10 exam-style questions with answers and explanations, straight from our 1,050-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CRCS exam has 120 questions and runs 2 hours.
These 10 free CRCS questions are organized by exam domain, so you can see how each part of the Certified Revenue Cycle Specialist (CRCS) blueprint is tested. Reveal the answer and explanation under each question.
A 67-year-old patient is still working full time and is covered by a group health plan through her employer, which has 42 employees. She is also enrolled in Medicare Part A and Part B. Which payer is primary?
Correct answer: C - The employer group health plan, because the employer has 20 or more employees
A patient with End-Stage Renal Disease has employer group health plan coverage and is in the 14th month of her ESRD-based Medicare entitlement. Which payer is primary?
Correct answer: A - The group health plan, for the first 30 months of ESRD-based entitlement
A Medicare beneficiary has been receiving outpatient observation services for 28 hours. Which notice is required, and by when?
Correct answer: D - The MOON, no later than 36 hours after observation services begin, or at discharge if sooner
A hospital expects Medicare to deny an outpatient service as not reasonable and necessary. No ABN was obtained before the service was furnished. The claim is submitted with modifier GZ and is denied. What is the hospital's recourse?
Correct answer: B - Absorb the charge; without a signed ABN the beneficiary may not be billed
A Medicare patient spends three consecutive nights in the hospital receiving observation services and is then discharged to a skilled nursing facility. Regarding the SNF qualifying stay requirement, the observation nights:
Correct answer: A - Do not count, because observation is an outpatient service rather than an inpatient admission
A nonprofit hospital learns that a patient with an unpaid balance has filed for bankruptcy. Under the IRS 501(r) regulations, filing a proof of claim in that bankruptcy proceeding is:
Correct answer: D - Not an extraordinary collection action, and therefore not subject to the ECA restrictions
A 120-bed hospital reports 3,024 patient days during a 28-day month and 504 discharges. What is the average length of stay?
Correct answer: B - 6.0 days
A child is covered as a dependent under both parents' health plans. The parents are married and living together. The mother was born on August 14, 1988; the father was born on February 3, 1985. Which plan is primary for the child?
Correct answer: C - The father's plan, because his birthday falls earlier in the calendar year
A claim is returned by the Medicare Administrative Contractor as unprocessable because a required field was left blank. What are the provider's appeal rights?
Correct answer: A - None; an unprocessable claim is returned rather than denied, so it must be corrected and resubmitted
A patient receives outpatient laboratory tests at a hospital on Monday and an ambulance transport to that same hospital on Tuesday, and is admitted as an inpatient on Wednesday. Under the Medicare 3-day payment window, how are these services billed?
Correct answer: D - The laboratory tests are bundled into the inpatient claim; ambulance transport is excluded from the window
The CRCS exam also covers these domains. Drill them in the full free practice test:
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