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HFMA CRCR Exam 2025 — Certified Revenue Cycle
Representative Study Guide & Practice Test
Prepare for the HFMA CRCR Exam 2025 with a complete study guide, practice questions,
and exam review materials. Master essential revenue cycle management, healthcare finance
principles, medical billing, compliance, coding, and patient financial services to pass your
Certified Revenue Cycle Representative exam and advance your healthcare finance career.
• HFMA CRCR exam 2025
• Certified Revenue Cycle Representative study guide
• HFMA CRCR practice test questions
• Healthcare revenue cycle certification
Chapter 13 Bankruptcy, debtor rehabilitation, is a court proceeding
a) That establishes a payment priority order to creditors' claims
b) That classifies the debtor as eligible for government financial assistance
for housing, medical treatment and food as debts are paid
c) That creates a clear court-supervised payment accountability plan going
forward
d) That reorganizes a debtor's holdings and instructs creditors to look to the
debtor's future earnings for payment - ANSWER-D
HFMA's patient financial communication best practices specify that patients should be
told about the types of services provided and
a) A satisfaction survey regarding clinical service providers
,2|Page
b) The price of service to their covering health plan
c) The service providers that typically participate in the service, e.g.,
radiologists, pathologists, etc.
d) An expiration of why a specific service is not provided - ANSWER-C
The important Message from Medicare provides beneficiaries information concerning
their
a) Understanding of billing issues and the deductibles and/or co-insurance
due for the current visit
b) Right to refuse to use lifetime reserve days for the current stay
c) Right to appeal a discharge decision if the patient disagrees with the plan
d) Obligation to reimburse the hospital for any services not covered by the
Medicare program - ANSWER-C
An advantage of a pre-registration program is
a) The opportunity to reduce processing times at the time of service
b) The ability to eliminate no-show appointments
c) The opportunity to reduce the corporate compliance failures
within the registration process
d) The marketing value of such a program - ANSWER-C
Claims with dates of service received later than one calendar year beyond the date of
service, will be
a) Denied by Medicare
b) The provider's responsibility but can be deemed charity care
c) Fully paid with interest
,3|Page
d) The full responsibility of the patient. - ANSWER-A
This concept encompasses all activities required to send a request for payment to a
third-party health plan for payment of benefits
a) Third-party invoicing
b) Account resolution
c) Claims processing
d) Billing - ANSWER-C
The ACO investment model will test the use of pre-paid shared savings to
a) Raise quality ratings in designated hospitals.
b) Encourage new ACOs to form in rural and underserved areas
c) Attract physicians to participate in the ACO payment system
d) Invest in treatment protocols that reduce costs to Medicare - ANSWER-B
All of the following are potential causes of credit balances EXCEPT
a) Duplicate payments
b) Primary and secondary payers both paying as primary
c) Inaccurate upfront collections based on incorrect liability estimates
d) A patient's choice to build up a credit against future medical bills - ANSWER-D
Medicare Part B has an annual deductible, and the beneficiary is responsible for
a) A co-insurance payment for all Part B covered services
b) Physicians office fees
, 4|Page
c) Tests outside of an inpatient setting
d) Prescriptions - ANSWER-A
The importance of medical records being maintained by HIM is that the patient records
a) Are the primary source for clinical data required for reimbursement by
health plans and liability payers
b) Are the strongest evidence and defense in the event of a Medicare audit
c) Are evidence used in assessing the quality of care
d) Are the evidence cited in quality review - ANSWER-A
A decision on whether a patient should be admitted as an inpatient or become an
outpatient observation patient requires medical judgments based on all of the following
EXCEPT
a) The patient's home care coverage
b) Current medical needs
c) The likelihood of an adverse event occurring to the patient
d) The patient's medical history - ANSWER-A
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish
a) Provider and physician reimbursement for specific diagnoses and tests
b) Prospective Medicare patient financial responsibilities for a given
diagnosis
c) Reasonable and customary prices for services in a given area
d) What services or healthcare items are covered under Medicare - ANSWER-D
What are some core elements if a board-approved financial assistance policy?
