HFMA Study Guide | Questions with 100% Correct
Answers | Verified | Latest Update 2026
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Terms in this set (98)
Through what document does a Code of Conduct
hospital establish compliance
standards?
What is the purpose of the OIG work Communicate issues that will be reviewed during
plan? the year for compliance with Medicare regulations
If a Medicare patient is admitted on Diagnostic services and related charges provided
Friday, what services fall within the on the Wednesday, Thursday and Friday before
three-day DRG window rule? admission
What does a modifier allow a Report a specific circumstance that affected a
provider to do? procedure or service without changing the code or
its definition
If outpatient diagnostic services are They must be combined with the inpatient bill and
provided within three days of the paid under the MS-DRG (diagnosis-related group)
admission of a Medicare beneficiary system
to an IPPS (Inpatient Prospective
Payment System) hospital, what must
happen to these charges?
, Why is the OIG (Office of Inspector It reviews Medicare payments for beneficiaries who
General) pursuing the Medicare have other insurance and assesses the
Secondary Payer (MSP) initiative? effectiveness of procedures in preventing
inappropriate Medicare payments for beneficiaries
with other insurance coverage
What is a recurring or series One registration record is created for multiple days
registration? of service
What are non-emergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statements It is used to evaluate the need for an inpatient
apply to the observation patient admission
type?
Which services are hospice Physician, nursing, and pharmacy
programs required to provide on an
around-the-clock basis?
What is the purpose of the initial step Identify the correct patient in the provider's
in the outpatient testing scheduling database or add the patient to the database
process?
Scheduler instructions are used to Complete the scheduling process correctly based
prompt the scheduler to do what? on service requested
The time needed to prepare the Schedule time
patient before service is the
difference between the patient's
arrival time and which of the
following?
Answers | Verified | Latest Update 2026
Save
Terms in this set (98)
Through what document does a Code of Conduct
hospital establish compliance
standards?
What is the purpose of the OIG work Communicate issues that will be reviewed during
plan? the year for compliance with Medicare regulations
If a Medicare patient is admitted on Diagnostic services and related charges provided
Friday, what services fall within the on the Wednesday, Thursday and Friday before
three-day DRG window rule? admission
What does a modifier allow a Report a specific circumstance that affected a
provider to do? procedure or service without changing the code or
its definition
If outpatient diagnostic services are They must be combined with the inpatient bill and
provided within three days of the paid under the MS-DRG (diagnosis-related group)
admission of a Medicare beneficiary system
to an IPPS (Inpatient Prospective
Payment System) hospital, what must
happen to these charges?
, Why is the OIG (Office of Inspector It reviews Medicare payments for beneficiaries who
General) pursuing the Medicare have other insurance and assesses the
Secondary Payer (MSP) initiative? effectiveness of procedures in preventing
inappropriate Medicare payments for beneficiaries
with other insurance coverage
What is a recurring or series One registration record is created for multiple days
registration? of service
What are non-emergency patients Unscheduled patients
who come for service without prior
notification to the provider called?
Which of the following statements It is used to evaluate the need for an inpatient
apply to the observation patient admission
type?
Which services are hospice Physician, nursing, and pharmacy
programs required to provide on an
around-the-clock basis?
What is the purpose of the initial step Identify the correct patient in the provider's
in the outpatient testing scheduling database or add the patient to the database
process?
Scheduler instructions are used to Complete the scheduling process correctly based
prompt the scheduler to do what? on service requested
The time needed to prepare the Schedule time
patient before service is the
difference between the patient's
arrival time and which of the
following?
