HFMA CRCR and Practice Exam Test Bank
Questions and Answers with Verified
Solutions | Latest Updated 2026
Through what document does a code of conduct
hospital establish compliance
standards?
What is the purpose OIG work Identify Acceptable compliance programs
plant? in
various provider setting
If a Medicare patient is admitted Non-diagnostic service provided on
on Tuesday
Friday, what services fall within the through Friday
three-day DRG window rule?
What does a modifier allow a Report a specific circumstance that
provider to do? affected a
procedure or service without changing the
code or
its definition
,IF outpatient diagnostic services They must be billed separately to the part
are B Carrier
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 series One registration record is created for
registration? multiple days
of service
What are nonemergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statement It is used to evaluate the need for an
apply to the observation patient inpatient
type? admission
which services are hospice Physician, Nursing, Pharmacy
programs
required to provide around the
clock
patient
Scheduler instructions are used to Complete the scheduling process correctly
prompt the scheduler to do what? based
on service requeste
, The Time needed to prepare the Procedure time
patient before service is the
difference between the patients
arrival time and which of the
following?
Medicare guidelines require that Documentation of the medical necessity
when a test is ordered for a LCD for the
or test
NCD exists, the information
provided
on the order must include:
What is the advantage of a pre- It reduces processing times at the time of
registration program service
What date are required to The responsible party's full legal name,
establish a date of
new MPI(Master patient Index) birth, and social security number
entry
Which of the following statements The payments are received by the provider
is from
true about third-party payments? the payer responsible for reimbursing the
provider
for the patient's covered services.
Which provision protects the stop loss
patient
from medical expenses that
exceed
the pre-set level
Questions and Answers with Verified
Solutions | Latest Updated 2026
Through what document does a code of conduct
hospital establish compliance
standards?
What is the purpose OIG work Identify Acceptable compliance programs
plant? in
various provider setting
If a Medicare patient is admitted Non-diagnostic service provided on
on Tuesday
Friday, what services fall within the through Friday
three-day DRG window rule?
What does a modifier allow a Report a specific circumstance that
provider to do? affected a
procedure or service without changing the
code or
its definition
,IF outpatient diagnostic services They must be billed separately to the part
are B Carrier
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 series One registration record is created for
registration? multiple days
of service
What are nonemergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statement It is used to evaluate the need for an
apply to the observation patient inpatient
type? admission
which services are hospice Physician, Nursing, Pharmacy
programs
required to provide around the
clock
patient
Scheduler instructions are used to Complete the scheduling process correctly
prompt the scheduler to do what? based
on service requeste
, The Time needed to prepare the Procedure time
patient before service is the
difference between the patients
arrival time and which of the
following?
Medicare guidelines require that Documentation of the medical necessity
when a test is ordered for a LCD for the
or test
NCD exists, the information
provided
on the order must include:
What is the advantage of a pre- It reduces processing times at the time of
registration program service
What date are required to The responsible party's full legal name,
establish a date of
new MPI(Master patient Index) birth, and social security number
entry
Which of the following statements The payments are received by the provider
is from
true about third-party payments? the payer responsible for reimbursing the
provider
for the patient's covered services.
Which provision protects the stop loss
patient
from medical expenses that
exceed
the pre-set level
