7402-3 PAPER QP PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ What is the purpose of the CRCR certification?.
Answer: The CRCR validates foundational revenue cycle knowledge across
access, billing, claims, payment posting, denials, compliance, and patient
financial experience.
◍ Who offers the CRCR certification?.
Answer: HFMA — Healthcare Financial Management Association.
◍ What are collection agency fees based on?.
Answer: A percentage of dollars collected
◍ Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule?.
Answer: Birthday
◍ In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers?.
Answer: Case rates
◍ What customer service improvements might improve the patient accounts
department?.
Answer: Holding staff accountable for customer service during performance
reviews
◍ What is the typical passing score required for CRCR?.
Answer: Usually 80% or higher.
,◍ What does the CRCR exam measure?.
Answer: Understanding of end-to-end revenue cycle workflows, key
metrics, compliance, and patient financial communication.
◍ What is the revenue cycle?.
Answer: The complete financial process from patient scheduling through
final payment resolution.
◍ What is Patient Access?.
Answer: The front-end workflow responsible for scheduling, registration,
insurance verification, and financial clearance.
◍ What is an ABN (Advance Beneficiary Notice of Non-coverage) required to
do?.
Answer: Inform a Medicare beneficiary that Medicare may not pay for the
order or service
◍ What type of account adjustment results from the patient's unwillingness to
pay for a self-pay balance?.
Answer: Bad debt adjustment
◍ What is the initial hospice benefit?.
Answer: Two 90-day periods and an unlimited number of subsequent
periods
◍ When does a hospital add ambulance charges to the Medicare inpatient
claim?.
Answer: If the patient requires ambulance transportation to a skilled nursing
facility
◍ What is Charge Capture?.
Answer: The accurate recording of all billable clinical services.
◍ What is Medical Coding?.
Answer: Translating clinical documentation into standardized billing codes.
◍ How should a provider resolve a late-charge credit posted after an account is
billed?.
, Answer: 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.
Answer: They are not being processed in a timely manner
◍ What is an advantage of a preregistration program?.
Answer: It reduces processing times at the time of service
◍ What are the two statutory exclusions from hospice coverage?.
Answer: Medically unnecessary services and custodial care
◍ What core financial activities are resolved within patient access?.
Answer: Scheduling, insurance verification, discharge processing, and
payment of point-of-service receipts
◍ What statement applies to the scheduled outpatient?.
Answer: The services do not involve an overnight stay
◍ How is a mis-posted contractual allowance resolved?.
Answer: 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?.
Answer: Observation
◍ Coverage rules for Medicare beneficiaries receiving skilled nursing care
require that the beneficiary has received what?.
Answer: Medically necessary inpatient hospital services for at least 3
consecutive days before the skilled nursing care admission
◍ What is a Claim?.
Answer: A request for reimbursement submitted to a payer for services
provided.
◍ When is the word "SAME" entered on the CMS 1500 billing form in Field
0$?.
Answer: When the patient is the insured