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Free CRCR Practice Questions

10 free, exam-style Certified Revenue Cycle Representative (CRCR) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CRCR practice test to study every exam domain.

These 10 free CRCR questions are organized by exam domain, so you can see how each part of the Certified Revenue Cycle Representative blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Introduction to the Revenue Cycle

Question 1

According to the Two-Midnight Rule, a patient should be admitted as an inpatient when the physician expects the patient to require hospital care spanning:

  1. At least one midnight
  2. At least two midnights
  3. At least 24 hours
  4. At least 48 hours
Show answer & explanation

Correct answer: B - At least two midnights

Question 2

When must an Advance Beneficiary Notice (ABN) be provided to a Medicare patient?

  1. After the service is provided but before billing
  2. Before the service is provided when Medicare may not pay
  3. Within 30 days of claim denial
  4. Only when the patient specifically requests one
Show answer & explanation

Correct answer: B - Before the service is provided when Medicare may not pay

Question 3

Under Medicare Secondary Payer (MSP) rules, Medicare is secondary for a working aged patient (65+) when the employer group health plan covers:

  1. Any number of employees
  2. 10 or more employees
  3. 20 or more employees
  4. 100 or more employees
Show answer & explanation

Correct answer: C - 20 or more employees

Domain 2: Patient Access and Pre-Service

Question 4

Medicare Part B covers which of the following services?

  1. Inpatient hospital stays and skilled nursing facility care
  2. Physician services, outpatient care, and durable medical equipment
  3. Prescription drug coverage
  4. Private health plan alternatives to Original Medicare
Show answer & explanation

Correct answer: B - Physician services, outpatient care, and durable medical equipment

Question 5

Which managed care plan type requires a primary care physician (PCP) and referrals for specialty care, but does NOT cover out-of-network services?

  1. Preferred Provider Organization (PPO)
  2. Health Maintenance Organization (HMO)
  3. Point of Service (POS)
  4. Exclusive Provider Organization (EPO)
Show answer & explanation

Correct answer: B - Health Maintenance Organization (HMO)

Domain 3: Service and Claims Generation

Question 6

Under EMTALA, a hospital emergency department must provide a medical screening examination:

  1. Only after verifying insurance coverage
  2. Only to patients who can demonstrate ability to pay
  3. To anyone who comes to the emergency department requesting care
  4. Only to patients covered by Medicare or Medicaid
Show answer & explanation

Correct answer: C - To anyone who comes to the emergency department requesting care

Question 7

Which claim form is used for billing institutional services such as hospital inpatient and outpatient claims?

  1. CMS-1500
  2. UB-04
  3. 837P
  4. ADA Dental Claim Form
Show answer & explanation

Correct answer: B - UB-04

Domain 4: Account Resolution and Reimbursement

Question 8

The correct sequence of the Medicare 5-Level Appeal Process is:

  1. QIC Reconsideration, MAC Redetermination, ALJ Hearing, Appeals Council, Judicial Review
  2. MAC Redetermination, QIC Reconsideration, ALJ Hearing, Appeals Council, Judicial Review
  3. ALJ Hearing, MAC Redetermination, QIC Reconsideration, Appeals Council, Judicial Review
  4. MAC Redetermination, Appeals Council, QIC Reconsideration, ALJ Hearing, Judicial Review
Show answer & explanation

Correct answer: B - MAC Redetermination, QIC Reconsideration, ALJ Hearing, Appeals Council, Judicial Review

Question 9

What is the fundamental difference between bad debt and charity care?

  1. Bad debt applies to insured patients; charity care applies to uninsured patients
  2. Bad debt results from a patient's unwillingness to pay; charity care results from inability to pay
  3. Bad debt requires collection agency involvement; charity care does not
  4. Bad debt is reported to credit bureaus; charity care is not
Show answer & explanation

Correct answer: B - Bad debt results from a patient's unwillingness to pay; charity care results from inability to pay

Question 10

Under IRS Section 501(r), a tax-exempt hospital must wait at least how long from the first billing statement before taking Extraordinary Collection Actions (ECAs)?

  1. 30 days
  2. 60 days
  3. 120 days
  4. 240 days
Show answer & explanation

Correct answer: C - 120 days

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