HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
HFMA CRCR EXAM QUESTIONS AND
ANSWERS LATEST UPDATED
Question 1
What are collection agency fees based on?
Correct Answer
A percentage of dollars collected
Question 2
Self-funded benefit plans may choose to coordinate benefits using the gender rule or
what other rule?
Correct Answer
Birthday
Question 3
In what type of payment methodology is a lump sum or bundled payment negotiated
between the payer and some or all providers?
Correct Answer
Case rates
Question 4
What customer service improvements might improve the patient accounts
department?
Correct Answer
Holding staff accountable for customer service during performance reviews
Page 1 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 5
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Correct Answer
Inform a Medicare beneficiary that Medicare may not pay for the order or service
Question 6
What type of account adjustment results from the patient's unwillingness to pay for a
self-pay balance?
Correct Answer
Bad debt adjustment
Question 7
What is the initial hospice benefit?
Correct Answer
Two 90-day periods and an unlimited number of subsequent periods
Question 8
When does a hospital add ambulance charges to the Medicare inpatient claim?
Correct Answer
If the patient requires ambulance transportation to a skilled nursing facility
Question 9
How should a provider resolve a late-charge credit posted after an account is billed?
Correct Answer
Post a late-charge adjustment to the account
Page 2 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 10
an increase in the dollars aged greater than 90 days from date of service indicate
what about accounts
Correct Answer
They are not being processed in a timely manner
Question 11
What is an advantage of a preregistration program?
Correct Answer
It reduces processing times at the time of service
Question 12
What are the two statutory exclusions from hospice coverage?
Correct Answer
Medically unnecessary services and custodial care
Question 13
What core financial activities are resolved within patient access?
Correct Answer
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
Question 14
What statement applies to the scheduled outpatient?
Correct Answer
The services do not involve an overnight stay
Page 3 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 15
How is a mis-posted contractual allowance resolved?
Correct Answer
Comparing the contract reimbursement rates with the contract on the admittance
advice to identify the correct amount
Question 16
What type of patient status is used to evaluate the patient's need for inpatient care?
Correct Answer
Observation
Question 17
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what?
Correct Answer
Medically necessary inpatient hospital services for at least 3 consecutive days before
the skilled nursing care admission
Question 18
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$?
Correct Answer
When the patient is the insured
Question 19
What are non-emergency patients who come for service without prior notification to
the provider called?
Correct Answer
Unscheduled patients
Page 4 of 135
HFMA CRCR EXAM QUESTIONS AND
ANSWERS LATEST UPDATED
Question 1
What are collection agency fees based on?
Correct Answer
A percentage of dollars collected
Question 2
Self-funded benefit plans may choose to coordinate benefits using the gender rule or
what other rule?
Correct Answer
Birthday
Question 3
In what type of payment methodology is a lump sum or bundled payment negotiated
between the payer and some or all providers?
Correct Answer
Case rates
Question 4
What customer service improvements might improve the patient accounts
department?
Correct Answer
Holding staff accountable for customer service during performance reviews
Page 1 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 5
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Correct Answer
Inform a Medicare beneficiary that Medicare may not pay for the order or service
Question 6
What type of account adjustment results from the patient's unwillingness to pay for a
self-pay balance?
Correct Answer
Bad debt adjustment
Question 7
What is the initial hospice benefit?
Correct Answer
Two 90-day periods and an unlimited number of subsequent periods
Question 8
When does a hospital add ambulance charges to the Medicare inpatient claim?
Correct Answer
If the patient requires ambulance transportation to a skilled nursing facility
Question 9
How should a provider resolve a late-charge credit posted after an account is billed?
Correct Answer
Post a late-charge adjustment to the account
Page 2 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 10
an increase in the dollars aged greater than 90 days from date of service indicate
what about accounts
Correct Answer
They are not being processed in a timely manner
Question 11
What is an advantage of a preregistration program?
Correct Answer
It reduces processing times at the time of service
Question 12
What are the two statutory exclusions from hospice coverage?
Correct Answer
Medically unnecessary services and custodial care
Question 13
What core financial activities are resolved within patient access?
Correct Answer
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
Question 14
What statement applies to the scheduled outpatient?
Correct Answer
The services do not involve an overnight stay
Page 3 of 135
, HFMA CRCR EXAM QUESTIONS ANSWERS LATEST UPDATED ANSWERS LATEST DATE
Question 15
How is a mis-posted contractual allowance resolved?
Correct Answer
Comparing the contract reimbursement rates with the contract on the admittance
advice to identify the correct amount
Question 16
What type of patient status is used to evaluate the patient's need for inpatient care?
Correct Answer
Observation
Question 17
Coverage rules for Medicare beneficiaries receiving skilled nursing care require that
the beneficiary has received what?
Correct Answer
Medically necessary inpatient hospital services for at least 3 consecutive days before
the skilled nursing care admission
Question 18
When is the word "SAME" entered on the CMS 1500 billing form in Field 0$?
Correct Answer
When the patient is the insured
Question 19
What are non-emergency patients who come for service without prior notification to
the provider called?
Correct Answer
Unscheduled patients
Page 4 of 135
