Certified Revenue Cycle
Representative (CRCR) 2026 Exam
Prep | Real Exam-Style Questions |
Guaranteed Success
Through what document does a hospital establish compliance standards? -
correct answer-code of conduct
What is the purpose OIG work plant? - correct answer-Identify Acceptable
compliance programs in various provider setting
If a Medicare patient is admitted on Friday, what services fall within the three-day
DRG window rule? - correct answer-Non-diagnostic service provided on Tuesday
through Friday
,What does a modifier allow a provider to do? - correct answer-Report a specific
circumstance that affected a procedure or service without changing the code or
its definition
IF outpatient diagnostic services are provided within three days of the admission
of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System)
hospital, what must happen to these charges - correct answer-They must be billed
separately to the part B Carrier
what is a recurring or series registration? - correct answer-One registration record
is created for multiple days of service
What are nonemergency patients who come for service without prior notification
to the provider called? - correct answer-Unscheduled patients
Which of the following statement apply to the observation patient type? - correct
answer-It is used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock patient
- correct answer-Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - correct
answer-Complete the scheduling process correctly based on service requeste
The Time needed to prepare the patient before service is the difference between
the patients arrival time and which of the following? - correct answer-Procedure
time
, Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - correct answer-
Documentation of the medical necessity for the test
What is the advantage of a pre-registration program - correct answer-It reduces
processing times at the time of service
What date are required to establish a new MPI(Master patient Index) entry -
correct answer-The responsible party's full legal name, date of birth, and social
security number
Which of the following statements is true about third-party payments? - correct
answer-The payments are received by the provider from the payer responsible for
reimbursing the provider for the patient's covered services.
Which provision protects the patient from medical expenses that exceed the pre-
set level - correct answer-stop loss
what documentation must a primary care physician send to HMO patient to
authorize a visit to a specialist for additional testing or care? - correct answer-
Referral
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
provider may not ask about a patient's insurance information if it would delay
what? - correct answer-Medical screening and stabilizing treatment
Which of the following is a step in the discharge process? - correct answer-Have a
case management service complete the discharge plan
Representative (CRCR) 2026 Exam
Prep | Real Exam-Style Questions |
Guaranteed Success
Through what document does a hospital establish compliance standards? -
correct answer-code of conduct
What is the purpose OIG work plant? - correct answer-Identify Acceptable
compliance programs in various provider setting
If a Medicare patient is admitted on Friday, what services fall within the three-day
DRG window rule? - correct answer-Non-diagnostic service provided on Tuesday
through Friday
,What does a modifier allow a provider to do? - correct answer-Report a specific
circumstance that affected a procedure or service without changing the code or
its definition
IF outpatient diagnostic services are provided within three days of the admission
of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System)
hospital, what must happen to these charges - correct answer-They must be billed
separately to the part B Carrier
what is a recurring or series registration? - correct answer-One registration record
is created for multiple days of service
What are nonemergency patients who come for service without prior notification
to the provider called? - correct answer-Unscheduled patients
Which of the following statement apply to the observation patient type? - correct
answer-It is used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock patient
- correct answer-Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - correct
answer-Complete the scheduling process correctly based on service requeste
The Time needed to prepare the patient before service is the difference between
the patients arrival time and which of the following? - correct answer-Procedure
time
, Medicare guidelines require that when a test is ordered for a LCD or NCD exists,
the information provided on the order must include: - correct answer-
Documentation of the medical necessity for the test
What is the advantage of a pre-registration program - correct answer-It reduces
processing times at the time of service
What date are required to establish a new MPI(Master patient Index) entry -
correct answer-The responsible party's full legal name, date of birth, and social
security number
Which of the following statements is true about third-party payments? - correct
answer-The payments are received by the provider from the payer responsible for
reimbursing the provider for the patient's covered services.
Which provision protects the patient from medical expenses that exceed the pre-
set level - correct answer-stop loss
what documentation must a primary care physician send to HMO patient to
authorize a visit to a specialist for additional testing or care? - correct answer-
Referral
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
provider may not ask about a patient's insurance information if it would delay
what? - correct answer-Medical screening and stabilizing treatment
Which of the following is a step in the discharge process? - correct answer-Have a
case management service complete the discharge plan
