HFMA CRCR EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ALREADY GRADED A+] REAL
EXAM !!!
What date are required to establish a new MPI(Master patient Index) entry - ANS✔✔---
The responsible party's full legal name, date of birth, and social security number
Which of the following statements is true about third-party payments? - ANS✔✔---The
payments are received by the provider from the payer responsible for reimbursing the
provider for the patient's covered services.
Which provision protects the patient from medical expenses that exceed the pre-set level -
ANS✔✔---stop loss
what documentation must a primary care physician send to HMO patient to authorize a visit
to a specialist for additional testing or care? - ANS✔✔---Referral
Through what document does a hospital establish compliance standards? - ANS✔✔---
code of conduct
,What is the purpose OIG work plant? - ANS✔✔---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? - ANS✔✔---Non-diagnostic service provided on Tuesday through Friday
What does a modifier allow a provider to do? - ANS✔✔---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 - ANS✔✔---They must be billed separately to the part B
Carrier
Which of the following statement apply to the observation patient type? - ANS✔✔---It is
used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock patient -
ANS✔✔---Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - ANS✔✔---
Complete the scheduling process correctly based on service requeste
The Time needed to prepare the patient before service is the difference between the
patients arrival time and which of the following? - ANS✔✔---Procedure time
, Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the
information provided on the order must include: - ANS✔✔---Documentation of the
medical necessity for the test
What is the advantage of a pre-registration program - ANS✔✔---It reduces processing
times at the time of service
what is a recurring or series registration? - ANS✔✔---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? - ANS✔✔---Unscheduled patients
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the provider
may not ask about a patient's insurance information if it would delay what? - ANS✔✔---
Medical screening and stabilizing treatment
Which of the following is a step in the discharge process? - ANS✔✔---Have a case
management service complete the discharge plan
Patients who require periodic skilled nursing or therapeutic care receive services from what
type of program? - ANS✔✔---Home health agency
Every patient who is new to the healthcare provider must be offered what? - ANS✔✔---
A printed copy of the provider privacy notice
VERIFIED ANSWERS [ALREADY GRADED A+] REAL
EXAM !!!
What date are required to establish a new MPI(Master patient Index) entry - ANS✔✔---
The responsible party's full legal name, date of birth, and social security number
Which of the following statements is true about third-party payments? - ANS✔✔---The
payments are received by the provider from the payer responsible for reimbursing the
provider for the patient's covered services.
Which provision protects the patient from medical expenses that exceed the pre-set level -
ANS✔✔---stop loss
what documentation must a primary care physician send to HMO patient to authorize a visit
to a specialist for additional testing or care? - ANS✔✔---Referral
Through what document does a hospital establish compliance standards? - ANS✔✔---
code of conduct
,What is the purpose OIG work plant? - ANS✔✔---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? - ANS✔✔---Non-diagnostic service provided on Tuesday through Friday
What does a modifier allow a provider to do? - ANS✔✔---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 - ANS✔✔---They must be billed separately to the part B
Carrier
Which of the following statement apply to the observation patient type? - ANS✔✔---It is
used to evaluate the need for an inpatient admission
which services are hospice programs required to provide around the clock patient -
ANS✔✔---Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt the scheduler to do what? - ANS✔✔---
Complete the scheduling process correctly based on service requeste
The Time needed to prepare the patient before service is the difference between the
patients arrival time and which of the following? - ANS✔✔---Procedure time
, Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the
information provided on the order must include: - ANS✔✔---Documentation of the
medical necessity for the test
What is the advantage of a pre-registration program - ANS✔✔---It reduces processing
times at the time of service
what is a recurring or series registration? - ANS✔✔---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? - ANS✔✔---Unscheduled patients
Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the provider
may not ask about a patient's insurance information if it would delay what? - ANS✔✔---
Medical screening and stabilizing treatment
Which of the following is a step in the discharge process? - ANS✔✔---Have a case
management service complete the discharge plan
Patients who require periodic skilled nursing or therapeutic care receive services from what
type of program? - ANS✔✔---Home health agency
Every patient who is new to the healthcare provider must be offered what? - ANS✔✔---
A printed copy of the provider privacy notice
