HFMA CRCR EXAM Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) What are collection agency fees based on? - Correct Answers ✅A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Correct Answers ✅Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Correct Answers ✅Case rates What customer service improvements might improve the patient accounts department? - Correct Answers ✅Holding staff accountable for customer service during performance reviews What is an ABN (Advance Beneficiary Notice of Non-coverage) required to do? - Correct Answers ✅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? - Correct Answers ✅Bad debt adjustment 1 / 4
HFMA CRCR EXAM Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) What is the initial hospice benefit? - Correct Answers ✅Two 90-day periods and an unlimited number of subsequent periods When does a hospital add ambulance charges to the Medicare inpatient claim? - Correct Answers ✅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? - Correct Answers ✅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 - Correct Answers ✅They are not being processed in a timely manner What is an advantage of a preregistration program? - Correct Answers ✅It reduces processing times at the time of service What are the two statutory exclusions from hospice coverage? - Correct Answers ✅Medically unnecessary services and custodial care 2 / 4
HFMA CRCR EXAM Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) What core financial activities are resolved within patient access? - Correct Answers ✅Scheduling, insurance verification, discharge processing, and payment of point-of- service receipts What statement applies to the scheduled outpatient? - Correct Answers ✅The services do not involve an overnight stay How is a mis-posted contractual allowance resolved? - Correct Answers ✅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? - Correct Answers ✅Observation Coverage rules for Medicare beneficiaries receiving skilled nursing care require that the beneficiary has received what? - Correct Answers ✅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$? - Correct Answers ✅When the patient is the insured 3 / 4
HFMA CRCR EXAM Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) What are non-emergency patients who come for service without prior notification to the provider called? - Correct Answers ✅Unscheduled patients If the insurance verification response reports that a subscriber has a single policy, what is the status of the subscriber's spouse? - Correct Answers ✅Neither enrolled not entitled to benefits Regulation Z of the Consumer Credit Protection Act, also known as the Truth in Lending Act, establishes what? - Correct Answers ✅Disclosure rules for consumer credit sales and consumer loans What is a principal diagnosis? - Correct Answers ✅Primary reason for the patient's admission Collecting patient liability dollars after service leads to what?
- Correct Answers ✅Lower accounts receivable levels
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What is the daily out-of-pocket amount for each lifetime reserve day used? - Correct Answers ✅50% of the current deductible amount