HFMA CRCR Final and Practice Exam Test Bank –
2025/2026 Edition – Verified Questions and Answers
The correct way to handle the retention and payment of agency fees is: <<100%CORRECT
ANSWER>>A. The agency provides an annual settlement of monies received by the health care
provider and the agency.
B. Compare estimated collection costs to actual costs incurred.
C. Validate bank deposits weekly as funds are received from the agency.
**D. Follow the contractual agreement between the agency and the provider as to how monies
sent to the agency will be handled.
Patient relations include: <<100%CORRECT ANSWER>>**A. The ability to sensitively deal with
patients or individuals while managing collection efficiency.
B. Applying hard-core techniques to collect monies owed regardless of what the patient or
individual states during the call.
C. Ignoring all patient complaint calls.
D. Referring all patient complaint calls to the healthcare provider.
Collection agency reports should be provided: <<100%CORRECT ANSWER>>A. Whenever staff
have the time to generate them.
B. Whenever an account is cancelled.
**C. In at least two formats regarding accounts assigned on a routine basis.
D. As needed to prove recovery rates.
Collection results are: <<100%CORRECT ANSWER>>A. Always guaranteed by the collection
agency.
**B. Accurately calculated to demonstrate the actual recovery percentage rate.
C. Calculated using agency's private formula.
,D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? <<100%CORRECT ANSWER>>A. Coordinate the
resolution of bad debt accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business affiliates
D. Report back to credit bureaus when an account is resolved
True or False: The following statement represents an advantage of outsourcing:
Access to qualified staff <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Vendor absorbs some financial risk based on "efficiency" factor <<100%CORRECT
ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on direct control of accounts receivable <<100%CORRECT ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
,Capitalizes on the economies of scale <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Limits internal staffing requirements <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on customer service <<100%CORRECT ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
Legal impact if vendor represents themselves as provider employees <<100%CORRECT
ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
Ineffective vendor results in increased costs <<100%CORRECT ANSWER>>True
**False
ABC Hospital has experienced a 16% increase in new patients over the past 6 months. The
hospital is understaffed in its insurance claim and payment processing department and cannot
handle this increase in work load. It is considering hiring an outsourcing vendor to assist. What
, are the steps that the hospital needs to take to establish and ensure a successful vendor
relationship? <<100%CORRECT ANSWER>>**A. Distribute a RFP to solicit vendor capabilities,
evaluate vendor's expertise to provide outsourcing services, visit vendor locations, perform
vendor reference checks, talk with vendor clients, interview vendor employees to assess
experience level.
B. Evaluate vendor's expertise in providing outsourcing services, visit vendor locations,
interview vendor employees to assess expertise level.
Which function within the revenue cycle is NOT a good candidate for outsourcing?
<<100%CORRECT ANSWER>>**A. Health Care Patient Services
B. Patient Accounting
C. Patient Access
D. Health Information Management
What are collection agency fees based on? <<100%CORRECT ANSWER>>A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? <<100%CORRECT ANSWER>>Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? <<100%CORRECT ANSWER>>Case rates
What customer service improvements might improve the patient accounts department?
<<100%CORRECT ANSWER>>Holding staff accountable for customer service during performance
reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? <<100%CORRECT
ANSWER>>Inform a Medicare beneficiary that Medicare may not pay for the order or service
2025/2026 Edition – Verified Questions and Answers
The correct way to handle the retention and payment of agency fees is: <<100%CORRECT
ANSWER>>A. The agency provides an annual settlement of monies received by the health care
provider and the agency.
B. Compare estimated collection costs to actual costs incurred.
C. Validate bank deposits weekly as funds are received from the agency.
**D. Follow the contractual agreement between the agency and the provider as to how monies
sent to the agency will be handled.
Patient relations include: <<100%CORRECT ANSWER>>**A. The ability to sensitively deal with
patients or individuals while managing collection efficiency.
B. Applying hard-core techniques to collect monies owed regardless of what the patient or
individual states during the call.
C. Ignoring all patient complaint calls.
D. Referring all patient complaint calls to the healthcare provider.
Collection agency reports should be provided: <<100%CORRECT ANSWER>>A. Whenever staff
have the time to generate them.
B. Whenever an account is cancelled.
**C. In at least two formats regarding accounts assigned on a routine basis.
D. As needed to prove recovery rates.
Collection results are: <<100%CORRECT ANSWER>>A. Always guaranteed by the collection
agency.
**B. Accurately calculated to demonstrate the actual recovery percentage rate.
C. Calculated using agency's private formula.
,D. Never reported except during contract negotiations.
Which option is NOT a HFMA best practice? <<100%CORRECT ANSWER>>A. Coordinate the
resolution of bad debt accounts with a law firm
B. Establish policies and ensure that they are followed
NOT - C. Coordinate account resolution activities with business affiliates
D. Report back to credit bureaus when an account is resolved
True or False: The following statement represents an advantage of outsourcing:
Access to qualified staff <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Vendor absorbs some financial risk based on "efficiency" factor <<100%CORRECT
ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on direct control of accounts receivable <<100%CORRECT ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
,Capitalizes on the economies of scale <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Limits internal staffing requirements <<100%CORRECT ANSWER>>**True
False
True or False: The following statement represents an advantage of outsourcing:
Impact on customer service <<100%CORRECT ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
Legal impact if vendor represents themselves as provider employees <<100%CORRECT
ANSWER>>True
**False
True or False: The following statement represents an advantage of outsourcing:
Ineffective vendor results in increased costs <<100%CORRECT ANSWER>>True
**False
ABC Hospital has experienced a 16% increase in new patients over the past 6 months. The
hospital is understaffed in its insurance claim and payment processing department and cannot
handle this increase in work load. It is considering hiring an outsourcing vendor to assist. What
, are the steps that the hospital needs to take to establish and ensure a successful vendor
relationship? <<100%CORRECT ANSWER>>**A. Distribute a RFP to solicit vendor capabilities,
evaluate vendor's expertise to provide outsourcing services, visit vendor locations, perform
vendor reference checks, talk with vendor clients, interview vendor employees to assess
experience level.
B. Evaluate vendor's expertise in providing outsourcing services, visit vendor locations,
interview vendor employees to assess expertise level.
Which function within the revenue cycle is NOT a good candidate for outsourcing?
<<100%CORRECT ANSWER>>**A. Health Care Patient Services
B. Patient Accounting
C. Patient Access
D. Health Information Management
What are collection agency fees based on? <<100%CORRECT ANSWER>>A percentage of dollars
collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what
other rule? <<100%CORRECT ANSWER>>Birthday
In what type of payment methodology is a lump sum or bundled payment negotiated between
the payer and some or all providers? <<100%CORRECT ANSWER>>Case rates
What customer service improvements might improve the patient accounts department?
<<100%CORRECT ANSWER>>Holding staff accountable for customer service during performance
reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? <<100%CORRECT
ANSWER>>Inform a Medicare beneficiary that Medicare may not pay for the order or service
