1|Page
HFMA CRCR Final Exam & Practice Exam Test Bank
(2025/2026) | Actual Real Exam Questions | Certified
Revenue Cycle Representative|| LATEST EXAM!!!
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 an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - Answer-Inform a Medicare
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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
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
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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
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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
When is the word "SAME" entered on the CMS 1500
billing form in Field 0$? - Answer-When the patient is the
insured
What are non-emergency patients who come for service
without prior notification to the provider called? - Answer-
Unscheduled patients
If the insurance verification response reports that a
subscriber has a single policy, what is the status of the
subscriber's spouse? - Answer-Neither enrolled not
entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also
known as the Truth in Lending Act, establishes what? -
Answer-Disclosure rules for consumer credit sales and
consumer loans
HFMA CRCR Final Exam & Practice Exam Test Bank
(2025/2026) | Actual Real Exam Questions | Certified
Revenue Cycle Representative|| LATEST EXAM!!!
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 an ABN (Advance Beneficiary Notice of Non-
coverage) required to do? - Answer-Inform a Medicare
,2|Page
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
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
,3|Page
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
, 4|Page
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
When is the word "SAME" entered on the CMS 1500
billing form in Field 0$? - Answer-When the patient is the
insured
What are non-emergency patients who come for service
without prior notification to the provider called? - Answer-
Unscheduled patients
If the insurance verification response reports that a
subscriber has a single policy, what is the status of the
subscriber's spouse? - Answer-Neither enrolled not
entitled to benefits
Regulation Z of the Consumer Credit Protection Act, also
known as the Truth in Lending Act, establishes what? -
Answer-Disclosure rules for consumer credit sales and
consumer loans
