HFMA CRCR exam 2023 with
100% correct answers GRADED
A/LATEST VERSION NEWEST
2024 - 2025 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
,Through what document does a hospital establish
compliance standards? ✔Ans✔ code of conduct
What is the purpose OIG work plant? ✔Ans✔ 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?
✔Ans✔ Non-diagnostic service provided on Tuesday through
Friday
What does a modifier allow a provider to do? ✔Ans✔ 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 ✔Ans✔ They must be billed
separately to the part B Carrier
what is a recurring or series registration? ✔Ans✔ 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?
✔Ans✔ Unscheduled patients
Which of the following statement apply to the observation
patient type? ✔Ans✔ It is used to evaluate the need for an
inpatient admission
which services are hospice programs required to provide
around the clock patient ✔Ans✔ Physician, Nursing,
Pharmacy
, Scheduler instructions are used to prompt the scheduler to
do what? ✔Ans✔ Complete the scheduling process correctly
based on service requeste
100% correct answers GRADED
A/LATEST VERSION NEWEST
2024 - 2025 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
,Through what document does a hospital establish
compliance standards? ✔Ans✔ code of conduct
What is the purpose OIG work plant? ✔Ans✔ 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?
✔Ans✔ Non-diagnostic service provided on Tuesday through
Friday
What does a modifier allow a provider to do? ✔Ans✔ 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 ✔Ans✔ They must be billed
separately to the part B Carrier
what is a recurring or series registration? ✔Ans✔ 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?
✔Ans✔ Unscheduled patients
Which of the following statement apply to the observation
patient type? ✔Ans✔ It is used to evaluate the need for an
inpatient admission
which services are hospice programs required to provide
around the clock patient ✔Ans✔ Physician, Nursing,
Pharmacy
, Scheduler instructions are used to prompt the scheduler to
do what? ✔Ans✔ Complete the scheduling process correctly
based on service requeste
