HFMA CRCR exam 2023/2024 with 100% correct answers updated

HFMA CRCR exam 2023/2024 with 100% correct answers updated Through what document does a hospital establish compliance standards? - ANSWERS code of conduct What is the purpose OIG work plant? - ANSWERS 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? - ANSWERS Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - ANSWERS 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 - ANSWERS They must be billed separately to the part B Carrier what is a recurring or series registration? - ANSWERS 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? - ANSWERS Unscheduled patients Which of the following statement apply to the observation patient type? - ANSWERS It is used to evaluate the need for an inpatient admission which services are hospice programs required to provide around the clock patient - ANSWERS Physician, Nursing, Pharmacy Scheduler instructions are used to prompt the scheduler to do what? - ANSWERS 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? - ANSWERS 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: - ANSWERS Documentation of the medical necessity for the test What is the advantage of a pre-registration program - ANSWERS It reduces processing times at the time of service What date are required to establish a new MPI(Master patient Index) entry - ANSWERS The responsible party's full legal name, date of birth, and social security number Which of the following statements is true about third-party payments? - ANSWERS The payments are received by the provider from the payer responsible for reimbursing the provider for the patient's covered services. Which provision protects the patient from medical expenses that exceed the pre-set level - ANSWERS stop loss what documentation must a primary care physician send to HMO patient to authorize a visit to a specialist for additional testing or care? - ANSWERS Referral Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the provider may not ask about a patient's insurance information if it would delay what? - ANSWERS Medical screening and sta