HFMA CRCR EXAM (2025) UPDATE Verified
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Through what document code of conduct
does a hospital establish
compliance standards?
What is the purpose OIG Identify Acceptable compliance programs in various
work plant? provider setting
If a Medicare patient is Non-diagnostic service provided on Tuesday through
admitted on Friday, what Friday
services fall within the
three-day DRG window
rule?
Report a specific circumstance that affected a
What does a modifier
procedure or service without changing the code or its
allow a provider to do?
definition
IF outpatient diagnostic They must be billed separately to the part B Carrier
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
,what is a recurring or One registration record is created for multiple days of
series registration? service
What are nonemergency Unscheduled patients
patients who come for
service without prior
notification to the
provider called?
Which of the following It is used to evaluate the need for an inpatient
statement apply to the admission
observation patient type?
which services are Physician, Nursing, Pharmacy
hospice programs
required to provide
around the clock patient
Scheduler instructions are Complete the scheduling process correctly based on
used to prompt the service requeste
scheduler to do what?
The Time needed to Procedure time
prepare the patient before
service is the difference
between the patients
arrival time and which of
the following?
Medicare guidelines Documentation of the medical necessity for the test
require that when a test is
ordered for a LCD or NCD
exists, the information
provided on the order
must include:
What is the advantage of a It reduces processing times at the time of service
pre-registration program
, What date are required to The responsible party's full legal name, date of birth,
establish a new and social security number
MPI(Master patient Index)
entry
Which of the following The payments are received by the provider from the
statements is true about payer responsible for reimbursing the provider for the
third-party payments? patient's covered services.
Which provision protects stop loss
the patient from medical
expenses that exceed the
pre-set level
what documentation must Referral
a primary care physician
send to HMO patient to
authorize a visit to a
specialist for additional
testing or care?
Under EMTALA Medical screening and stabilizing treatment
(Emergency Medical
Treatment and Labor Act)
regulations, the provider
may not ask about a
patient's insurance
information if it would
delay what?
Which of the following is a Have a case management service complete the
step in the discharge discharge plan
process?
Questions And Answers | With 100% Correct
Answers graded A+ Guaranteed Success!!
Save
Through what document code of conduct
does a hospital establish
compliance standards?
What is the purpose OIG Identify Acceptable compliance programs in various
work plant? provider setting
If a Medicare patient is Non-diagnostic service provided on Tuesday through
admitted on Friday, what Friday
services fall within the
three-day DRG window
rule?
Report a specific circumstance that affected a
What does a modifier
procedure or service without changing the code or its
allow a provider to do?
definition
IF outpatient diagnostic They must be billed separately to the part B Carrier
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
,what is a recurring or One registration record is created for multiple days of
series registration? service
What are nonemergency Unscheduled patients
patients who come for
service without prior
notification to the
provider called?
Which of the following It is used to evaluate the need for an inpatient
statement apply to the admission
observation patient type?
which services are Physician, Nursing, Pharmacy
hospice programs
required to provide
around the clock patient
Scheduler instructions are Complete the scheduling process correctly based on
used to prompt the service requeste
scheduler to do what?
The Time needed to Procedure time
prepare the patient before
service is the difference
between the patients
arrival time and which of
the following?
Medicare guidelines Documentation of the medical necessity for the test
require that when a test is
ordered for a LCD or NCD
exists, the information
provided on the order
must include:
What is the advantage of a It reduces processing times at the time of service
pre-registration program
, What date are required to The responsible party's full legal name, date of birth,
establish a new and social security number
MPI(Master patient Index)
entry
Which of the following The payments are received by the provider from the
statements is true about payer responsible for reimbursing the provider for the
third-party payments? patient's covered services.
Which provision protects stop loss
the patient from medical
expenses that exceed the
pre-set level
what documentation must Referral
a primary care physician
send to HMO patient to
authorize a visit to a
specialist for additional
testing or care?
Under EMTALA Medical screening and stabilizing treatment
(Emergency Medical
Treatment and Labor Act)
regulations, the provider
may not ask about a
patient's insurance
information if it would
delay what?
Which of the following is a Have a case management service complete the
step in the discharge discharge plan
process?
