CRCR Final Exam 2025: Certified Revenue Cycle Representative Practice Test & Study Guide

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CRCR FINAL EXAM/ CRCR CERTIFICATION EXAM AND

PRACTICE EXAM NEWEST 2025 PACKAGE DEAL| 3

VERSIONS (EXAM 1, 2 & 3) WITH COMPLETE 1050

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A |

CERTIFIED REVENUE CYCLE REPRESENTATIVE FINAL E

Which of the following statements are true of HFMA's Patient

Financial Communications Best Practices? .....ANSWER..... The best

practices were developed specifically to help patients

understand the cost of services, their individual insurance benefits

and their responsibility for balance after insurance if any

The patient experience includes all of the following except:

.....ANSWER..... The average number of positive mentions

received by the health system or practice and the public

comments refuting unfriendly posts on social media sites

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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:

.....ANSWER..... A critical tool to ensure the compliance with the

organization's compliance standards and procedures, an

essential and integral component of the organization's culture,

fosters and environment where concerns and questions may be

raised without fear of retaliation or retribution

Specific to Medicare fee-for-service patients, which of the

following payers have always been liable for payment?

.....ANSWER..... Public health service programs, federal grant

programs, VA programs, black lung program services and

workers comp claims

Provider policies and procedures should be in plan to reduce the

risk of ethics violations. Examples of ethics violations are:

.....ANSWER..... Financial misconduct, overcharging and miscoding

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claims, theft of property and falsifying records to boost

reimbursement, financial misconduct and applying policies in an

inconsistent manner

Providers are now being reimbursed with a focus on the value of

the services provided, rather than volume, which requires

collaboration among providers.




What is the intended outcome of collaborations made through an

ACO delivery system for a population of patients?

.....ANSWER..... 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? .....ANSWER..... 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

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and patients (self-pay)? .....ANSWER..... Elapsed days from

discharge to final bill and elapsed days from final bill to

claim/bill submission

What are the three traditional steps of the Revenue Cycle?

.....ANSWER..... Pre-service, time-of-service and post-service

What are the steps during pre-service? .....ANSWER..... 1. The

patient is scheduled and pre-registered for service

2. The encounter record is generated and the patient/guarantor

information is obtained or updated

3. The requested service is screened for med necessity; insurance

is verified and pre-auths obtained

4. The cost is identified and insurance benefits are used to

calculate the price of the services to the patient

5. If the service is deemed not med necessary additional

processing is done