HFMA CRCR Exam with 100+ QNS and
Correct Answers 2026||GRADED
Through what document does a hospital establish compliance standards?
Correct Answer: code of conduct
What is the purpose oig work plant?
Correct Answer: identify acceptable compliance programs in various provider setting
If a medicare patient is admitted on friday, what services fall within the three-day drg
window rule?
Correct Answer: non-diagnostic service provided on tuesday through friday
What does a modifier allow a provider to do?
Correct Answer: report a specific circumstance that affected a procedure or service
without changing the code or its definition
If outpatient diagnostic services are provided within three days of the admission of a
medicare beneficiary to an ipps (inpatient prospective payment system) hospital, what
must happen to these charges
Correct Answer: they must be billed separately to the part b carrier
What is a recurring or series registration? - Correct Answer: one registration record is
created for multiple days of service
What are nonemergency patients who come for service without prior notification to the
provider called? - Correct Answer: unscheduled patients
Which of the following statement apply to the observation patient type? -
Correct Answer: it is used to evaluate the need for an inpatient admission
Which services are hospice programs required to provide around the clock patient -
Correct Answer: physician, nursing, pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - Correct
Answer: complete the scheduling process correctly based on service requeste
The time needed to prepare the patient before service is the difference between the
, patients arrival time and which of the following? - Correct Answer: procedure time
Medicare guidelines require that when a test is ordered for a lcd or ncd exists, the
information provided on the order must include: - Correct Answer: documentation of
the medical necessity for the test
Correct Answers 2026||GRADED
Through what document does a hospital establish compliance standards?
Correct Answer: code of conduct
What is the purpose oig work plant?
Correct Answer: identify acceptable compliance programs in various provider setting
If a medicare patient is admitted on friday, what services fall within the three-day drg
window rule?
Correct Answer: non-diagnostic service provided on tuesday through friday
What does a modifier allow a provider to do?
Correct Answer: report a specific circumstance that affected a procedure or service
without changing the code or its definition
If outpatient diagnostic services are provided within three days of the admission of a
medicare beneficiary to an ipps (inpatient prospective payment system) hospital, what
must happen to these charges
Correct Answer: they must be billed separately to the part b carrier
What is a recurring or series registration? - Correct Answer: one registration record is
created for multiple days of service
What are nonemergency patients who come for service without prior notification to the
provider called? - Correct Answer: unscheduled patients
Which of the following statement apply to the observation patient type? -
Correct Answer: it is used to evaluate the need for an inpatient admission
Which services are hospice programs required to provide around the clock patient -
Correct Answer: physician, nursing, pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - Correct
Answer: complete the scheduling process correctly based on service requeste
The time needed to prepare the patient before service is the difference between the
, patients arrival time and which of the following? - Correct Answer: procedure time
Medicare guidelines require that when a test is ordered for a lcd or ncd exists, the
information provided on the order must include: - Correct Answer: documentation of
the medical necessity for the test
