CRCR (Certified Revenue Cycle Representative)
EXAM PREP 2026-2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
What type of account adjustment results from the patient's unwillingness to pay for
a self-pay balance?
Bad debt adjustment
What is the initial hospice benefit?
Two 90-day periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim?
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?
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
They are not being processed in a timely manner
,What is an advantage of a preregistration program?
It reduces processing times at the time of service
What are collection agency fees based on?
A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule?
Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers?
Case rates
What customer service improvements might improve the patient accounts
department?
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Inform a Medicare beneficiary that Medicare may not pay for the order or service
, What are the two statutory exclusions from hospice coverage?
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access?
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient?
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved?
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?
Observation
EXAM PREP 2026-2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
What type of account adjustment results from the patient's unwillingness to pay for
a self-pay balance?
Bad debt adjustment
What is the initial hospice benefit?
Two 90-day periods and an unlimited number of subsequent periods
When does a hospital add ambulance charges to the Medicare inpatient claim?
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?
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
They are not being processed in a timely manner
,What is an advantage of a preregistration program?
It reduces processing times at the time of service
What are collection agency fees based on?
A percentage of dollars collected
Self-funded benefit plans may choose to coordinate benefits using the gender rule
or what other rule?
Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers?
Case rates
What customer service improvements might improve the patient accounts
department?
Holding staff accountable for customer service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do?
Inform a Medicare beneficiary that Medicare may not pay for the order or service
, What are the two statutory exclusions from hospice coverage?
Medically unnecessary services and custodial care
What core financial activities are resolved within patient access?
Scheduling, insurance verification, discharge processing, and payment of point-of-
service receipts
What statement applies to the scheduled outpatient?
The services do not involve an overnight stay
How is a mis-posted contractual allowance resolved?
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?
Observation
