HFMA CRCR

HFMA CRCR Through what document does a hospital establish compliance standards? - Answer-code of conduct Through what document does a hospital establish compliance standards? - 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 spec...

HFMA CRCR Pre-Service activities - Answer-1. Requested service is screened for med necessity, health coverage/benefits verified, preauthorization obtained and estimate to patient oop costs generated within guidelines of NSA and state regulations. 2. Patient notified of financial responsibility including copayment and health plan deductibles, eligibility of financial assistance assessed. 3. Patient is scheduled 4. Encounter record is generated and patient and guarantor info is obtained an...

HFMA CRCR 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 ...