CRCR Certification HFMA Exam
CRCR Certification HFMA Exam
Test (2025/2026) Latest Verified
Questions And Correct Answers
|Already Graded A+||Brand New
Version!|
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance
- Correct Answer :D) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - Correct Answer :40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on hospital care.
C) To provide clear communication and good customer service, which will give the provider a
competitive edge.
D) To make certain that during registration key information is verified by means of a picture ID
and insurance card.
- Correct Answer :B) To provide a standardization method for evaluating patients' perspective
on hospital care.
Which option is NOT a department that supports and collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services
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- Correct Answer :D) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - Correct Answer :A written
transfer agreement with one of more participating hospitals providing for the transfer of patients
between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must meet 2
conditions. - Correct Answer :1) An MD must certify that a patient is confined to his/her
residence (Not necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health
coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice –
Correct Answer :C) Health Plan Contracting
Which of the following are essential elements of an effective compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal healthcare
program.
- Correct Answer :A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
What is the OIG? - Correct Answer :The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that will be focused
on throughout the following year. Identify which option is NOT a work plan task mentioned in
this course.
A) Standard Unique Employer Identifier
A+ TEST BANK 2
, CRCR Certification HFMA Exam
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments –
Correct Answer :A) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity owned by the
hospital) on the date of the beneficiary's inpatient admission or during the ____ calendar days
immediately preceding the date of the admission are required to be included on the inpatient
bill. - Correct Answer :3
IN order to promote the use of correct coding methods on a national basis and prevent payment
errors due to improper coding, the Centers for Medicare and Medicaid Services (CMS) developed
what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers
- Correct Answer :A) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate. –
Correct Answer :D) Principals and standards by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO delivery system?
A) To create cost-containment provisions to reform the healthcare delivery system.
B) To ensure appropriateness of care, elimination of duplicate services, and prevention of
medicare errors for a population of patients.
C) To provide financial incentives to physicians for reporting quality data to CMS.
D) To reform the healthcare system into a system to rewards greater value, improves the quality
of care and increases efficiency in the delivery of services.
- Correct Answer :B) To ensure appropriateness of care, elimination of duplicate services, and
prevention of medicare errors for a population of patients.
Which option is NOT a reserve amount on a providers' financial statement?
A) Bad Debts
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B) Contractual Allowance Accounts
C) Contra-Account Amounts
D) Charity Care
- Correct Answer :C) Contra-Account Amounts
What are KPIs?
A) Days in A/R is calculated based on the value of the total accounts receivable into 30, 60, 90,
120 days and over categories, based on the date of service/discharge.
C) Benchmarks which are used to compete Key Performance indicators is an organization to an
agreed upon average expected standard within the same industry.
D) Key Performance Indicators which set standards for accounts receivables (A/R) and provide a
method for measuring the collection and control of A/R
. - Correct Answer :D) Key Performance Indicators which set standards for accounts receivables
(A/R) and provide a method for measuring the collection and control of A/R.
Which patients are considered scheduled?
A) Observation Patients
B) Emergency Departments Patients
C) Hospice Care
D) Recurring/Series Patients
- Correct Answer :D) Recurring/Series Patients
Name the guideline that Medicare established to determine which diagnoses, signs, or
symptoms are payable.
A) Scheduling Instructions
B) Patient Identifiers
C) Local Coverage Determinations
D) Advance Beneficiary Notice
- Correct Answer :C) Local Coverage Determinations
What is the purpose of insurance verification?
A) To identify information that does not have to be collected from the patient.
B) To ensure accuracy of the health plan information.
C) To complete guarantor information if the guarantor is not the patient.
D) To effectively complete the MSP screening process.
- Correct Answer :B) To ensure accuracy of the health plan information.
A+ TEST BANK 4
CRCR Certification HFMA Exam
Test (2025/2026) Latest Verified
Questions And Correct Answers
|Already Graded A+||Brand New
Version!|
Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance
- Correct Answer :D) Process Compliance
Approximately what ______% of billing information is obtained during the registration process
(Patient Access). - Correct Answer :40%
What is the objective of the HCAHPS initiative?
A) To conduct evaluations concerning patients' perspective on hospital care.
B) To provide a standardization method for evaluating patients' perspective on hospital care.
C) To provide clear communication and good customer service, which will give the provider a
competitive edge.
D) To make certain that during registration key information is verified by means of a picture ID
and insurance card.
- Correct Answer :B) To provide a standardization method for evaluating patients' perspective
on hospital care.
