CRCR Certification Exam 2026
Questions and Answers
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - Correct answer-The Medicare Administrative Contractor
(MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - Correct answer-
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - Correct answer-Respect the patients privacy
A nightly room charge will be incorrect if the patient's - Correct answer-Transfer
from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - Correct answer-Purchase
qualified health benefit plans regardless of insured's
health status
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,A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - Correct answer-Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - Correct answer-Revenue codes
This directive was developed to promote and ensure healthcare quality and value
and also to protect consumers and workers in the healthcare system. This directive
is called - Correct answer-Patient bill of rights
The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is
known as - Correct answer-Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - Correct answer-Registration staff may routinely contact managed
are plans for prior authorizations before the patient is seen by the on-duty
physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction
EIN's are
assigned by - Correct answer-The Internal Revenue Service
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Checks received through mail, cash received through mail, and lock box are all
examples of - Correct answer-Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
Correct answer-Eligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - Correct answer-The creation of
one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals
to - Correct answer-Assist patients in understanding their insurance coverage and
their financial obligation
The purpose of a financial report is to: - Correct answer-Present financial
information to decision makers
Patient financial communications best practices produce communications that are -
Correct answer-Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - Correct
answer-What services or healthcare items are covered under Medicare
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Questions and Answers
Overall aggregate payments made to a hospice are subject to a computed "cap
amount" calculated by - Correct answer-The Medicare Administrative Contractor
(MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid - Correct answer-
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first
and foremost - Correct answer-Respect the patients privacy
A nightly room charge will be incorrect if the patient's - Correct answer-Transfer
from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can - Correct answer-Purchase
qualified health benefit plans regardless of insured's
health status
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A portion of the accounts receivable inventory which has NOT qualified for billing
includes: - Correct answer-Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate
payment from Medicare? - Correct answer-Revenue codes
This directive was developed to promote and ensure healthcare quality and value
and also to protect consumers and workers in the healthcare system. This directive
is called - Correct answer-Patient bill of rights
The activity which results in the accurate recording of patient bed and level of care
assessment, patient transfer and patient discharge status on a real-time basis is
known as - Correct answer-Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor
Act) violation? - Correct answer-Registration staff may routinely contact managed
are plans for prior authorizations before the patient is seen by the on-duty
physician
HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard
transactions to identify the employer of an individual described in a transaction
EIN's are
assigned by - Correct answer-The Internal Revenue Service
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Checks received through mail, cash received through mail, and lock box are all
examples of - Correct answer-Control points for cash posting
What are some core elements if a board-approved financial assistance policy? -
Correct answer-Eligibility, application process, and nonpayment collection
activities
A recurring/series registration is characterized by - Correct answer-The creation of
one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and the
expansion of Medicaid in some states, it is more important than ever for hospitals
to - Correct answer-Assist patients in understanding their insurance coverage and
their financial obligation
The purpose of a financial report is to: - Correct answer-Present financial
information to decision makers
Patient financial communications best practices produce communications that are -
Correct answer-Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations
(LCD) and National Coverage Determinations (NCD) that establish - Correct
answer-What services or healthcare items are covered under Medicare
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
