Hfma Crcr 2023/2024

HFMA CRCR 2023/2024 Through what document does a hospital establish compliance standards? - ANSWER code of conduct What is the purpose OIG work plant? - 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? - ANSWER Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - 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 - ANSWER They must be billed separately to the part B Carrier what is a recurring or series registration? - 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? - ANSWER Unscheduled patients Which of the following statement apply to the observation patient type? - ANSWER It is used to evaluate the need for an inpatient admission