HFMA CRCR
HFMA CRCR Final Practice Exam –
Verified
Test Bank Questions & Answers for
Revenue Cycle Certification
Description: This document contains a complete set
of verified questions and answers for the HFMA CRCR
(Certified Revenue Cycle Representative) Final
Practice Exam. It covers essential revenue cycle
management topics including compliance standards,
Medicare and Medicaid rules, billing procedures,
patient access, claims processing, denial management,
and payment methodologies. The content is designed
to help candidates prepare effectively for the CRCR
certification by providing realistic, exam-style Q&A.
Questions and Answers:
Through what document does a hospital establish
compliance standards? -Answer:-code of conduct
What is the purpose OIG work plant? -Answer:-
Identify
Acceptable compliance programs in various provider
setting
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
,HFMA CRCR
If a Medicare patient is admitted on Friday, what
services fall within the three-day DRG window rule? -
Answer:-Non-diagnostic service provided on Tuesday
through Friday
What does a modifier allow a provider to do? -
Answer:-Report a specific circumstance that affected
a procedure or service without changing the code or
its definition
IF outpatient diagnostic services are provided within
three days of the admission of a Medicare beneficiary
to an IPPS (Inpatient Prospective Payment System)
hospital, what must happen to these charges -
Answer:-They must be billed separately to the part
B Carrier
what is a recurring or series registration? -Answer:-
One registration record is created for multiple days of
service
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
,HFMA CRCR
What are nonemergency patients who come for service
without prior notification to the provider called? -
Answer:-Unscheduled patients
Which of the following statement apply to the
observation patient type? -Answer:-It is used to
evaluate the need for an inpatient admission
which services are hospice programs required to
provide around the clock patient -Answer:-Physician,
Nursing, Pharmacy
Scheduler instructions are used to prompt the
scheduler to do what? -Answer:-Complete the
scheduling process correctly based on service requeste
The Time needed to prepare the patient before service
is the difference between the patients arrival time and
which of the following? -Answer:-Procedure time
Medicare guidelines require that when a test is
ordered for a LCD or NCD exists, the information
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
, HFMA CRCR
provided on the order must include: -Answer:-
Documentation of the medical necessity for the test
What is the advantage of a pre-registration program -
Answer:-It reduces processing times at the time of
service
What date are required to establish a new MPI(Master
patient Index) entry -Answer:-The responsible party's
full legal name, date of birth, and social security
number
Which of the following statements is true about third-
party payments? -Answer:-The payments are received
by the provider from the payer responsible for
reimbursing the provider for the patient's covered
services.
Which provision protects the patient from medical
expenses that exceed the pre-set level -Answer:-stop
loss
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
HFMA CRCR Final Practice Exam –
Verified
Test Bank Questions & Answers for
Revenue Cycle Certification
Description: This document contains a complete set
of verified questions and answers for the HFMA CRCR
(Certified Revenue Cycle Representative) Final
Practice Exam. It covers essential revenue cycle
management topics including compliance standards,
Medicare and Medicaid rules, billing procedures,
patient access, claims processing, denial management,
and payment methodologies. The content is designed
to help candidates prepare effectively for the CRCR
certification by providing realistic, exam-style Q&A.
Questions and Answers:
Through what document does a hospital establish
compliance standards? -Answer:-code of conduct
What is the purpose OIG work plant? -Answer:-
Identify
Acceptable compliance programs in various provider
setting
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
,HFMA CRCR
If a Medicare patient is admitted on Friday, what
services fall within the three-day DRG window rule? -
Answer:-Non-diagnostic service provided on Tuesday
through Friday
What does a modifier allow a provider to do? -
Answer:-Report a specific circumstance that affected
a procedure or service without changing the code or
its definition
IF outpatient diagnostic services are provided within
three days of the admission of a Medicare beneficiary
to an IPPS (Inpatient Prospective Payment System)
hospital, what must happen to these charges -
Answer:-They must be billed separately to the part
B Carrier
what is a recurring or series registration? -Answer:-
One registration record is created for multiple days of
service
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
,HFMA CRCR
What are nonemergency patients who come for service
without prior notification to the provider called? -
Answer:-Unscheduled patients
Which of the following statement apply to the
observation patient type? -Answer:-It is used to
evaluate the need for an inpatient admission
which services are hospice programs required to
provide around the clock patient -Answer:-Physician,
Nursing, Pharmacy
Scheduler instructions are used to prompt the
scheduler to do what? -Answer:-Complete the
scheduling process correctly based on service requeste
The Time needed to prepare the patient before service
is the difference between the patients arrival time and
which of the following? -Answer:-Procedure time
Medicare guidelines require that when a test is
ordered for a LCD or NCD exists, the information
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
, HFMA CRCR
provided on the order must include: -Answer:-
Documentation of the medical necessity for the test
What is the advantage of a pre-registration program -
Answer:-It reduces processing times at the time of
service
What date are required to establish a new MPI(Master
patient Index) entry -Answer:-The responsible party's
full legal name, date of birth, and social security
number
Which of the following statements is true about third-
party payments? -Answer:-The payments are received
by the provider from the payer responsible for
reimbursing the provider for the patient's covered
services.
Which provision protects the patient from medical
expenses that exceed the pre-set level -Answer:-stop
loss
HFMA CRCR Final Practice Exam – Verified Test Bank Questions & Answers for Revenue Cycle Certification