Which option is NOT a department that supports and collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services
A+ TEST BANK 1
, CRCR Certification HFMA Exam
- Correct Answer :D) Assisted Living Services
What must a SNF have to participate in the Medicare Program? - Correct Answer :A written
transfer agreement with one of more participating hospitals providing for the transfer of patients
between the hospital and SNF.
In order to qualify for Medicare Coverage of Home Health Service a patient must meet 2
conditions. - Correct Answer :1) An MD must certify that a patient is confined to his/her
residence (Not necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs may not be considered a place of residence for purposes of home health
coverage.
Which options is NOT a continuum of care provider?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice –
Correct Answer :C) Health Plan Contracting
Which of the following are essential elements of an effective compliance program?
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance offices employees within the Billing department.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
E) Automatic dismissal of any employee excluded from participating in a federal healthcare
program.
- Correct Answer :A, B, and D
A) Oversight of personnel by high-level personnel.
B) Established compliance standards and procedures.
D) Reasonable methods to achieve compliance with standards, including monitoring systems and
hotlines.
What is the OIG? - Correct Answer :The Office of the Inspector General
Annually, the OIG publishes a work plan of compliance issues and objectives that will be focused
on throughout the following year. Identify which option is NOT a work plan task mentioned in
this course.
A) Standard Unique Employer Identifier
A+ TEST BANK 2
, CRCR Certification HFMA Exam
B) Provider-based status
C) Medical devices
D) Reconciliation of outlier payments –
Correct Answer :A) Standard Unique Employer Identifier
All diagnostic services provided to a MCR beneficiary by a hospital (or entity owned by the
hospital) on the date of the beneficiary's inpatient admission or during the ____ calendar days
immediately preceding the date of the admission are required to be included on the inpatient
bill. - Correct Answer :3
IN order to promote the use of correct coding methods on a national basis and prevent payment
errors due to improper coding, the Centers for Medicare and Medicaid Services (CMS) developed
what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers
- Correct Answer :A) The Correct Coding Initiative (CCI)
What do business/organizational ethics represent?
A) An employee's actions influenced by experiences and value system.
B) The patient privacy standard within health care
C) A healthcare provider's practices and principles
D) Principals and standards by which organizations operate. –
Correct Answer :D) Principals and standards by which organizations operate.
What is the intended outcome of the collaborations made throughout an ACO delivery system?
A) To create cost-containment provisions to reform the healthcare delivery system.
B) To ensure appropriateness of care, elimination of duplicate services, and prevention of
medicare errors for a population of patients.
C) To provide financial incentives to physicians for reporting quality data to CMS.
D) To reform the healthcare system into a system to rewards greater value, improves the quality
of care and increases efficiency in the delivery of services.
- Correct Answer :B) To ensure appropriateness of care, elimination of duplicate services, and
prevention of medicare errors for a population of patients.
Which option is NOT a reserve amount on a providers' financial statement?
A) Bad Debts
A+ TEST BANK 3
, CRCR Certification HFMA Exam
B) Contractual Allowance Accounts
C) Contra-Account Amounts
D) Charity Care
- Correct Answer :C) Contra-Account Amounts
What are KPIs?
A) Days in A/R is calculated based on the value of the total accounts receivable into 30, 60, 90,
120 days and over categories, based on the date of service/discharge.
C) Benchmarks which are used to compete Key Performance indicators is an organization to an
agreed upon average expected standard within the same industry.
D) Key Performance Indicators which set standards for accounts receivables (A/R) and provide a
method for measuring the collection and control of A/R
. - Correct Answer :D) Key Performance Indicators which set standards for accounts receivables
(A/R) and provide a method for measuring the collection and control of A/R.
Which patients are considered scheduled?
A) Observation Patients
B) Emergency Departments Patients
C) Hospice Care
D) Recurring/Series Patients
- Correct Answer :D) Recurring/Series Patients
Name the guideline that Medicare established to determine which diagnoses, signs, or
symptoms are payable.
A) Scheduling Instructions
B) Patient Identifiers
C) Local Coverage Determinations
D) Advance Beneficiary Notice
- Correct Answer :C) Local Coverage Determinations
What is the purpose of insurance verification?
A) To identify information that does not have to be collected from the patient.
B) To ensure accuracy of the health plan information.
C) To complete guarantor information if the guarantor is not the patient.
D) To effectively complete the MSP screening process.
- Correct Answer :B) To ensure accuracy of the health plan information.
A+ TEST BANK 4
