CRCR PRACTICE QUESTIONS WITH
CORRECT ANSWERS GRADED A+
2025/2026.
Which of the following statements are true of HFMA's Patient Financial Communications
Best Practices? correct answers The best practices were developed specifically to help
patients understand the cost of services, their individual insurance benefits, and their
responsibility for balances after insurance, if any.
The patient experience includes all of the following except: correct answers Recognition
that revenue cycle processes must be patient-centric and efficient. This is especially
true in the areas of scheduling, registration, admitting, financial counseling and account
resolution conversation with patients.
Corporate compliance programs play an important role in protecting the integrity of
operations and ensuring compliance with federal and state requirements. The code of
conduct is: correct answers A critical tool to ensure compliance, essential and integral
component, fosters an environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have always
been liable for payment? correct answers Black lung service programs, veteran affairs
program, working aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples include: correct answers financial misconduct, theft of property,
applying policies in inconsistent manner (all of the above)
What is the intended outcome of collaborations made through an ACO delivery system
for a population of patients? correct answers To eliminate duplicate services, prevent
medical errors and ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service
revenues? correct answers explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production and
submission of claims to third party payers and patients (self-pay)? correct answers
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission
, What happens during the post-service stage? correct answers Final coding of all
services, preparation and submission of claims, payment processing and balance billing
and resolution.
The following statements describe best practices established by the Medicaid Debt
Task Force. Select true statements. correct answers educate patients, coordinate to
avoid duplicate patient contacts, be consistent in key aspects of account resolution,
follow best practices for communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle
initiative? correct answers Process Compliance
What is the objective of the HCAHPS initiative? correct answers To provide a
standardized method for evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue
cycle? correct answers Assisted Living Services
Which option is NOT a continuum of care provider? correct answers Health Plan
Contracting
Which of the following are essential elements of an effective compliance program?
correct answers established compliance standards and procedures, oversight of
personnel by high-level personnel, reasonable methods to achieve compliance with
standards, including monitoring systems and hotlines
Annually, the OIG publishes a work plan of compliance issues and objects that will be
focused on the throughout the following year. Identify which option is NOT a work plan
task mentioned in this course. correct answers Standard Unique Employer Identifier
In order to promote the use of correct coding methods on a national basis and prevent
payment errors due to improper coding, CMS developed what? correct answers The
Correct Coding Initiative(CCI)
What do business/organizational ethics represent? correct answers Principles and
standards by which organizations operate
What is the intended outcome of collaborations made through an ACO delivery system?
correct answers To ensure appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients
Which of these statements describes the new methodology for the determinations of net
patient service revenue? correct answers Net patient service revenue is defined a the
total incurred charges, less the explicit price concession, less any applicable implicit
price concession(s) as applied to the specific portfolio of accounts.
CORRECT ANSWERS GRADED A+
2025/2026.
Which of the following statements are true of HFMA's Patient Financial Communications
Best Practices? correct answers The best practices were developed specifically to help
patients understand the cost of services, their individual insurance benefits, and their
responsibility for balances after insurance, if any.
The patient experience includes all of the following except: correct answers Recognition
that revenue cycle processes must be patient-centric and efficient. This is especially
true in the areas of scheduling, registration, admitting, financial counseling and account
resolution conversation with patients.
Corporate compliance programs play an important role in protecting the integrity of
operations and ensuring compliance with federal and state requirements. The code of
conduct is: correct answers A critical tool to ensure compliance, essential and integral
component, fosters an environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers have always
been liable for payment? correct answers Black lung service programs, veteran affairs
program, working aged programs, ESRD, and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples include: correct answers financial misconduct, theft of property,
applying policies in inconsistent manner (all of the above)
What is the intended outcome of collaborations made through an ACO delivery system
for a population of patients? correct answers To eliminate duplicate services, prevent
medical errors and ensure appropriateness of care
What is the new terminology now employed in the calculation of net patient service
revenues? correct answers explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production and
submission of claims to third party payers and patients (self-pay)? correct answers
Elapsed days from discharge to final bill and elapsed days from final bill to claim/bill
submission
, What happens during the post-service stage? correct answers Final coding of all
services, preparation and submission of claims, payment processing and balance billing
and resolution.
The following statements describe best practices established by the Medicaid Debt
Task Force. Select true statements. correct answers educate patients, coordinate to
avoid duplicate patient contacts, be consistent in key aspects of account resolution,
follow best practices for communication
Which option is NOT a main HFMA Healthcare Dollars & Sense revenue cycle
initiative? correct answers Process Compliance
What is the objective of the HCAHPS initiative? correct answers To provide a
standardized method for evaluating patient's perspective on hospital care
Which option is NOT a department that supports and collaborates with the revenue
cycle? correct answers Assisted Living Services
Which option is NOT a continuum of care provider? correct answers Health Plan
Contracting
Which of the following are essential elements of an effective compliance program?
correct answers established compliance standards and procedures, oversight of
personnel by high-level personnel, reasonable methods to achieve compliance with
standards, including monitoring systems and hotlines
Annually, the OIG publishes a work plan of compliance issues and objects that will be
focused on the throughout the following year. Identify which option is NOT a work plan
task mentioned in this course. correct answers Standard Unique Employer Identifier
In order to promote the use of correct coding methods on a national basis and prevent
payment errors due to improper coding, CMS developed what? correct answers The
Correct Coding Initiative(CCI)
What do business/organizational ethics represent? correct answers Principles and
standards by which organizations operate
What is the intended outcome of collaborations made through an ACO delivery system?
correct answers To ensure appropriateness of care, elimination of duplicate services,
and prevention of medical errors for a population of patients
Which of these statements describes the new methodology for the determinations of net
patient service revenue? correct answers Net patient service revenue is defined a the
total incurred charges, less the explicit price concession, less any applicable implicit
price concession(s) as applied to the specific portfolio of accounts.
