1|Page
HFMA CRCR EXAM 2026/2027 ACTUAL COMPLETE
REAL VERIFIED EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+|| NEWEST EXAM!!!
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,
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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
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
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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
Collecting patient liability dollars after service leads to
what? - Answer-Lower accounts receivable levels
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What is the daily out-of-pocket amount for each lifetime
reserve day used? - Answer-50% of the current deductible
amount
What service provided to a Medicare beneficiary in a rural
health clinic (RHC) is not billable as an RHC services? -
Answer-Inpatient care
What code indicates the disposition of the patient at the
conclusion of service? - Answer-Patient discharge status
code
What are hospitals required to do for Medicare credit
balance accounts? - Answer-They result in lost
reimbursement and additional cost to collect
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
HFMA CRCR EXAM 2026/2027 ACTUAL COMPLETE
REAL VERIFIED EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+|| NEWEST EXAM!!!
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,
,2|Page
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
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
,3|Page
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
Collecting patient liability dollars after service leads to
what? - Answer-Lower accounts receivable levels
, 4|Page
What is the daily out-of-pocket amount for each lifetime
reserve day used? - Answer-50% of the current deductible
amount
What service provided to a Medicare beneficiary in a rural
health clinic (RHC) is not billable as an RHC services? -
Answer-Inpatient care
What code indicates the disposition of the patient at the
conclusion of service? - Answer-Patient discharge status
code
What are hospitals required to do for Medicare credit
balance accounts? - Answer-They result in lost
reimbursement and additional cost to collect
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
