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

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1 / 955

When do duplicate payments typically occur?

When providers re-bill claims based on nonpayment from initial submission

Duplicate payments typically occur when providers re-bill claims due to nonpayment from the initial submission. When a claim is submitted and not paid, a provider may assume that there was an issue with the original claim, whether due to a denial or some other error, and thus might submit the same claim again. If this is done without proper checks, it can lead to two payments being made for the same service, resulting in a duplicate payment scenario.

In contrast, the other scenarios do not inherently lead to duplicate payments. For instance, timing issues with service department charge processing or incorrect coordination of benefits at registration relate more to billing delays or claim inaccuracies rather than the re-billing of the same service leading to duplicate payments. Ongoing claims with anticipated deductibles might complicate payment processes but do not typically result in duplicative payments unless the same service is mistakenly billed more than once.

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When service departments do not process charges on time

When the payer’s coordination of benefits is incorrect at registration

When there are ongoing healthcare claims with anticipated deductibles

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