Free CRCP Practice Questions
10 free, exam-style Certified Revenue Cycle Professional (CRCP) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free CRCP practice test to study every exam domain.
Question 1
A Medicare beneficiary has been receiving observation services as an outpatient for 28 hours and has not been admitted as an inpatient. Which notice must the hospital deliver, and within what timeframe?
- An Advance Beneficiary Notice of Noncoverage, before the observation services begin
- A Hospital Issued Notice of Noncoverage, delivered when the patient is discharged
- A Medicare Outpatient Observation Notice (MOON), within 36 hours of observation beginning
- An Important Message from Medicare, within 48 hours of an inpatient admission
Show answer & explanation
Correct answer: C - A Medicare Outpatient Observation Notice (MOON), within 36 hours of observation beginning
Question 2
A hospital records 1,500 total patient days and 250 discharges for the month. What is the average length of stay (ALOS)?
- 6.0 days
- 0.17 days
- 60.0 days
- 1,250 days
Show answer & explanation
Correct answer: A - 6.0 days
Question 3
From a revenue cycle standpoint, the MOST effective point at which to collect a patient's expected copayment or deductible is:
- After the third-party claim has been fully adjudicated
- Once the patient receives an itemized billing statement
- When the account balance becomes 90 days past due
- At the time of service, during check-in or registration
Show answer & explanation
Correct answer: D - At the time of service, during check-in or registration
Question 4
A hospital's patient financial services team is submitting a claim for an inpatient hospital stay. Which claim format is appropriate for this institutional claim?
- CMS-1500
- UB-04 (CMS-1450)
- 837P
- Superbill
Show answer & explanation
Correct answer: B - UB-04 (CMS-1450)
Question 5
Under the Medicare Inpatient Prospective Payment System, an acute care hospital is reimbursed for a covered inpatient admission primarily on the basis of:
- The Ambulatory Payment Classification (APC) assigned to the encounter
- A per diem rate individually negotiated with the Medicare Administrative Contractor
- The Medicare Severity Diagnosis-Related Group (MS-DRG) assigned
- The Resource-Based Relative Value Scale (RBRVS)
Show answer & explanation
Correct answer: C - The Medicare Severity Diagnosis-Related Group (MS-DRG) assigned
Question 6
A 68-year-old patient is still actively employed at a company with 25 employees and is covered by that employer's group health plan, while also being entitled to Medicare based on age. For services covered by both, which is the primary payer?
- The employer group health plan; Medicare pays as secondary
- Medicare; the patient is entitled based on age
- Whichever plan the patient designates as primary
- Both plans share the cost equally under coordination rules
Show answer & explanation
Correct answer: A - The employer group health plan; Medicare pays as secondary
Question 7
A third-party collection agency is working a hospital's overdue patient account. Under the Fair Debt Collection Practices Act, the agency is generally permitted to telephone the consumer:
- At any reasonable hour until the debt is disputed in writing
- Only at the consumer's place of employment during business hours
- At any time once the account is more than 90 days delinquent
- Between 8:00 a.m. and 9:00 p.m. in the consumer's local time
Show answer & explanation
Correct answer: D - Between 8:00 a.m. and 9:00 p.m. in the consumer's local time
Question 8
A patient notifies the hospital that they have filed for Chapter 7 bankruptcy. The billing staff should:
- Accelerate collection efforts before the debts are discharged
- Forward the account to an outside collection agency
- Cease collection activity because of the automatic stay
- Report the delinquency to the consumer credit bureaus
Show answer & explanation
Correct answer: C - Cease collection activity because of the automatic stay
Question 9
Which federal fraud-and-abuse law is an intent-based criminal statute that applies to anyone who knowingly and willfully offers or pays remuneration to induce referrals of services payable by a federal health care program?
- The Stark Law (physician self-referral law)
- The Anti-Kickback Statute
- The False Claims Act
- The Civil Monetary Penalties Law
Show answer & explanation
Correct answer: B - The Anti-Kickback Statute
Question 10
A hospital disagrees with a Medicare claim denial and has completed the first appeal level, redetermination by the Medicare Administrative Contractor. The NEXT level of appeal is:
- Reconsideration by a Qualified Independent Contractor (QIC)
- A hearing before an Administrative Law Judge (ALJ)
- Review by the Medicare Appeals Council
- A civil action filed in federal district court
Show answer & explanation
Correct answer: A - Reconsideration by a Qualified Independent Contractor (QIC)