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
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
