HFMA- CRCR Exam Practice Questions and
Answers 2023 with complete solution
***HFMA- CRCR Exam***
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
Medicare guidelines require that when a test is ordered for a
LCD or NCD exists, the information provided on the order
must include: - ✔✔ANSWER✔✔Documentation of the
medical necessity for the test
What is the advantage of a pre-registration program -
✔✔ANSWER✔✔It reduces processing times at the time of
service
What date are required to establish a new MPI(Master
patient Index) entry - ✔✔ANSWER✔✔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? - ✔✔ANSWER✔✔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 - ✔✔ANSWER✔✔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? - ✔✔ANSWER✔✔Referral
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? -
✔✔ANSWER✔✔Medical screening and stabilizing treatment
Which of the following is a step in the discharge process? -
✔✔ANSWER✔✔Have a case management service complete
the discharge plan
The hospital has a APC based contract for the payment of
outpatient services. Total anticipated charges for the visit are
$2,380. The approved APC payment rate is $780. Where will
the patients benefit package be applied? - ✔✔ANSWER✔✔To
the approved APC payment rate
A patient has met the $200 individual deductible and $900 of
the $1000 co-insurance responsibility. The co-insurance rate
The 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 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 docwayne5. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £16.26. You're not tied to anything after your purchase.
