HFMA CRCR 2023//2024 WITH 100% ANSWERS

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