CRCR STUDY QUESTIONS AND
ANSWERS 2024 (VERIFIED ANSWERS
BY EXPERT)
• code of conduct ANS hospital establish compliance
standards
• Purpose of OIG work plan ANS communicate issues that
will be reviewed duringthe year for compliance with Medicare
regulations
• Medicare pt. admitted on Friday, what services fall within
the three day window rule ANS Dx services and related
charges provided on the W,R, and F beforeadm.
• What does modifier allow a provider to do ANS Report a
specific circumstancethat affected a procedure or service
without changing the code or its definition
,• Out pt. dx services provided within 3 days of adm. of a
medicare benef. toan IPPS hospt, what must happen to
these charges ANS combined with the in pt. bill and paid
under the MS-DRG system
• Why is OIG pursuing the medicare Secondary Payer
ANS reviews medicare payments for beneficiaries who have
other insurance and assesses the effect. of procedures in
preventing inappro. medcare payments for benef. with other ins.
Coverage
• Recurring or series registration ANS one reg. record is
created for multi days ofservice
• Nonemergency pt. who comes for service w/out prior notif.
to the providercalled ANS unscheduled pt.
• stmnts apply to observ. pt. type ANS used to evaluate the
need for an in pt. adm.
, • which services are hospice programs required to
provide on an aroundthe clock basis ANS physician,
nursing, pharmacy
• purpose of initial step in put pt. testing scheduling
process ANS identifying thecorrect pt. in the providers
database or add the pt. to the database
• scheduler instructions are used to prompt the scheduler
to do what ANS -
complete the scheduling process correctly based on service
requested
• medicare guidelines require that when a test is ordered
for which an LCDor NCD exists, the info provided on the
order must include which of the following ANS
documentation of the medical necessity for the test
• advantage of pre reg. program ANS reduces
processing times at the time ofservice
ANSWERS 2024 (VERIFIED ANSWERS
BY EXPERT)
• code of conduct ANS hospital establish compliance
standards
• Purpose of OIG work plan ANS communicate issues that
will be reviewed duringthe year for compliance with Medicare
regulations
• Medicare pt. admitted on Friday, what services fall within
the three day window rule ANS Dx services and related
charges provided on the W,R, and F beforeadm.
• What does modifier allow a provider to do ANS Report a
specific circumstancethat affected a procedure or service
without changing the code or its definition
,• Out pt. dx services provided within 3 days of adm. of a
medicare benef. toan IPPS hospt, what must happen to
these charges ANS combined with the in pt. bill and paid
under the MS-DRG system
• Why is OIG pursuing the medicare Secondary Payer
ANS reviews medicare payments for beneficiaries who have
other insurance and assesses the effect. of procedures in
preventing inappro. medcare payments for benef. with other ins.
Coverage
• Recurring or series registration ANS one reg. record is
created for multi days ofservice
• Nonemergency pt. who comes for service w/out prior notif.
to the providercalled ANS unscheduled pt.
• stmnts apply to observ. pt. type ANS used to evaluate the
need for an in pt. adm.
, • which services are hospice programs required to
provide on an aroundthe clock basis ANS physician,
nursing, pharmacy
• purpose of initial step in put pt. testing scheduling
process ANS identifying thecorrect pt. in the providers
database or add the pt. to the database
• scheduler instructions are used to prompt the scheduler
to do what ANS -
complete the scheduling process correctly based on service
requested
• medicare guidelines require that when a test is ordered
for which an LCDor NCD exists, the info provided on the
order must include which of the following ANS
documentation of the medical necessity for the test
• advantage of pre reg. program ANS reduces
processing times at the time ofservice
