CRCR PRACTICE (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

CRCR PRACTICE (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Them501(r)mregulationsmrequiremnot-for-
profitmprovidersm501(c)m(3)mtomdomwhichmofmthemfollowingmactivities?

A.mCompletemamcommunitymneedsmassessmentmandmdevelopmamdiscountmprogrammformpatientmbal
ancesmafterminsurancempayment.

B.mPursuemextraordinarymcollectionmactivitiesmwithmallmpatientsmeligiblemformfinancialmassistance.

C.mImplementmamfinancialmassistancemprogrammformuninsuredmandmunderinsuredmpatients.

D.mDiscountmallmchargesmtomself-
paympatientsmtomanmamountmgenerallymbilledmtomallmothermpatients.m-
mCORRECTmANSWERmA.mCompletemamcommunitymneedsmassessmentmandmdevelopmamdiscountmpro


grammformpatientmbalancesmafterminsurancempayment



Themaccuratemcapturemofmchargesmremainsmcriticallymimportantmbecause:

A.mOfmthempotentialmofmfraudmandmabusemchargesmfrommerroneousmbilling.

B.mChargesmremainmonemofmthemfewmconsistentmindicatorsmavailablemtommonitormresourcemuse.

C.mChargesmaremmeansmofmmeasuringmphysicianmproductivity.

D.mChargesmprovidemthemdatamusedminmactivitymbasedmcosting.m-
mCORRECTmANSWERmB.mChargesmremainmonemofmthemfewmconsistentmindicatorsmavailablemtommoni


tormresourcemuse



ThemACOminvestmentmmodelmwillmtestmthemusemofmpre-paidmsharedmsavingsmto:

A.mInvestminmtreatmentmprotocolsmthatmreducemcostsmtomMedicare

B.mAttractmphysiciansmtomparticipateminmthemACOmpaymentmsystem.

C.mRaisemqualitymratingsminmdesignatedmhospitals.

,D.mEncouragemnewmACOsmtomformminmruralmandmunderservedmareas.m-
mCORRECTmANSWERmD.mEncouragemnewmACOsmtomformminmruralmandmunderservedmareas




Acrossmallmcaremsettings,mifmampatientmconsentsmtomamfinancialmdiscussionmduringmammedicalmencou
ntermtomexpeditemdischarge,mthemHFMAmbestmpracticemismto:

A.mHavemampatientmfinancialmresponsibilitiesmkitmreadymformthempatient,mcontainingmallmofmthemrequ
iredmregistrationmformsmandminstructions.

B.mMakemsuremthatmthemattendingmstaffmcanmanswermquestionsmandmassistminmobtainingmrequiredm
patientmfinancialmdata.

C.mSupportmthatmchoice,mprovidingmthatmthemdiscussionmdoesmnotminterferemwithmpatientmcaremorm
disruptmpatientmflow.

D.mDeclinemsuchmrequestmasmfinancemdiscussionsmcanmdisruptmpatientmcaremandmpatientmflow.m-
mCORRECTmANSWERmC.mSupportmthatmchoice,mprovidingmthatmthemdiscussionmdoesmnotminterferem


withmpatientmcaremormdisruptmpatientmflow



Activitiesmcompletedmwhenmthemscheduled,mpre-registeredmpatientmarrivesmformservicemincludes:

A.mVerifyingminsurance,mactivatingmthemrecordmandmdirectingmthempatientmtomthemservicemarea.

B.mScanningmthemdriver'smlicensemormothermphotmidentificationmandmdirectingmthempatientmtomthemf
inancialmcounselor.

C.mActivatingmthemrecord,mobtainingmsignaturesmandmfinalizingmfinancialmissues.

D.mRegisteringmthempatientmandmdirectingmthempatientmtomthemservicemarea.m-
mCORRECTmANSWERmC.mActivatingmthemrecord,mobtainingmsignaturesmand




Themactivitymwhichmresultsminmthemaccuratemrecordingmofmpatientmbedmandmlevelmofmcaremassessm
ent,mpatientmtransfermandmpatientmdischargemstatusmonmamreal-timembasismismknownmas:

A.mUtilizationmreview

B.mCasemManagementm

C.mCensusmManagement

D.mPatientmthrough-putm-mCORRECTmANSWERmA.mUtilizationmreview

,orm

B.mCasemManagement



Anmadvantagemofmampre-registrationmprogrammis:

A.mThemmarketsmvaluemofmsuchmamprogram

B.mThemabilitymtomeliminatemno-showmappointments.

C.mThemopportunitymtomreducemprocessingmtimesmatmthemtimemofmservice.

D.mThemopportunitymtomreducemcorporatemcompliancemfailuresmwithinmthemregistrationmprocess.m-
mCORRECTmANSWERmC.mThemopportunitymtomreducemprocessingmtimesmatmthemtimemofmservice.




ThemAffordablemCaremActmlegislatedmthemdevelopmentmofmHealthmInsurancemExchanges,mwheremin
dividualsmandmsmallmbusinessesmcan:

A.mObtainmpricemestimatesmformmedicalmservices

B.mNegotiatemthempricemofmmedicalmservicesmwithmproviders

C.mPurchasemqualifiedmhealthmbenefitmplansmregardlessmofminsured'smhealthmstatus

D.mMeetmfederalmmandatesmforminsurancemcoveragemandmobtainmthemcorrespondingmtaxmdeductio
nm-
mCORRECTmANSWERmC.mPurchasemqualifiedmhealthmbenefitmplansmregardlessmofminsured'smhealthm


status.



Allmofmthemfollowingmaremconditionsmthatmdisqualifymamproceduremormservicemfrommbeingmpaidmform
bymMedicaremEXCEPT:

A.mOfferedminmanmoutpatientmsetting

B.mMedicallymunnecessary

C.mNotmdeliveredminmamMedicaremlicensedmcaremsetting.

D.mServicesmandmproceduresmthatmaremcustodialminmnaturem-
mCORRECTmANSWERmC.mNotmdeliveredminmamMedicaremlicensedmcaremsetting

, Allmofmthemfollowingmaremreferencemresourcesmusedmtomhelpmguideminmthemapplicationmformbusines
smethicsmEXCEPT:

A.mConsumermsatisfactionmreports

B.mMissionm&mValuemStatements

C.mCodemofmEthicsm/mCodemofmConduct

D.mCompliancemOfficem&mPoliciesm-mCORRECTmANSWERmA.mConsumermsatisfactionmreports



AllmofmthemfollowingmaremstepsminmsafeguardingmcollectionsmEXCEPT:

A.mPlacingmcollectionsminmamlock-boxmformpostingmreviewmthemnextmbusinessmday.

B.mPostingmthempaymentmtomthempatient'smaccountm

C.mCompletingmbalancingmactivities

D.mIssuingmreceiptsm-mCORRECTmANSWERmA.mPlacingmcollectionsminmamlock-
boxmformpostingmreviewmthemnextmbusinessmday



AllmofmthemfollowingmaremstepsminmverifyingminsurancemEXCEPT:

A.mSequencingmplansminvolvedminmamcoordinationmofmbenefitsm(COB)msituation.

B.mThempatientmsigningmthemstatementmofmfinancialmresponsibility.

C.mIdentifyingmandmdocumentingmthempatient'smhealthmplanmbenefits

D.mConfirmingmthempatient'smeligibilitymformbenefitsm-
mCORRECTmANSWERmB.mThempatientmsigningmthemstatementmofmfinancialmresponsibility




AllmofmthemfollowingminformationmismusedmtomidentifymampatientmEXCEPT:

A.mDatemofmBirth

B.mGender

C.mSocialmSecuritymNumber

D.mAddressm-mCORRECTmANSWERmD.mAddress