CRCR EXAM MULTIPLE CHOICE Exam
Prep (Certified Revenue Cycle
Representative) 2025 Expert Verified |
Ace the Test
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
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
,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 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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - 🧠 ANSWER
✔✔Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - 🧠 ANSWER ✔✔Disclosure rules
for consumer credit sales and consumer loans
What is a principal diagnosis? - 🧠 ANSWER ✔✔Primary reason for the
patient's admission
Prep (Certified Revenue Cycle
Representative) 2025 Expert Verified |
Ace the Test
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
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
,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 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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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
If the insurance verification response reports that a subscriber has a single
policy, what is the status of the subscriber's spouse? - 🧠 ANSWER
✔✔Neither enrolled not entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also known as the
Truth in Lending Act, establishes what? - 🧠 ANSWER ✔✔Disclosure rules
for consumer credit sales and consumer loans
What is a principal diagnosis? - 🧠 ANSWER ✔✔Primary reason for the
patient's admission
