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

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What type of billing system is used primarily for outpatient services?

UB-04 form

CMS 1500 form

The CMS 1500 form is specifically designed for billing outpatient services, including those provided by physicians and non-institutional providers. This form is utilized for reporting medical services and procedures to insurance companies and is a critical component of the outpatient billing process.

In contrast, the UB-04 form is typically used for billing inpatient services or services provided by facilities like hospitals. The EHR billing system refers to electronic health records that may facilitate billing but is not itself a form used for submitting claims. The International Classification of Diseases (ICD) coding is a coding system used to accurately describe diagnoses and procedures but does not serve as a billing form. Therefore, the CMS 1500 form is the correct answer because it is the standardized form accepted by payers for outpatient claims.

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EHR billing system

International Classification of Diseases (ICD) coding

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