HFMA
Certified Revenue Cycle Representative
Final Assessment Review
(With Solutions)
2026
1
,1. A hospital CFO notes delays in claim submission. Which revenue
cycle function is most impacted?
A. Pre‑service scheduling
B. Post‑service billing and claims management
C. Patient registration
D. Point‑of‑service collections
Answer: B. Rationale: Delayed claims affect post‑service billing.
2. A patient arrives without insurance verification. Which pre‑service
process failed?
A. Scheduling
B. Eligibility verification
C. Coding
D. Collections
Answer: B. Rationale: Eligibility verification ensures coverage before
service.
3. At time of service, a patient refuses to pay copay. Which strategy is
most effective?
A. Ignore payment
B. Educate patient on financial responsibility and offer payment
options
C. Cancel service
D. Send to collections immediately
Answer: B. Rationale: Education and options improve compliance.
4. A claim is denied due to missing documentation. Which unit is
responsible?
A. Pre‑service
B. Time of service
C. Post‑service
D. Revenue cycle overview
Answer: C. Rationale: Documentation errors affect post‑service
2
, claims.
5. A hospital implements real‑time eligibility checks. Which benefit is
achieved?
A. Reduced coding errors
B. Improved pre‑service financial clearance
C. Faster collections
D. Lower wage index
Answer: B. Rationale: Real‑time checks prevent coverage issues.
6. A patient pays deductible at registration. Which unit is
demonstrated?
A. Post‑service
B. Time of service financial care
C. Pre‑service
D. Revenue cycle overview
Answer: B. Rationale: Deductibles are collected at time of service.
7. A hospital reduces denials by improving coding accuracy. Which
unit is strengthened?
A. Pre‑service
B. Post‑service financial care
C. Time of service
D. Revenue cycle overview
Answer: B. Rationale: Coding accuracy impacts claims.
8. A patient receives financial counseling before surgery. Which unit
applies?
A. Pre‑service financial care
B. Time of service
C. Post‑service
D. Revenue cycle overview
Answer: A. Rationale: Counseling occurs before service.
9. A hospital uses point‑of‑service payment kiosks. Which benefit is
3
Certified Revenue Cycle Representative
Final Assessment Review
(With Solutions)
2026
1
,1. A hospital CFO notes delays in claim submission. Which revenue
cycle function is most impacted?
A. Pre‑service scheduling
B. Post‑service billing and claims management
C. Patient registration
D. Point‑of‑service collections
Answer: B. Rationale: Delayed claims affect post‑service billing.
2. A patient arrives without insurance verification. Which pre‑service
process failed?
A. Scheduling
B. Eligibility verification
C. Coding
D. Collections
Answer: B. Rationale: Eligibility verification ensures coverage before
service.
3. At time of service, a patient refuses to pay copay. Which strategy is
most effective?
A. Ignore payment
B. Educate patient on financial responsibility and offer payment
options
C. Cancel service
D. Send to collections immediately
Answer: B. Rationale: Education and options improve compliance.
4. A claim is denied due to missing documentation. Which unit is
responsible?
A. Pre‑service
B. Time of service
C. Post‑service
D. Revenue cycle overview
Answer: C. Rationale: Documentation errors affect post‑service
2
, claims.
5. A hospital implements real‑time eligibility checks. Which benefit is
achieved?
A. Reduced coding errors
B. Improved pre‑service financial clearance
C. Faster collections
D. Lower wage index
Answer: B. Rationale: Real‑time checks prevent coverage issues.
6. A patient pays deductible at registration. Which unit is
demonstrated?
A. Post‑service
B. Time of service financial care
C. Pre‑service
D. Revenue cycle overview
Answer: B. Rationale: Deductibles are collected at time of service.
7. A hospital reduces denials by improving coding accuracy. Which
unit is strengthened?
A. Pre‑service
B. Post‑service financial care
C. Time of service
D. Revenue cycle overview
Answer: B. Rationale: Coding accuracy impacts claims.
8. A patient receives financial counseling before surgery. Which unit
applies?
A. Pre‑service financial care
B. Time of service
C. Post‑service
D. Revenue cycle overview
Answer: A. Rationale: Counseling occurs before service.
9. A hospital uses point‑of‑service payment kiosks. Which benefit is
3
