CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
1. In what situation(s) should a provider C. Hospice
NOT use a modifier? D. Skilled Nursing
Facility
2. What are other names for Three-Day
Pay- ment Window?
3. What happens during the post-
service stage?
4. What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient
con- tacts
- Be consistent in key aspects of
account resolution
- Follow best practices for
communication
5. Which option is NOT a main HFMA
Health- care Dollars & Sense®
revenue cycle initia- tive?
6. Which option is NOT a continuum of
care provider?
A. Physician
B. Health Plan Contracting
1/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
-CPT already indicates 2-4 lesions
-CPT indicates multiple extremities ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window
or 24-hour rule
Process Compliance
Final coding, preparation and submission of claims, payment
processing, balance billing and resolution.
Best practices created by the Medical Debt Task Force
B. Health Plan Contracting
2/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
7. What is "implied certification"? When it is implied that a provider met a
compliance standards before submittin
a claim
8. Which of the following are A. Established compliance standards
essential el- ements of an and procedures.
effective compliance pro- gram?
C. Oversight of personnel by high-
A. Established compliance standards level personnel.
and procedures.
B. Designation of a compliance E. Reasonable methods to achieve
officer em- compli- ance with standards, including
ployed within the Billing monitoring
Department.
C.Oversight of personnel by high-level per- systems and hotlines.
sonnel.
D. Automatic dismissal of any
employee excluded from
participation in a federal
healthcare program.
E. Reasonable methods to achieve
compli- ance with standards,
including monitoring systems and
hotlines.
9. When was Health Information FEB 17, 2009
Technology for Economic and Clinical
Health (HITECH) Act signed into law?
10. When did HITECH Act become effective? 2013
3/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
11. Annually, the OIG publishes a work plan of D. Standard Unique Employer
Identifier
compliance issues and objectives that
will be focused on throughout the
following year. Identify which option is
NOT a work plan task mentioned in
this course.
4/
139
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
1. In what situation(s) should a provider C. Hospice
NOT use a modifier? D. Skilled Nursing
Facility
2. What are other names for Three-Day
Pay- ment Window?
3. What happens during the post-
service stage?
4. What are the below tasks part of?
- Educate patients
- Coordinate to avoid duplicate patient
con- tacts
- Be consistent in key aspects of
account resolution
- Follow best practices for
communication
5. Which option is NOT a main HFMA
Health- care Dollars & Sense®
revenue cycle initia- tive?
6. Which option is NOT a continuum of
care provider?
A. Physician
B. Health Plan Contracting
1/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
-CPT already indicates 2-4 lesions
-CPT indicates multiple extremities ALL OF THE ABOVE
72-hour rule, DRG window, Three-Day Window, 1 day window
or 24-hour rule
Process Compliance
Final coding, preparation and submission of claims, payment
processing, balance billing and resolution.
Best practices created by the Medical Debt Task Force
B. Health Plan Contracting
2/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
7. What is "implied certification"? When it is implied that a provider met a
compliance standards before submittin
a claim
8. Which of the following are A. Established compliance standards
essential el- ements of an and procedures.
effective compliance pro- gram?
C. Oversight of personnel by high-
A. Established compliance standards level personnel.
and procedures.
B. Designation of a compliance E. Reasonable methods to achieve
officer em- compli- ance with standards, including
ployed within the Billing monitoring
Department.
C.Oversight of personnel by high-level per- systems and hotlines.
sonnel.
D. Automatic dismissal of any
employee excluded from
participation in a federal
healthcare program.
E. Reasonable methods to achieve
compli- ance with standards,
including monitoring systems and
hotlines.
9. When was Health Information FEB 17, 2009
Technology for Economic and Clinical
Health (HITECH) Act signed into law?
10. When did HITECH Act become effective? 2013
3/
139
,CRCR EXAM PREP, MULTIPLE CHOICE, CERTIFIED
REVENUE CYCLE REPRESENTATIVE (2025) -
MATERIALS FROM HFMA EXAM QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
11. Annually, the OIG publishes a work plan of D. Standard Unique Employer
Identifier
compliance issues and objectives that
will be focused on throughout the
following year. Identify which option is
NOT a work plan task mentioned in
this course.
4/
139
