HFMA CRCR Final Exam Review 2025: Certified Revenue Cycle Representative Practice Test

Page 1 of 196


HFMA CRCR FINAL EXAM REVIEW NEWEST 2025

ACTUAL EXAM| COMPLETE 200 QUESTIONS AND

CORRECT VERIFIED ANSWERS/ ALREADY GRADED

A+| CRCR CERTIFICATION EXAM 2025 (BRAND NEW!!)

What are collection agency fees based on? .....ANSWER..... A

percentage of dollars collected

Self-funded benefit plans may choose to coordinate benefits

using the gender rule or what other rule? .....ANSWER..... Birthday

In what type of payment methodology is a lump sum or bundled

payment negotiated between the payer and some or all

providers? .....ANSWER..... Case rates

What customer service improvements might improve the patient

accounts department? .....ANSWER..... Holding staff accountable

for customer service during performance reviews

,Page 2 of 196


What is an ABN (Advance Beneficiary Notice of Non-coverage)

required to do? .....ANSWER..... Inform a Medicare beneficiary

that Medicare may not pay for the order or service

What type of account adjustment results from the patient's

unwillingness to pay for a self-pay balance? .....ANSWER..... Bad

debt adjustment

What is the initial hospice benefit? .....ANSWER..... Two 90-day

periods and an unlimited number of subsequent periods

When does a hospital add ambulance charges to the Medicare

inpatient claim? .....ANSWER..... If the patient requires ambulance

transportation to a skilled nursing facility

How should a provider resolve a late-charge credit posted after

an account is billed? .....ANSWER..... Post a late-charge

adjustment to the account

,Page 3 of 196


an increase in the dollars aged greater than 90 days from date

of service indicate what about accounts .....ANSWER..... They are

not being processed in a timely manner

What is an advantage of a preregistration program?

.....ANSWER..... It reduces processing times at the time of service

What are the two statutory exclusions from hospice coverage?

.....ANSWER..... Medically unnecessary services and custodial

care

What core financial activities are resolved within patient access?

.....ANSWER..... Scheduling, insurance verification, discharge

processing, and payment of point-of-service receipts

What statement applies to the scheduled outpatient?

.....ANSWER..... The services do not involve an overnight stay

How is a mis-posted contractual allowance resolved?

.....ANSWER..... Comparing the contract reimbursement rates with

, Page 4 of 196


the contract on the admittance advice to identify the correct

amount

What type of patient status is used to evaluate the patient's

need for inpatient care? .....ANSWER..... Observation

Coverage rules for Medicare beneficiaries receiving skilled

nursing care require that the beneficiary has received what?

.....ANSWER..... Medically necessary inpatient hospital services

for at least 3 consecutive days before the skilled nursing care

admission

When is the word "SAME" entered on the CMS 1500 billing form

in Field 0$? .....ANSWER..... When the patient is the insured

What are non-emergency patients who come for service without

prior notification to the provider called? .....ANSWER.....

Unscheduled patients