CRCR EXAM MULTIPLE CHOICE, CRCR
EXAM PREP, CERTIFIED REVENUE
CYCLE REPRESENTATIVE - CRCR Q&A
(2025-2026)
What are collection agency fees based on? - Correct Answer-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule? - 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? - Correct Answer-Case rates
What customer service improvements might improve the
patient accounts department? - Correct Answer-Holding staff
accountable for customer service during performance reviews
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
pg. 1 professoraxe
l
,What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - Correct Answer-
Bad debt adjustment
What is the initial hospice benefit? - Correct Answer-Two 90-
day periods and an unlimited number of subsequent periods
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
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
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
What is an advantage of a preregistration program? - Correct
Answer-It reduces processing times at the time of service
pg. 2 professoraxe
l
,What are the two statutory exclusions from hospice
coverage? - Correct Answer-Medically unnecessary services
and custodial care
What core financial activities are resolved within patient
access? - Correct Answer-Scheduling, insurance verification,
discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
Correct Answer-The services do not involve an overnight stay
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
What type of patient status is used to evaluate the patient's
need for inpatient care? - Correct Answer-Observation
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
pg. 3 professoraxe
l
, When is the word "SAME" entered on the CMS 1500 billing
form in Field 0$? - Correct Answer-When the patient is the
insured
What are non-emergency patients who come for service
without prior notification to the provider called? - Correct
Answer-Unscheduled patients
If the insurance verification response reports that a subscriber
has a single policy, what is the status of the subscriber's
spouse? - Correct Answer-Neither enrolled not entitled to
benefits
Regulation Z of the Consumer Credit Protection Act, also
known as the Truth in Lending Act, establishes what? - Correct
Answer-Disclosure rules for consumer credit sales and
consumer loans
What is a principal diagnosis? - Correct Answer-Primary
reason for the patient's admission
pg. 4 professoraxe
l
EXAM PREP, CERTIFIED REVENUE
CYCLE REPRESENTATIVE - CRCR Q&A
(2025-2026)
What are collection agency fees based on? - Correct Answer-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule? - 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? - Correct Answer-Case rates
What customer service improvements might improve the
patient accounts department? - Correct Answer-Holding staff
accountable for customer service during performance reviews
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
pg. 1 professoraxe
l
,What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - Correct Answer-
Bad debt adjustment
What is the initial hospice benefit? - Correct Answer-Two 90-
day periods and an unlimited number of subsequent periods
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
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
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
What is an advantage of a preregistration program? - Correct
Answer-It reduces processing times at the time of service
pg. 2 professoraxe
l
,What are the two statutory exclusions from hospice
coverage? - Correct Answer-Medically unnecessary services
and custodial care
What core financial activities are resolved within patient
access? - Correct Answer-Scheduling, insurance verification,
discharge processing, and payment of point-of-service receipts
What statement applies to the scheduled outpatient? -
Correct Answer-The services do not involve an overnight stay
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
What type of patient status is used to evaluate the patient's
need for inpatient care? - Correct Answer-Observation
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
pg. 3 professoraxe
l
, When is the word "SAME" entered on the CMS 1500 billing
form in Field 0$? - Correct Answer-When the patient is the
insured
What are non-emergency patients who come for service
without prior notification to the provider called? - Correct
Answer-Unscheduled patients
If the insurance verification response reports that a subscriber
has a single policy, what is the status of the subscriber's
spouse? - Correct Answer-Neither enrolled not entitled to
benefits
Regulation Z of the Consumer Credit Protection Act, also
known as the Truth in Lending Act, establishes what? - Correct
Answer-Disclosure rules for consumer credit sales and
consumer loans
What is a principal diagnosis? - Correct Answer-Primary
reason for the patient's admission
pg. 4 professoraxe
l
