2026-2027 LATEST VERSION QUESTIONS AND
VERIFIED CORREct Answers
Exam
This document contains the newest CRC exam questions for the 2026–2027 certification
cycle, paired with verified correct answers. It covers core rehabilitation counseling
domains, including assessment, case management, counseling theories, disability
legislation, medical and psychosocial aspects of disability, and ethical practice. The
material reflects current CRCC exam standards and provides a complete study resource
for candidates preparing for CRC certification.
to determine suspected diagnosis based on data elements. -
,,,,,answer,,,..How is predictive modeling used in risk adjustment?
d. I, II, III, and IV - ,,,,,answer,,,..Which of the following data elements
are used in predictive modeling?
I. DME claims
II. Prescription drug events
III. Physician claims data
IV. Facility claims data
a. III and IV
b. I, II, and IV
c. I, II, and III
d. I, II, III, and IV
a. Disease management programs - ,,,,,answer,,,..What might happen
as a result of predictive modeling?
a. Disease management programs
,b. Concurrent audits
c. Transporation benefits
d. Reduction in case management
a. Outcomes - ,,,,,answer,,,..In the CMS Star Ratings program, which
measure is given the highest weight?
a. Outcomes
b. Patient experience
c. Customer service
d. Accurate RAF scores
d. Annually - ,,,,,answer,,,..How often are HEDIS measures revised?
a. As needed
b. Monthly
c. Bi-annually
d. Annually
b. Quality bonus payments are made to Medicare Advantage plans
who score at least four stars. - ,,,,,answer,,,..Which statement is TRUE
regarding the CMS Stars quality rating system?
a. Quality bonus payments are made to physician who score at least
four stars.
b. Quality bonus payments are made to Medicare Advantage plans
who score at least four stars.
c. Quality bonus payments are made to physician who score at least
five stars.
d. Quality bonus payments are made to Medicare Advantage plans
who score at least five stars.
c. I, II, III, and V - ,,,,,answer,,,..Merit-based Incentive Payment System
(MIPS) includes which performance categories?
I. Promoting Interoperability
II. Cost
III. Improvement Activities
,IV. Quantity
V. Quality
a. I and II
b. I, III, and V
c. I, II, III, and V
d. I, II, III, IV, and V
c. I, II, III, IV and V - ,,,,,answer,,,..Which of the following are domains
in CMS Part C & D Stars Rating?
I. Staying Healthy
II. Managing Chronic Conditions
III. Member Experience with Health Plans
IV. Member Complaints, Problems Getting Services, and
Improvement in the Health Plan's Performance
V. Health Plan Customer Service
a. I, II and III
b. I, III, and V
c. I, II, III, IV and V
d. I, II, III and V
c. I and III - ,,,,,answer,,,..What are the participation tracks available
through Medicare Access and CHIP Reauthorization Act (MACRA)?
I. Merit-based Incentive Payment Systems
II. Sustainable Growth System
III. Advanced Alternative Payment Models
a. I
b. II and III
c. I and III
d. I, II and III
, a. An analytical review of known data elements to establish a
hypothesis related to the future health of patients. -
,,,,,answer,,,..What is predictive modeling?
a. An analytical review of known data elements to establish a
hypothesis related to the future health of patients.
b. An analytical review of payments to health plans to determine the
cost of future healthcare.
c. An average of costs associated with diagnoses used to determine
which providers to contract with for a health plan.
d. An average payment associated with diagnoses used to determine
which health plans providers should contract with.
d. NCQA - ,,,,,answer,,,..Who developed and maintains HEDIS?
a. CMS
b. OIG
c. BCBS
d. NCQA
a. Top performing health plans based on quality - ,,,,,answer,,,..What
do the Star Ratings identify?
a. Top performing health plans based on quality
b. Top performing doctors based on quality
c. Cost of healthcare in facilities
d. Cost of healthcare by provider
b. Allow patients to compare health plans. - ,,,,,answer,,,..What is the
goal of HEDIS?
a. Allow for patients to rate their physicians.
b. Allow patients to compare health plans.
c. Allow patients to schedule appointments online.
d. Allow patients to access their medical records.
c. October of each year. - ,,,,,answer,,,..When are Star Ratings are
publicly published?