CERTIFIED REVENUE CYCLE REPRESENTATIVE EXAM PREP QUESTIONS ANSWERS
STUDY GUIDE VERIFIED SOLUTION
Certified Revenue Cycle Representative Final
Preparation Manual Questions and Answers Verified
Solutions Latest Update 2026/2027
Question:
The patient experience includes all of the following except:.
Answer:
The average number of positive mentions received by the health system or practice and the public
comments refuting unfriendly posts on social media sites.
Question:
Corporate compliance programs play an important role in protecting the integrity of operations and
ensuring compliance with federal and state requirements. The code of conduct is:.
Answer:
All of the above
Question:
Specific to Medicare fee-for-service patients, which of the following payers have always been liable
for payment?
Answer:
Public health service programs, Federal grant programs, veteran affairs programs, black lung
program services and work-related injuries and accidents (worker' compensation claims)
Question:
Provider policies and procedures should be in place to reduce the risk of ethics violations. Examples
of ethics violations include:.
Answer:
All of the above
,Question:
Providers are now being reimbursed with a focus on the value of the services provided, rather than
volume, which requires collaboration among providers. What is the intended outcome of
collaborations made through an ACO delivery system for a population of patients?
Answer:
To eliminate duplicate services, prevent medical errors and ensure appropriateness of care.
Question:
Historically, revenue cycle has delt with contractual adjustments, bad debt and charity deductions
from gross revenue. Although deductions continue to exist, the definition of net revenue has been
modified through the implementation of ASC 606. Developed by the Financial Accounting
Standards Board (FASB), this change became effective in 2018. What is the new terminology now
employed in the calculation of net patient services revenues?
Answer:
Explicit prices concessions and implicit price concessions
Question:
Key performance indicators set standards for A/R and provide a method for measuring the control
and collection of A/R. What are the two KPIs used to monitor performance related to the production
and submission of claims to third party payers and patients (self-pay)?
Answer:
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill submission.
Question:
Consents are signed as part of the post-services process.
Answer:
True **False
, Question:
Patient service costs are calculated in the pre-service process for schedule patients.
Answer:
**True False
Question:
The patient is scheduled and registered for service is a time-of- service activity.
Answer:
True **False
Question:
The patient account is monitored for payment is a time-of-service activity.
Answer:
True **False
Question:
Case management and discharge planning services are a post- service activty.
Answer:
True **False
Question:
Sending the bill electronically to the health plan is a time-of- service activity.
Answer:
True **False
Question:
STUDY GUIDE VERIFIED SOLUTION
Certified Revenue Cycle Representative Final
Preparation Manual Questions and Answers Verified
Solutions Latest Update 2026/2027
Question:
The patient experience includes all of the following except:.
Answer:
The average number of positive mentions received by the health system or practice and the public
comments refuting unfriendly posts on social media sites.
Question:
Corporate compliance programs play an important role in protecting the integrity of operations and
ensuring compliance with federal and state requirements. The code of conduct is:.
Answer:
All of the above
Question:
Specific to Medicare fee-for-service patients, which of the following payers have always been liable
for payment?
Answer:
Public health service programs, Federal grant programs, veteran affairs programs, black lung
program services and work-related injuries and accidents (worker' compensation claims)
Question:
Provider policies and procedures should be in place to reduce the risk of ethics violations. Examples
of ethics violations include:.
Answer:
All of the above
,Question:
Providers are now being reimbursed with a focus on the value of the services provided, rather than
volume, which requires collaboration among providers. What is the intended outcome of
collaborations made through an ACO delivery system for a population of patients?
Answer:
To eliminate duplicate services, prevent medical errors and ensure appropriateness of care.
Question:
Historically, revenue cycle has delt with contractual adjustments, bad debt and charity deductions
from gross revenue. Although deductions continue to exist, the definition of net revenue has been
modified through the implementation of ASC 606. Developed by the Financial Accounting
Standards Board (FASB), this change became effective in 2018. What is the new terminology now
employed in the calculation of net patient services revenues?
Answer:
Explicit prices concessions and implicit price concessions
Question:
Key performance indicators set standards for A/R and provide a method for measuring the control
and collection of A/R. What are the two KPIs used to monitor performance related to the production
and submission of claims to third party payers and patients (self-pay)?
Answer:
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill submission.
Question:
Consents are signed as part of the post-services process.
Answer:
True **False
, Question:
Patient service costs are calculated in the pre-service process for schedule patients.
Answer:
**True False
Question:
The patient is scheduled and registered for service is a time-of- service activity.
Answer:
True **False
Question:
The patient account is monitored for payment is a time-of-service activity.
Answer:
True **False
Question:
Case management and discharge planning services are a post- service activty.
Answer:
True **False
Question:
Sending the bill electronically to the health plan is a time-of- service activity.
Answer:
True **False
Question:
