CRCR EXAM PREP LATEST 2026/2027
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
1. Whatmaremcollectionmagencymfeesmbasedmon?m-
mCORRECTmANSWERmAmpercentagemofmdollarsmcollected
2. Self-
fundedmbenefitmplansmmaymchoosemtomcoordinatembenefitsmusingmthemgendermrulemormwha
tmothermrule?m-mCORRECTmANSWERmBirthday
3. Inmwhatmtypemofmpaymentmmethodologymismamlumpmsummormbundledmpaymentmnegotiated
mbetweenmthempayermandmsomemormallmproviders?m-mCORRECTmANSWERmCasemrates
4. Whatmcustomermservicemimprovementsmmightmimprovemthempatientmaccountsmdepartmen
t?m-
mCORRECTmANSWERmHoldingmstaffmaccountablemformcustomermservicemduringmperformanc
emreviews
5. WhatmismanmABNm(AdvancemBeneficiarymNoticemofmNon-coverage)mrequiredmtomdo?m-
mCORRECTmANSWERmInformmamMedicarembeneficiarymthatmMedicaremmaymnotmpaymformthe
mordermormservice
6. Whatmtypemofmaccountmadjustmentmresultsmfrommthempatient'smunwillingnessmtompaymforma
mself-paymbalance?m-mCORRECTmANSWERmBadmdebtmadjustment
7. Whatmismtheminitialmhospicembenefit?m-mCORRECTmANSWERmTwom90-
daymperiodsmandmanmunlimitedmnumbermofmsubsequentmperiods
,8. WhenmdoesmamhospitalmaddmambulancemchargesmtomthemMedicareminpatientmclaim?m-
mCORRECTmANSWERmIfmthempatientmrequiresmambulancemtransportationmtomamskilledmnursi
ngmfacility
9. Howmshouldmamprovidermresolvemamlate-
chargemcreditmpostedmaftermanmaccountmismbilled?m-mCORRECTmANSWERmPostmamlate-
chargemadjustmentmtomthemaccount
10. anmincreaseminmthemdollarsmagedmgreatermthanm90mdaysmfrommdatemofmservicemindicatemwh
atmaboutmaccountsm-
mCORRECTmANSWERmTheymaremnotmbeingmprocessedminmamtimelymmanner
11. Whatmismanmadvantagemofmampreregistrationmprogram?m-
mCORRECTmANSWERmItmreducesmprocessingmtimesmatmthemtimemofmservice
12. Whatmaremthemtwomstatutorymexclusionsmfrommhospicemcoverage?m-
mCORRECTmANSWERmMedicallymunnecessarymservicesmandmcustodialmcare
13. Whatmcoremfinancialmactivitiesmaremresolvedmwithinmpatientmaccess?m-
mCORRECTmANSWERmScheduling,minsurancemverification,mdischargemprocessing,mandmpay
mentmofmpoint-of-servicemreceipts
14. Whatmstatementmappliesmtomthemscheduledmoutpatient?m-
mCORRECTmANSWERmThemservicesmdomnotminvolvemanmovernightmstay
15. Howmismammis-postedmcontractualmallowancemresolved?m-
mCORRECTmANSWERmComparingmthemcontractmreimbursementmratesmwithmthemcontractmo
nmthemadmittancemadvicemtomidentifymthemcorrectmamount
, 16. Whatmtypemofmpatientmstatusmismusedmtomevaluatemthempatient'smneedmforminpatientmcare?m
-mCORRECTmANSWERmObservation
17. CoveragemrulesmformMedicarembeneficiariesmreceivingmskilledmnursingmcaremrequiremthatmth
embeneficiarymhasmreceivedmwhat?m-
mCORRECTmANSWERmMedicallymnecessaryminpatientmhospitalmservicesmformatmleastm3mcons
ecutivemdaysmbeforemthemskilledmnursingmcaremadmission
18. Whenmismthemwordm"SAME"menteredmonmthemCMSm1500mbillingmformminmFieldm0$?m-
mCORRECTmANSWERmWhenmthempatientmismtheminsured
19. Whatmaremnon-
emergencympatientsmwhomcomemformservicemwithoutmpriormnotificationmtomthemprovidermc
alled?m-mCORRECTmANSWERmUnscheduledmpatients
20. Ifmtheminsurancemverificationmresponsemreportsmthatmamsubscribermhasmamsinglempolicy,mwh
atmismthemstatusmofmthemsubscriber'smspouse?m-
mCORRECTmANSWERmNeithermenrolledmnotmentitledmtombenefits
21. RegulationmZmofmthemConsumermCreditmProtectionmAct,malsomknownmasmthemTruthminmLendi
ngmAct,mestablishesmwhat?m-
mCORRECTmANSWERmDisclosuremrulesmformconsumermcreditmsalesmandmconsumermloans
22. Whatmismamprincipalmdiagnosis?m-
mCORRECTmANSWERmPrimarymreasonmformthempatient'smadmission
23. Collectingmpatientmliabilitymdollarsmaftermservicemleadsmtomwhat?m-
mCORRECTmANSWERmLowermaccountsmreceivablemlevels
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
1. Whatmaremcollectionmagencymfeesmbasedmon?m-
mCORRECTmANSWERmAmpercentagemofmdollarsmcollected
2. Self-
fundedmbenefitmplansmmaymchoosemtomcoordinatembenefitsmusingmthemgendermrulemormwha
tmothermrule?m-mCORRECTmANSWERmBirthday
3. Inmwhatmtypemofmpaymentmmethodologymismamlumpmsummormbundledmpaymentmnegotiated
mbetweenmthempayermandmsomemormallmproviders?m-mCORRECTmANSWERmCasemrates
4. Whatmcustomermservicemimprovementsmmightmimprovemthempatientmaccountsmdepartmen
t?m-
mCORRECTmANSWERmHoldingmstaffmaccountablemformcustomermservicemduringmperformanc
emreviews
5. WhatmismanmABNm(AdvancemBeneficiarymNoticemofmNon-coverage)mrequiredmtomdo?m-
mCORRECTmANSWERmInformmamMedicarembeneficiarymthatmMedicaremmaymnotmpaymformthe
mordermormservice
6. Whatmtypemofmaccountmadjustmentmresultsmfrommthempatient'smunwillingnessmtompaymforma
mself-paymbalance?m-mCORRECTmANSWERmBadmdebtmadjustment
7. Whatmismtheminitialmhospicembenefit?m-mCORRECTmANSWERmTwom90-
daymperiodsmandmanmunlimitedmnumbermofmsubsequentmperiods
,8. WhenmdoesmamhospitalmaddmambulancemchargesmtomthemMedicareminpatientmclaim?m-
mCORRECTmANSWERmIfmthempatientmrequiresmambulancemtransportationmtomamskilledmnursi
ngmfacility
9. Howmshouldmamprovidermresolvemamlate-
chargemcreditmpostedmaftermanmaccountmismbilled?m-mCORRECTmANSWERmPostmamlate-
chargemadjustmentmtomthemaccount
10. anmincreaseminmthemdollarsmagedmgreatermthanm90mdaysmfrommdatemofmservicemindicatemwh
atmaboutmaccountsm-
mCORRECTmANSWERmTheymaremnotmbeingmprocessedminmamtimelymmanner
11. Whatmismanmadvantagemofmampreregistrationmprogram?m-
mCORRECTmANSWERmItmreducesmprocessingmtimesmatmthemtimemofmservice
12. Whatmaremthemtwomstatutorymexclusionsmfrommhospicemcoverage?m-
mCORRECTmANSWERmMedicallymunnecessarymservicesmandmcustodialmcare
13. Whatmcoremfinancialmactivitiesmaremresolvedmwithinmpatientmaccess?m-
mCORRECTmANSWERmScheduling,minsurancemverification,mdischargemprocessing,mandmpay
mentmofmpoint-of-servicemreceipts
14. Whatmstatementmappliesmtomthemscheduledmoutpatient?m-
mCORRECTmANSWERmThemservicesmdomnotminvolvemanmovernightmstay
15. Howmismammis-postedmcontractualmallowancemresolved?m-
mCORRECTmANSWERmComparingmthemcontractmreimbursementmratesmwithmthemcontractmo
nmthemadmittancemadvicemtomidentifymthemcorrectmamount
, 16. Whatmtypemofmpatientmstatusmismusedmtomevaluatemthempatient'smneedmforminpatientmcare?m
-mCORRECTmANSWERmObservation
17. CoveragemrulesmformMedicarembeneficiariesmreceivingmskilledmnursingmcaremrequiremthatmth
embeneficiarymhasmreceivedmwhat?m-
mCORRECTmANSWERmMedicallymnecessaryminpatientmhospitalmservicesmformatmleastm3mcons
ecutivemdaysmbeforemthemskilledmnursingmcaremadmission
18. Whenmismthemwordm"SAME"menteredmonmthemCMSm1500mbillingmformminmFieldm0$?m-
mCORRECTmANSWERmWhenmthempatientmismtheminsured
19. Whatmaremnon-
emergencympatientsmwhomcomemformservicemwithoutmpriormnotificationmtomthemprovidermc
alled?m-mCORRECTmANSWERmUnscheduledmpatients
20. Ifmtheminsurancemverificationmresponsemreportsmthatmamsubscribermhasmamsinglempolicy,mwh
atmismthemstatusmofmthemsubscriber'smspouse?m-
mCORRECTmANSWERmNeithermenrolledmnotmentitledmtombenefits
21. RegulationmZmofmthemConsumermCreditmProtectionmAct,malsomknownmasmthemTruthminmLendi
ngmAct,mestablishesmwhat?m-
mCORRECTmANSWERmDisclosuremrulesmformconsumermcreditmsalesmandmconsumermloans
22. Whatmismamprincipalmdiagnosis?m-
mCORRECTmANSWERmPrimarymreasonmformthempatient'smadmission
23. Collectingmpatientmliabilitymdollarsmaftermservicemleadsmtomwhat?m-
mCORRECTmANSWERmLowermaccountsmreceivablemlevels