Exam (elaborations)
HFMA CRCR Exam 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)
- Course
- Institution
HFMA CRCR Exam 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)
[Show more]
Content preview
HFMA CRCR.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/HFMA%20CRCRHFMA CRCR Questions & Answers
1. Through what document does a hospital establish compliance standards?-
Answer code of conduct
2. What is the purpose OIG work plant?
Answer Identify Acceptable compliance pro-grams in various provider setting
3. If a Medicare patient is admitted on Friday, what services fall within
the three-day DRG window rule?
Answer Non-diagnostic service provided on Tuesdaythrough Friday
4. What does a modifier allow a provider to do?
Answer Report a specific circumstancethat affected a procedure or service without
changing the code or its definition
5. IF outpatient diagnostic services are provided within three days of the ad-
1 of 33 10/30/2024, 9:51
,HFMA CRCR.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/HFMA%20CRCR
mission 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
6. what is a recurring or series registration?
Answer One registration record is createdfor multiple days of service
7. What are nonemergency patients who come for service without prior notifi-
cation to the provider called?
Answer Unscheduled patients
8. Which of the following statement apply to the observation patient type?
Answer Itis used to evaluate the need for an inpatient admission
9. which services are hospice programs required to provide around the clock
patient
Answer Physician, Nursing, Pharmacy
10. Scheduler instructions are used to prompt the scheduler to do what?
2 of 33 10/30/2024, 9:51
,HFMA CRCR.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/HFMA%20CRCR
Answer -
Complete the scheduling process correctly based on service requeste
11. 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
12. 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 ofthe medical necessity for the test
13. What is the advantage of a pre-registration program
Answer It reduces processingtimes at the time of service
14. 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
3 of 33 10/30/2024, 9:51
,HFMA CRCR.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/HFMA%20CRCR
15. Which of the following statements is true about third-party payments?
Answer Thepayments are received by the provider from the payer responsible for
reimbursing the provider for the patient's covered services.
16. Which provision protects the patient from medical expenses that exceed
the pre-set level
Answer stop loss
17. what documentation must a primary care physician send to HMO patientto
authorize a visit to a specialist for additional testing or care?
Answer Referral
4 of 33 10/30/2024, 9:51
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 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 NurseFerian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83507 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now