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HFMA CRCR Exam Study Guide | 170 Questions with 100% Correct Answers | Verified | Latest Update 2024

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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

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January 19, 2024
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