activated, consents are signed, and co-payments and/or other agreed upon amounts are
collected.
, ©THESTAR 2025 ALL RIGHTS RESERVED
Positive patient identification is completed, and the patient is given an armband which
corresponds to the activated account number.
Alternatively, scheduled, pre-processed patients can report to a designated "express arrival"
desk located in a centralized access area upon their arrival.
Time of Service (steps) - ANS 2. For unscheduled patients, comprehensive registration and
financial processing is completed at the time-of-service. This process mirrors the work that was
completed for the scheduled patients prior to service.
Post-Service - ANS Post-service includes the account activities that occur after the patient is
discharged until the account reaches a zero balance, such as final coding of all services
provided, preparation and submission of claims, payment processing and balance billing and
resolution, as appropriate.
Healthcare Dollars & Sense Pillars - ANS 1. Patient financial communications best practices
2. Best practices for price transparency
3. Medical account resolution
Dollars & Sense (Patient Financial Communication) - ANS These common-sense best
practices bring consistency, clarity, and transparency to patient financial communications by
outlining steps to help patients understand the cost of services they receive, their insurance
coverage, and their individual responsibility.
Dollars & Sense Time of Service Discussion - ANS The best practices specify that in the ED
setting, no patient financial discussions should occur before a patient is screened and stabilized,
in accordance with the local regulations governing the ED.
Dollars & Sense Emergency Medical Condition - ANS If the medical screening determines that
a patient has an emergency medical condition, the financial discussion should occur during the
discharge process. For patients who do not have an emergency medical condition, following the
medical screening, discussion may occur during either the registration or discharge process.
, ©THESTAR 2025 ALL RIGHTS RESERVED
Dollars & Sense Non-emergency Conditions - ANS Outside the ED setting, discussions may
take place during the registration or discharge process in a location that does not disrupt
patient flow.
Across all care settings, if a patient consents to a financial discussion during a medical
encounter to expedite discharge, the best practices support that choice, providing that the
discussion does not interfere with patient care or disrupt patient flow.
Dollars & Sense Discussions in Advance of Service - ANS Discussions should use the most
appropriate means of communication for the patient, and may occur via outbound contact to
the patient, inbound contact from patients making inquiries, or through the scheduling or
contact center at the time an appointment is made.
Dollars & Sense Timeliness of Discussions - ANS The best practices stipulate that a
reasonable attempt should be made to have the discussion as early as possible, before a
financial obligation is incurred (i.e., before care is provided).
Timely discussions help ensure that patients understand their financial obligation and that
providers are aware of the patient's ability to pay and/or the source of payment.
Dollars & Sense Routine Scenario - ANS For routine scenarios, such as patients with
insurance coverage or a known ability to pay, financial discussions should take place between
the patient or guarantor (i.e., the person responsible for payment of the bill) and properly
trained provider representatives.
Dollars & Sense Complex Scenario - ANS For non-routine or complex scenarios, such as
uninsured or underinsured patients, a financial counselor or supervisor should be involved.
Dollars & Sense Financial Discussion - ANS The practices detail typical elements of patient
financial discussions, including provision of care, registration, insurance verification, and
financial counseling (i.e. patient share, prior balances (if applicable), and balance resolution).
