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CRCR Certification Exam (2025 / 2026) Actual Questions and Verified Answers, 100% Guarantee Pass
- What are collection agency fees based on?
- THE CORRECT ANSWER is: A percentage of dollars
collected
- Self-funded benefit plans may choose to coordinate benefits
using the gender rule or what other rule?
- THE CORRECT ANSWER is: Birthday
- In what type of payment methodology is a lump sum or
bundled payment negotiated between the payer and some or all providers?
- THE CORRECT ANSWER is: Case rates
- What customer service improvements might improve the
patient accounts department?
- THE CORRECT ANSWER is: Holding staff accountable
for customer service during performance reviews
- What is an ABN (Advance Beneficiary Notice of Non-
coverage) required to do?
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- THE CORRECT ANSWER is: Inform a Medicare
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?
- THE CORRECT ANSWER is: Bad debt adjustment
- What is the initial hospice benefit?
- THE CORRECT ANSWER is: Two 90-day periods and an
unlimited number of subsequent periods
- When does a hospital add ambulance charges to the Medicare
inpatient claim?
- THE CORRECT ANSWER is: 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?
- THE CORRECT ANSWER is: 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?
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- THE CORRECT ANSWER is: They are not being
processed in a timely manner
- What is an advantage of a preregistration program?
- THE CORRECT ANSWER is: It reduces processing times
at the time of service
- What are the two statutory exclusions from hospice
coverage?
- THE CORRECT ANSWER is: Medically unnecessary
services and custodial care
- What core financial activities are resolved within patient
access?
- THE CORRECT ANSWER is: Scheduling, insurance
verification, discharge processing, and payment of point-of- service receipts
- What statement applies to the scheduled outpatient?
- THE CORRECT ANSWER is: The services do not involve
an overnight stay
- How is a mis-posted contractual allowance resolved?
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- THE CORRECT ANSWER is: 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?
- THE CORRECT ANSWER is: Observation
- Coverage rules for Medicare beneficiaries receiving skilled
nursing care require that the beneficiary has received what?
- THE CORRECT ANSWER is: 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$?
- THE CORRECT ANSWER is: When the patient is the
insured
- What are non-emergency patients who come for service
without prior notification to the provider called?