1|Page
CRCR CERTIFICATION EXAM ACTUAL
QUESTIONS WITH CORRECT ANSWERS
2025/2026
A decision on whether a patient should be admitted as an inpatient or become
about patient observation patient requires medical judgments based on all of the
following EXCEPT:-correct-answer-The patient's home care coverage
Which option is a benefit of pre-registering a patient for services:-correct-answer-
The patient arrival process is expedited, reducing wait times and delays
Days in A/R is calculated based on the value of:-correct-answer-The total accounts
receivable on a specific date
Case Management requires that a case manager be assigned:-correct-answer-To a
select patient group
Which of the following is required for participation in Medicaid?:-correct-answer-
Meet income and assets requirements
,2|Page
All of the following are steps in safeguarding collections EXCEPT:-correct-answer-
Issuing receipts
The Electronic Remittance Advice (ERA) data set is ::-correct-answer-A
standardized form that provides third party payment details to providers
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT:-correct-answer-Services and procedures that
are custodial in nature
Medicare beneficiaries remain in the same "benefit period":-correct-answer-Until
the beneficiary is "hospitalization and/or skilled nursing facility-free" for 60
consecutive days
It is important to calculate reserves to ensure:-correct-answer-Stable financial
operations and accurate financial reporting
,3|Page
A claim is denied for the following reasons, EXCEPT::-correct-answer-The
submitted claim does not have the physicians signature
HFMA best practices call for patient financial discussions to be reinforced:-correct-
answer-By changing policies to programs
Patients should be informed that costs presented in a price estimate may:-correct-
answer-Vary from estimates, depending on the actual services performed
The nuanced data resulting from detailed ICD-10 coding allows senior leadership
to work with physicians to do all of the following EXCEPT::-correct-answer-Obtain
higher compensation for physicians
Charges as the most appropriate measurement of utilization enables:-correct-
answer-Accuracy of expense and cost capture
Once the EMTALA requirements are satisfied:-correct-answer-The remaining
registration processing is initiated at the bedside or in a registration area
, 4|Page
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to::-correct-
answer-Support that choice, providing that the discussion does not interfere with
patient care or disrupt patient flow
In Chapter 7 straight bankruptcy filling:-correct-answer-The court liquidates the
debtor's nonexempt property, pays creditors, and discharges the debtor from the
debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding:-correct-
answer-That reorganizes a debtor's holdings and instructs creditors to look to the
debtors' future earnings for payment
This concept encompasses all activities required to send a request for payment to
a third-party health plan for payment of benefits:-correct-answer-Claims
processing
The importance of Medical records being maintained by HIM is that the patient
records::-correct-answer-Are the primary source for clinical data required for
reimbursement
CRCR CERTIFICATION EXAM ACTUAL
QUESTIONS WITH CORRECT ANSWERS
2025/2026
A decision on whether a patient should be admitted as an inpatient or become
about patient observation patient requires medical judgments based on all of the
following EXCEPT:-correct-answer-The patient's home care coverage
Which option is a benefit of pre-registering a patient for services:-correct-answer-
The patient arrival process is expedited, reducing wait times and delays
Days in A/R is calculated based on the value of:-correct-answer-The total accounts
receivable on a specific date
Case Management requires that a case manager be assigned:-correct-answer-To a
select patient group
Which of the following is required for participation in Medicaid?:-correct-answer-
Meet income and assets requirements
,2|Page
All of the following are steps in safeguarding collections EXCEPT:-correct-answer-
Issuing receipts
The Electronic Remittance Advice (ERA) data set is ::-correct-answer-A
standardized form that provides third party payment details to providers
All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT:-correct-answer-Services and procedures that
are custodial in nature
Medicare beneficiaries remain in the same "benefit period":-correct-answer-Until
the beneficiary is "hospitalization and/or skilled nursing facility-free" for 60
consecutive days
It is important to calculate reserves to ensure:-correct-answer-Stable financial
operations and accurate financial reporting
,3|Page
A claim is denied for the following reasons, EXCEPT::-correct-answer-The
submitted claim does not have the physicians signature
HFMA best practices call for patient financial discussions to be reinforced:-correct-
answer-By changing policies to programs
Patients should be informed that costs presented in a price estimate may:-correct-
answer-Vary from estimates, depending on the actual services performed
The nuanced data resulting from detailed ICD-10 coding allows senior leadership
to work with physicians to do all of the following EXCEPT::-correct-answer-Obtain
higher compensation for physicians
Charges as the most appropriate measurement of utilization enables:-correct-
answer-Accuracy of expense and cost capture
Once the EMTALA requirements are satisfied:-correct-answer-The remaining
registration processing is initiated at the bedside or in a registration area
, 4|Page
Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to::-correct-
answer-Support that choice, providing that the discussion does not interfere with
patient care or disrupt patient flow
In Chapter 7 straight bankruptcy filling:-correct-answer-The court liquidates the
debtor's nonexempt property, pays creditors, and discharges the debtor from the
debt
Chapter 13 Bankruptcy, debtor rehabilitation is a court proceeding:-correct-
answer-That reorganizes a debtor's holdings and instructs creditors to look to the
debtors' future earnings for payment
This concept encompasses all activities required to send a request for payment to
a third-party health plan for payment of benefits:-correct-answer-Claims
processing
The importance of Medical records being maintained by HIM is that the patient
records::-correct-answer-Are the primary source for clinical data required for
reimbursement
