1 / 6 CRCR Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

1 / 6 CRCR Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE 1. code of conduct: Answer- hospital establish compliance standards 2. Purpose of OIG work plan?: Answer- communicate issues that will be reviewed duringthe year for compliance with Medicare regulations 3. Medicare pt. admitted on Friday, what services fall within the three day window rule?: Answer- Dx services and related charges provided on the W,R, and F beforeadm. 4. What does modifier allow a provider to do?: Answer- Report a specific circumstance that affected a procedure or service without changing the code or its definition 5. Out pt. dx services provided within 3 days of adm. of a medicare benef. to an IPPS hospt, what must happen to these charges: Answer- combined with the in pt. billand paid under the MS-DRG system 6. Why is OIG pursuing the medicare Secondary Payer: Answer- reviews medicare pay- ments for beneficiaries who have other insurance and assesses the 2 / 6 effect. of proce- dures in preventing inappro. medcare payments for benef. with other ins. coverage 7. Recurring or series registration?: one reg. record is created for multi days of service