CRCR Certification Exam 2026–2027 | Actual
Questions & Verified Answers | Complete HFMA
Certified Revenue Cycle Representative (CRCR) Study
Guide for First-Time Pass Success | Revenue Cycle,
Billing, Claims, Compliance & Patient Financial
Services Prep
THIS EXAM INCLUDES:
• Patient access, registration, and insurance verification concepts
• End-of-chapter review questions and mock exams
• HFMA revenue cycle standards and compliance review
• HIPAA, EMTALA, and healthcare compliance regulations
• Verified correct answers
• Latest 2026–2027 CRCR certification practice questions
,CRCR Certification Exam
1. The disadvantages of outsourcing include all of the following EXCEPT:
• A) The impact of customer service or patient relations
• B) The impact of loss of direct control of accounts receivable services
• C) Increased costs due to vendor ineffectiveness
• D) Reduced internal staffing costs and a reliance on outsourced staff
Answer: D
2. The Medicare fee-for-service appeal process for both beneficiaries and
providers includes all of the following levels EXCEPT:
• A) Medical necessity review by an independent physician's panel
• B) Judicial review by a federal district court
• C) Redetermination by the company that handles claims for Medicare
• D) Review by the Medicare Appeals Council (Appeals Council)
Answer: B
3. Business ethics, or organizational ethics represent:
• A) The principles and standards by which organizations operate
• B) Regulations that must be followed by law
• C) Definitions of appropriate customer service
• D) The code of acceptable conduct
Answer: A
4. A portion of the accounts receivable inventory which has NOT qualified for
billing includes:
, • A) Charitable pledges
• B) Accounts created during pre-registration but not activated
• C) Accounts coded but held within the suspense period
• D) Accounts assigned to a pre-collection agency
Answer: A
5. Local Coverage Determinations (LCD) and National Coverage Determinations
(NCD) are Medicare established guideline(s) used to determine:
• A) Medicare and Medicaid provider eligibility
• B) Medicare outpatient reimbursement rates
• C) Which diagnoses, signs, or symptoms are reimbursable
• D) (Incomplete in original)
Answer: C
6. Days in A/R is calculated based on the value of:
• A) The total accounts receivable on a specific date
• B) Total anticipated revenue minus expenses
• C) The time it takes to collect anticipated revenue
• D) Total cash received to date
Answer: C
7. Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is:
• A) That hospitals don't want to establish a price without knowing if the
patient has insurance and how much reimbursement can be expected
, • B) The fact that charge master lists the total charge, not net charges that
reflect charges after a payer's contractual adjustment
• C) That hospitals don't want to be put in the position of "guaranteeing"
price without having room for additional charges that may arise
• D) Their reluctance to share proprietary information
Answer: B
8. Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to:
• A) Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data
• B) Have a patient responsibilities kit ready for the patient
• C) Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
• D) Decline such request as finance discussions can disrupt patient care
Answer: C
9. A comprehensive "Compliance Program" is defined as:
• A) Annual legal audit and review for adherence to regulations
• B) Educating staff on regulations
• C) Systematic procedures to ensure that the provisions of regulations
imposed by a government agency are being met
• D) The development of operational policies that correspond to regulations
Answer: C
10. Case Management requires that a case manager be assigned:
Questions & Verified Answers | Complete HFMA
Certified Revenue Cycle Representative (CRCR) Study
Guide for First-Time Pass Success | Revenue Cycle,
Billing, Claims, Compliance & Patient Financial
Services Prep
THIS EXAM INCLUDES:
• Patient access, registration, and insurance verification concepts
• End-of-chapter review questions and mock exams
• HFMA revenue cycle standards and compliance review
• HIPAA, EMTALA, and healthcare compliance regulations
• Verified correct answers
• Latest 2026–2027 CRCR certification practice questions
,CRCR Certification Exam
1. The disadvantages of outsourcing include all of the following EXCEPT:
• A) The impact of customer service or patient relations
• B) The impact of loss of direct control of accounts receivable services
• C) Increased costs due to vendor ineffectiveness
• D) Reduced internal staffing costs and a reliance on outsourced staff
Answer: D
2. The Medicare fee-for-service appeal process for both beneficiaries and
providers includes all of the following levels EXCEPT:
• A) Medical necessity review by an independent physician's panel
• B) Judicial review by a federal district court
• C) Redetermination by the company that handles claims for Medicare
• D) Review by the Medicare Appeals Council (Appeals Council)
Answer: B
3. Business ethics, or organizational ethics represent:
• A) The principles and standards by which organizations operate
• B) Regulations that must be followed by law
• C) Definitions of appropriate customer service
• D) The code of acceptable conduct
Answer: A
4. A portion of the accounts receivable inventory which has NOT qualified for
billing includes:
, • A) Charitable pledges
• B) Accounts created during pre-registration but not activated
• C) Accounts coded but held within the suspense period
• D) Accounts assigned to a pre-collection agency
Answer: A
5. Local Coverage Determinations (LCD) and National Coverage Determinations
(NCD) are Medicare established guideline(s) used to determine:
• A) Medicare and Medicaid provider eligibility
• B) Medicare outpatient reimbursement rates
• C) Which diagnoses, signs, or symptoms are reimbursable
• D) (Incomplete in original)
Answer: C
6. Days in A/R is calculated based on the value of:
• A) The total accounts receivable on a specific date
• B) Total anticipated revenue minus expenses
• C) The time it takes to collect anticipated revenue
• D) Total cash received to date
Answer: C
7. Patients are contacting hospitals to proactively inquire about costs and fees
prior to agreeing to service. The problem for hospitals in providing such
information is:
• A) That hospitals don't want to establish a price without knowing if the
patient has insurance and how much reimbursement can be expected
, • B) The fact that charge master lists the total charge, not net charges that
reflect charges after a payer's contractual adjustment
• C) That hospitals don't want to be put in the position of "guaranteeing"
price without having room for additional charges that may arise
• D) Their reluctance to share proprietary information
Answer: B
8. Across all care settings, if a patient consents to a financial discussion during a
medical encounter to expedite discharge, the HFMA best practice is to:
• A) Make sure that the attending staff can answer questions and assist in
obtaining required patient financial data
• B) Have a patient responsibilities kit ready for the patient
• C) Support that choice, providing that the discussion does not interfere
with patient care or disrupt patient flow
• D) Decline such request as finance discussions can disrupt patient care
Answer: C
9. A comprehensive "Compliance Program" is defined as:
• A) Annual legal audit and review for adherence to regulations
• B) Educating staff on regulations
• C) Systematic procedures to ensure that the provisions of regulations
imposed by a government agency are being met
• D) The development of operational policies that correspond to regulations
Answer: C
10. Case Management requires that a case manager be assigned:
