CRCR Exam 2026 Questions and
Answers Graded A+
HFMA patient financial communications best practices call for annual training for
all staff EXCEPT - Correct answer-A. Patient access
B. Customer service representatives
**C. Nursing
D. Staff who engage in patient financial communications discussions
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - Correct answer-Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
**D. Revenue codes
The most common resolution methods for credit balances include all of the
following EXCEPT - Correct answer-A. Designate the overpayment for charity
care
,B. Determine the correct primary payer and notify incorrect payer of overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the payer.
Net Accounts Receivable is - Correct answer-A. The total bad debt
B. Total debt owed by an entity
**C. The amount an entity is reasonably confident of collecting from overall
accounts receivable
D. The total claims amount billed to health plans
For routine scenarios, such as patients with insurance coverage or a known ability
to pay, financial discussions - Correct answer-A. May take place between the
patient and discharge planning
**B. Should take place between the patient or guarantor and properly trained
provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
Scheduled procedures routinely include - Correct answer-A. Physician's office
contact information
, B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
**D. Patient preparation instructions
ICD-10-CM and ICD-10-PCS code sets are modifications of - Correct answer-A.
DRGs
B. CPT codes
C. ICD 9 codes
**D. The international ICD-10 codes as developed by the WHO (World Health
Organization)
The Medicare Bundled Payments for Care Initiative (BCPI) is designed to -
Correct answer-A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down through a
lump-sum payment to providers
**C. Align incentives between hospitals, physicians, and non-physician providers
in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in one
payment
Answers Graded A+
HFMA patient financial communications best practices call for annual training for
all staff EXCEPT - Correct answer-A. Patient access
B. Customer service representatives
**C. Nursing
D. Staff who engage in patient financial communications discussions
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - Correct answer-Medical necessity documentation
B. The CMS 1500 Part B attachment
C. Correct Part A and B procedural codes
**D. Revenue codes
The most common resolution methods for credit balances include all of the
following EXCEPT - Correct answer-A. Designate the overpayment for charity
care
,B. Determine the correct primary payer and notify incorrect payer of overpayment
C. Submit the corrected claim to the payer incorporating credits
D. Either send a refund or complete a takeback form as directed by the payer.
Net Accounts Receivable is - Correct answer-A. The total bad debt
B. Total debt owed by an entity
**C. The amount an entity is reasonably confident of collecting from overall
accounts receivable
D. The total claims amount billed to health plans
For routine scenarios, such as patients with insurance coverage or a known ability
to pay, financial discussions - Correct answer-A. May take place between the
patient and discharge planning
**B. Should take place between the patient or guarantor and properly trained
provider representatives
C. Are optional
D. Are focused on verifying required third-party payer information
Scheduled procedures routinely include - Correct answer-A. Physician's office
contact information
, B. Physician notification that scheduling is complete
C. The scheduler's name and contact information
**D. Patient preparation instructions
ICD-10-CM and ICD-10-PCS code sets are modifications of - Correct answer-A.
DRGs
B. CPT codes
C. ICD 9 codes
**D. The international ICD-10 codes as developed by the WHO (World Health
Organization)
The Medicare Bundled Payments for Care Initiative (BCPI) is designed to -
Correct answer-A. Prevent duplicate billing
B. "Stretch" the impact of patient self-pay by squeezing costs down through a
lump-sum payment to providers
**C. Align incentives between hospitals, physicians, and non-physician providers
in order to better coordinate patient care
D. Drive down physician fees by forcing physicians to share equitably in one
payment
