HFMA CRCR | 172 Questions and Answers(A+ Solution guide)

Through what document does a hospital establish compliance standards? - code of conduct What is the purpose OIG work plant? - 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? - Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - 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 - They must be billed separately to the part B Carrier what is a recurring or series registration? - 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? - Unscheduled patients Which of the following statement apply to the observation patient type? - It is used to evaluate the need for an inpatient admission which services are hospice programs required to provide around the clock patient - Physician, Nursing, Pharmacy Scheduler instructions are used to prompt the scheduler to do what? - Complete the scheduling process correctly based on service requesteThe Time needed to prepare the patient before service is the difference between the patients arrival time and which of the following? - Procedure time