HFMA CRCR Exam 2025 — Certified Revenue Cycle
Representative Study Guide & Practice Test
Prepare for the HFMA CRCR Exam 2025 with a complete study guide, practice questions,
and exam review materials. Master essential revenue cycle management, healthcare finance
principles, medical billing, compliance, coding, and patient financial services to pass your
Certified Revenue Cycle Representative exam and advance your healthcare finance career.
• HFMA CRCR exam 2025
• Certified Revenue Cycle Representative study guide
• HFMA CRCR practice test questions
• Healthcare revenue cycle certification
Chapter 13 Bankruptcy, debtor rehabilitation, is a court proceeding
a) That establishes a payment priority order to creditors' claims
b) That classifies the debtor as eligible for government financial assistance
for housing, medical treatment and food as debts are paid
c) That creates a clear court-supervised payment accountability plan going
forward
d) That reorganizes a debtor's holdings and instructs creditors to look to the
debtor's future earnings for payment - ANSWER-D
HFMA's patient financial communication best practices specify that patients should be
told about the types of services provided and
a) A satisfaction survey regarding clinical service providers
,2|Page
b) The price of service to their covering health plan
c) The service providers that typically participate in the service, e.g.,
radiologists, pathologists, etc.
d) An expiration of why a specific service is not provided - ANSWER-C
The important Message from Medicare provides beneficiaries information concerning
their
a) Understanding of billing issues and the deductibles and/or co-insurance
due for the current visit
b) Right to refuse to use lifetime reserve days for the current stay
c) Right to appeal a discharge decision if the patient disagrees with the plan
d) Obligation to reimburse the hospital for any services not covered by the
Medicare program - ANSWER-C
An advantage of a pre-registration program is
a) The opportunity to reduce processing times at the time of service
b) The ability to eliminate no-show appointments
c) The opportunity to reduce the corporate compliance failures
within the registration process
d) The marketing value of such a program - ANSWER-C
Claims with dates of service received later than one calendar year beyond the date of
service, will be
a) Denied by Medicare
b) The provider's responsibility but can be deemed charity care
c) Fully paid with interest
,3|Page
d) The full responsibility of the patient. - ANSWER-A
This concept encompasses all activities required to send a request for payment to a
third-party health plan for payment of benefits
a) Third-party invoicing
b) Account resolution
c) Claims processing
d) Billing - ANSWER-C
The ACO investment model will test the use of pre-paid shared savings to
a) Raise quality ratings in designated hospitals.
b) Encourage new ACOs to form in rural and underserved areas
c) Attract physicians to participate in the ACO payment system
d) Invest in treatment protocols that reduce costs to Medicare - ANSWER-B
All of the following are potential causes of credit balances EXCEPT
a) Duplicate payments
b) Primary and secondary payers both paying as primary
c) Inaccurate upfront collections based on incorrect liability estimates
d) A patient's choice to build up a credit against future medical bills - ANSWER-D
Medicare Part B has an annual deductible, and the beneficiary is responsible for
a) A co-insurance payment for all Part B covered services
b) Physicians office fees
, 4|Page
c) Tests outside of an inpatient setting
d) Prescriptions - ANSWER-A
The importance of medical records being maintained by HIM is that the patient records
a) Are the primary source for clinical data required for reimbursement by
health plans and liability payers
b) Are the strongest evidence and defense in the event of a Medicare audit
c) Are evidence used in assessing the quality of care
d) Are the evidence cited in quality review - ANSWER-A
A decision on whether a patient should be admitted as an inpatient or become an
outpatient observation patient requires medical judgments based on all of the following
EXCEPT
a) The patient's home care coverage
b) Current medical needs
c) The likelihood of an adverse event occurring to the patient
d) The patient's medical history - ANSWER-A
Medicare has established guidelines called the Local Coverage Determinations (LCD) and
National Coverage Determinations (NCD) that establish
a) Provider and physician reimbursement for specific diagnoses and tests
b) Prospective Medicare patient financial responsibilities for a given
diagnosis
c) Reasonable and customary prices for services in a given area
d) What services or healthcare items are covered under Medicare - ANSWER-D
What are some core elements if a board-approved financial assistance policy?
