CRCR Study Questions with Correct Answers (100% A + Paper)

Code of conduct Correct Answer hospital establish compliance standards Purpose of OIG work plan? Correct Answer communicate issues that will be reviewed during the year for compliance with Medicare regulations Medicare pt. Admitted on Friday, what services fall within the three day window rule? Correct Answer Dx services and related charges provided on the W,R, and F before adm. What does modifier allow a provider to do? Correct Answer Report a specific circumstance that affected a procedure or service without changing the code or its definition Out pt. Dx services provided within 3 days of adm. Of a medicare benef. To an IPPS hospt, what must happen to these charges Correct Answer combined with the in pt. Bill and paid under the MS-DRG system Why is OIG pursuing the medicare Secondary Payer Correct Answer reviews medicare payments for beneficiaries who have other insurance and assesses the effect. Of procedures in preventing inappro. Medcare payments for benef. With other ins. Coverage Recurring or series registration? Correct Answer one reg. Record is created for multi days of service Nonemergency pt. Who comes for service w/out prior notif. To the provider called? Correct Answer unscheduled pt. Stmnts apply to observ. Pt. Type Correct Answer used to evaluate the need for an in pt. Adm. Which services are hospice programs required to provide on an around the clock basis Correct Answer physician, nursing, pharmacy Purpose of initial step in put pt. Testing scheduling process Correct Answer identifying the correct pt. In the providers database or add the pt. To the database Scheduler instructions are used to prompt the scheduler to do what? Correct Answer complete the scheduling process correctly based on service requested