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