1|Page
CRCR Certification Exam || Most Recent Exam 2026
Actual Complete Real Exam Questions And Correct
Answers||Verified Exam!! (Verified Answers) Already
Graded A+ | Guaranteed Success | Newest Exam!!!
What code is used to report the provider's most common
semiprivate room rate? - Answers-Condition code
Regulations and requirements for coding accountable care
organizations, which allows providers to begin creating
these organizations, were finalized in: - Answers-2012
What is a primary responsibility of the Recover Audit
Contractor? - Answers-To correctly identify proper
payments for Medicare Part A & B claims
How must providers handle credit balances? - Answers-
Comply with state statutes concerning reporting credit
balance
Insurance verification results in what? - Answers-The
accurate identification of the patient's eligibility and
benefits
,2|Page
What form is used to bill Medicare for rural health clinics? -
Answers-CMS 1500
What activities are completed when a scheduled pre-
registered patient arrives for service? - Answers-
Registering the patient and directing the patient to the
service area
In addition to being supported by information found in the
patient's chart, a CMS 1500 claim must be coded using
what? - Answers-HCPCS (Healthcare Common Procedure
Coding system)
What results from a denied claim? - Answers-The provider
incurs rework and appeal costs
Why does the financial counselor need pricing for
services? - Answers-To calculate the patient's financial
responsibility
,3|Page
What type of provider bills third-party payers using CMS
1500 form - Answers-Hospital-based mammography
centers
How are disputes with nongovernmental payers resolved?
- Answers-Appeal conditions specified in the individual
payer's contract
The important message from Medicare provides
beneficiaries with information concerning what? -
Answers-Right to appeal a discharge decision if the
patient disagrees with the services
What are collection agency fees based on? - Answers-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate
benefits using the gender rule or what other rule? -
Answers-Birthday
In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some
or all providers? - Answers-Case rates
, 4|Page
What customer service improvements might improve the
patient accounts department? - Answers-Holding staff
accountable for customer service during performance
reviews
What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - Answers-Inform a Medicare
beneficiary that Medicare may not pay for the order or
service
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - Answers-
Bad debt adjustment
What is the initial hospice benefit? - Answers-Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the
Medicare inpatient claim? - Answers-If the patient requires
ambulance transportation to a skilled nursing facility
CRCR Certification Exam || Most Recent Exam 2026
Actual Complete Real Exam Questions And Correct
Answers||Verified Exam!! (Verified Answers) Already
Graded A+ | Guaranteed Success | Newest Exam!!!
What code is used to report the provider's most common
semiprivate room rate? - Answers-Condition code
Regulations and requirements for coding accountable care
organizations, which allows providers to begin creating
these organizations, were finalized in: - Answers-2012
What is a primary responsibility of the Recover Audit
Contractor? - Answers-To correctly identify proper
payments for Medicare Part A & B claims
How must providers handle credit balances? - Answers-
Comply with state statutes concerning reporting credit
balance
Insurance verification results in what? - Answers-The
accurate identification of the patient's eligibility and
benefits
,2|Page
What form is used to bill Medicare for rural health clinics? -
Answers-CMS 1500
What activities are completed when a scheduled pre-
registered patient arrives for service? - Answers-
Registering the patient and directing the patient to the
service area
In addition to being supported by information found in the
patient's chart, a CMS 1500 claim must be coded using
what? - Answers-HCPCS (Healthcare Common Procedure
Coding system)
What results from a denied claim? - Answers-The provider
incurs rework and appeal costs
Why does the financial counselor need pricing for
services? - Answers-To calculate the patient's financial
responsibility
,3|Page
What type of provider bills third-party payers using CMS
1500 form - Answers-Hospital-based mammography
centers
How are disputes with nongovernmental payers resolved?
- Answers-Appeal conditions specified in the individual
payer's contract
The important message from Medicare provides
beneficiaries with information concerning what? -
Answers-Right to appeal a discharge decision if the
patient disagrees with the services
What are collection agency fees based on? - Answers-A
percentage of dollars collected
Self-funded benefit plans may choose to coordinate
benefits using the gender rule or what other rule? -
Answers-Birthday
In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some
or all providers? - Answers-Case rates
, 4|Page
What customer service improvements might improve the
patient accounts department? - Answers-Holding staff
accountable for customer service during performance
reviews
What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - Answers-Inform a Medicare
beneficiary that Medicare may not pay for the order or
service
What type of account adjustment results from the patient's
unwillingness to pay for a self-pay balance? - Answers-
Bad debt adjustment
What is the initial hospice benefit? - Answers-Two 90-day
periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the
Medicare inpatient claim? - Answers-If the patient requires
ambulance transportation to a skilled nursing facility
