HFMA CRCR Final and Practice Exam Test
Bank – 2025/2026 Edition – Verified
Questions and Answers
This document provides the complete test bank for the HFMA CRCR (Certified Revenue
Cycle Representative) Final and Practice Exams, fully updated for the 2025/2026 cycle. It
includes accurate, up-to-date questions with correct answers and explanations, covering
key areas such as revenue cycle compliance, patient financial communications, billing,
collections, and healthcare reimbursement. Ideal for professionals preparing for CRCR
certification.
,
,
, Through what document does a hospital establish compliance standards?
- ,,,answer,,,,..code of conduct
What is the purpose OIG work plant? - ,,,answer,,,,..Identify Acceptable
compliance programs in various provider setting
If a Medicare patient is admitted on Friday, what services fall within the
three-day DRG window rule? - ,,,answer,,,,..Non-diagnostic service
provided on Tuesday through Friday
What does a modifier allow a provider to do? - ,,,answer,,,,..Report a
specific circumstance that affected a procedure or service without
changing the code or its definition
IF outpatient diagnostic services are provided within three days of the
admission of a Medicare beneficiary to an IPPS (Inpatient Prospective
Payment System) hospital, what must happen to these charges -
,,,answer,,,,..They must be billed separately to the part B Carrier
what is a recurring or series registration? - ,,,answer,,,,..One registration
record is created for multiple days of service
What are nonemergency patients who come for service without prior
notification to the provider called? - ,,,answer,,,,..Unscheduled patients
Which of the following statement apply to the observation patient type?
- ,,,answer,,,,..It is used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the
clock patient - ,,,answer,,,,..Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? -
,,,answer,,,,..Complete the scheduling process correctly based on service
requeste
Bank – 2025/2026 Edition – Verified
Questions and Answers
This document provides the complete test bank for the HFMA CRCR (Certified Revenue
Cycle Representative) Final and Practice Exams, fully updated for the 2025/2026 cycle. It
includes accurate, up-to-date questions with correct answers and explanations, covering
key areas such as revenue cycle compliance, patient financial communications, billing,
collections, and healthcare reimbursement. Ideal for professionals preparing for CRCR
certification.
,
,
, Through what document does a hospital establish compliance standards?
- ,,,answer,,,,..code of conduct
What is the purpose OIG work plant? - ,,,answer,,,,..Identify Acceptable
compliance programs in various provider setting
If a Medicare patient is admitted on Friday, what services fall within the
three-day DRG window rule? - ,,,answer,,,,..Non-diagnostic service
provided on Tuesday through Friday
What does a modifier allow a provider to do? - ,,,answer,,,,..Report a
specific circumstance that affected a procedure or service without
changing the code or its definition
IF outpatient diagnostic services are provided within three days of the
admission of a Medicare beneficiary to an IPPS (Inpatient Prospective
Payment System) hospital, what must happen to these charges -
,,,answer,,,,..They must be billed separately to the part B Carrier
what is a recurring or series registration? - ,,,answer,,,,..One registration
record is created for multiple days of service
What are nonemergency patients who come for service without prior
notification to the provider called? - ,,,answer,,,,..Unscheduled patients
Which of the following statement apply to the observation patient type?
- ,,,answer,,,,..It is used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the
clock patient - ,,,answer,,,,..Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? -
,,,answer,,,,..Complete the scheduling process correctly based on service
requeste
