Exam (elaborations)
HFMA CRCR exam 2024 with 100% correct answers
- Course
- Institution
HFMA CRCR exam 2024 with 100% correct answers
[Show more]
Content preview
HFMA CRCR exam 2024 with 100% correct answers Through what document does a hospital establish compliance standards? Code of Conduct What is the purpose of the OIG work plan? Communicate Issues that will be reviewed during the year for compliance with Medicare Regulations If a Medicare patient is admitted on Friday, what services fall within the three -day DRG window rule? Diagnostic ser vices and related charges provided on Wednesday, Thursday and Friday before admission. 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 outpatien t 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 combined with the inpatient bill and paid under the MS-DRG (diagnosis related group) system . 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? It reviews M edicare payments for beneficiaries who have other insurance and assesses the effectiveness of procedures in preventing inappropriate Medicare payments for beneficiaries with other insurance coverage. What is a recurring or series registration? One registra tion 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 statements 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 on an around -the-clock basis? Physician, nursing and pharmacy What is the purpose of the initial step in the outpatient testing scheduling process ? Identify the correct patient on the providers database or add the patient to the database Scheduler instructions are used to prompt the scheduler to do what? Complete the scheduling process correctly based on service requested. The time needed to prepare the patient before service is the difference between the patient's arrival time and which of the following? Procedure time Medicare guidelines require that when a test is ordered for which as LCD (local coverage determination) or NCD (national coverage determination) exist, the information provided on the order must include which of the following? Documentation of the medical necessity of the test. What is an advantage of a preregistration program? It redu ces processing times at the time of service What data are required to establish a new MPI (master patient index) entry? The patients full legal name, date of birth and sex Which HIPAA transition set provides electronic processing of insurance verification requests and responses? The 270 -271 Set A mother and father both cover their 16 -year-old child as a dependent on their health insurance plans, which both follow the birthday rule. The mothers date of birth is January 19, 1968; the father's date of birth is July 19, 1967. Whose plan is the primary payer? The Mothers PlanThe benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller OriginalTestBanks. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now