Certified Revenue Cycle Representative (CRCR) Practice Exam 2026 - Free CRCR Practice Questions and Study Guide

In the context of health insurance and the revenue cycle, another payer is fully responsible for payment in scenarios such as work-related accidents and services related to the black lung program. These situations typically arise from specific types of incidents where designated programs or insurance sources are responsible for covering the costs incurred.

When it comes to work-related accidents, employers are often required to carry worker's compensation insurance that covers medical costs and compensation for employees injured on the job. Similarly, the black lung program, which provides benefits to miners suffering from lung diseases due to coal dust exposure, outlines that these specific services are not a burden on standard health insurance but are instead covered entirely by these designated programs.

The other scenarios mentioned do not establish a situation in which another payer would assume full payment responsibility. For instance, Medicare Advantage enrollment does not inherently mean another payer is accountable; rather, it's a different type of plan under Medicare. Services provided in outpatient settings alone do not create a situation for full payment responsibility unless linked to specific payer designations. Lastly, patients without any insurance would typically be liable for their own medical expenses unless there is charity care or special programs in place to help cover those costs. Thus, the scenario of work-related accidents and black lung program services clearly defines cases where another