CERTIFIED REVENUE CYCLE
REPRESENTATIVE ( CRCR )
EXAM QUESTIONS AND
CORRECT ANSWERS 2026-2027 .
,1. Which of the following statements are true of HFMA's Financial Communica-tions Best Practices ✓✓ CORRECT ANSWER
The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances
after insurance, if any.
2. The patient experience includes all of the following except ✓✓ CORRECT ANSWER The average number of positive
mentions received by the health system or practice and the public comments refuting unfriendly posts on social media sites.
3. Corporate compliance programs play an important role in protecting the integrity of operations and
ensuring compliance with federal and state re-quirements. The code of conduct is ✓✓ CORRECT ANSWER All
of the above
4. Specific to Medicare fee-for-service patients, which of the following payers have always been liable for payment? ✓
✓ CORRECT ANSWER Public health service programs, Federal grant programs, veteran attairs programs, black lung program services and work-related
injuries and accidents (worker' compensation claims)
5. Provider policies and procedures should be in place to reduce the risk of ethics violations. Examples of
ethics violations include ✓✓ CORRECT ANSWER All of the above
6. Providers are now being reimbursed with a focus on the value of the services provided, rather than volume, which
requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO deliv-ery system for a population of patients? ✓✓
CORRECT ANSWER To eliminate duplicate services, prevent medical errors and ensure appropriateness of care.
7. Historically, revenue cycle has delt with contractual adjustments, bad debt and charity deductions from gross
revenue. Although deductions continue to exist, the definition of net revenue has been modified through the
implemen-tation of ASC 606. Developed by the Financial Accounting Standards Board (FASB), this change
became effective in 2018.
What is the new terminology now employed in the calculation of net patient services revenues? ✓✓ CORRECT ANSWER
Explicit prices concessions and implicit price concessions
8. Key performance indicators set standards for A/R and provide a method for measuring the control and
collection of A/R.
, What are the two KPIs used to monitor performance related to the production and submission of claims to third party
payers and patients (self-pay)? ✓✓ CORRECT ANSWER Elapsed days from discharge to final bill and elapsed days from final bill to
claim/bill submission.
9. Consents are signed as part of the post-services process. ✓✓ CORRECT ANSWER True
**False
10. Patient service costs are calculated in the pre-service process for schedule patients ✓✓ CORRECT ANSWER
**True
False
11. The patient is scheduled and registered for service is a time-of-service activity ✓✓ CORRECT
ANSWER True
**False
12. The patient account is monitored for payment is a time-of-service activity-
✓✓ CORRECT ANSWER True
**False
13. Case management and discharge planning services are a post-service ac-tivty ✓✓ CORRECT ANSWER
True
**False
14. Sending the bill electronically to the health plan is a time-of-service activi-ty ✓✓ CORRECT ANSWER
True
**False
15. What happens during the post-service stage? ✓✓ CORRECT ANSWER **A. Final coding of all services, preparation and submission of
claims, payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the clinical care provided for the patient.
16. The following statements describe best practices established by the Med-ical Debt Task Force. Check the box next
to the True statements ✓✓ CORRECT ANSWER **Educate Patients
**Coordinate to avoid duplicate patient contacts
REPRESENTATIVE ( CRCR )
EXAM QUESTIONS AND
CORRECT ANSWERS 2026-2027 .
,1. Which of the following statements are true of HFMA's Financial Communica-tions Best Practices ✓✓ CORRECT ANSWER
The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances
after insurance, if any.
2. The patient experience includes all of the following except ✓✓ CORRECT ANSWER The average number of positive
mentions received by the health system or practice and the public comments refuting unfriendly posts on social media sites.
3. Corporate compliance programs play an important role in protecting the integrity of operations and
ensuring compliance with federal and state re-quirements. The code of conduct is ✓✓ CORRECT ANSWER All
of the above
4. Specific to Medicare fee-for-service patients, which of the following payers have always been liable for payment? ✓
✓ CORRECT ANSWER Public health service programs, Federal grant programs, veteran attairs programs, black lung program services and work-related
injuries and accidents (worker' compensation claims)
5. Provider policies and procedures should be in place to reduce the risk of ethics violations. Examples of
ethics violations include ✓✓ CORRECT ANSWER All of the above
6. Providers are now being reimbursed with a focus on the value of the services provided, rather than volume, which
requires collaboration among providers.
What is the intended outcome of collaborations made through an ACO deliv-ery system for a population of patients? ✓✓
CORRECT ANSWER To eliminate duplicate services, prevent medical errors and ensure appropriateness of care.
7. Historically, revenue cycle has delt with contractual adjustments, bad debt and charity deductions from gross
revenue. Although deductions continue to exist, the definition of net revenue has been modified through the
implemen-tation of ASC 606. Developed by the Financial Accounting Standards Board (FASB), this change
became effective in 2018.
What is the new terminology now employed in the calculation of net patient services revenues? ✓✓ CORRECT ANSWER
Explicit prices concessions and implicit price concessions
8. Key performance indicators set standards for A/R and provide a method for measuring the control and
collection of A/R.
, What are the two KPIs used to monitor performance related to the production and submission of claims to third party
payers and patients (self-pay)? ✓✓ CORRECT ANSWER Elapsed days from discharge to final bill and elapsed days from final bill to
claim/bill submission.
9. Consents are signed as part of the post-services process. ✓✓ CORRECT ANSWER True
**False
10. Patient service costs are calculated in the pre-service process for schedule patients ✓✓ CORRECT ANSWER
**True
False
11. The patient is scheduled and registered for service is a time-of-service activity ✓✓ CORRECT
ANSWER True
**False
12. The patient account is monitored for payment is a time-of-service activity-
✓✓ CORRECT ANSWER True
**False
13. Case management and discharge planning services are a post-service ac-tivty ✓✓ CORRECT ANSWER
True
**False
14. Sending the bill electronically to the health plan is a time-of-service activi-ty ✓✓ CORRECT ANSWER
True
**False
15. What happens during the post-service stage? ✓✓ CORRECT ANSWER **A. Final coding of all services, preparation and submission of
claims, payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and diagnostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor information is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the clinical care provided for the patient.
16. The following statements describe best practices established by the Med-ical Debt Task Force. Check the box next
to the True statements ✓✓ CORRECT ANSWER **Educate Patients
**Coordinate to avoid duplicate patient contacts
