CRCR
Through what document does a hospital establish compliance standards? - answercode
of conduct
What is the purpose of OIG work plan - answerIdentify acceptable compliance programs
in various provider settings
If a Medicare patient is admitted on Friday, what service falls within the three day DRG
window rule? - answerNon-diagnostic services provided on Thursday through Friday
What does a modifier allow a provider to do? - answerReport a specific circumstances
that affected a procedure or service without changing the code or its definition.
If outpatient diagnostic services are provided within three days of an admission of a
Medicare beneficiary on an IPPS (inpatient perspective payment system) hospital, what
must happen? - answerThey must bill separately to the part B carrier
What is a recurring or series registration? - answerOne registration record is created for
multiple days of service.
What are non-emergency patients who come for service without prior notification to the
provider called? - answerUnscheduled patients
Which of the following statements applies to the observation patient type? - answerIt is
used to evaluate the need for an inpatient admission.
Which services are hospice program is required to provide on a around the clock
patient? - answerPhysician, nursing, and pharmacy
Schedule a instructions are used to prompt the scheduler to do what? -
answerComplete the scheduling process Correctly based on services requested
The time needed to prepare the patient before service is the difference between the
patient's arrival time in which of the following? - answerProcedure time
Through what document does a hospital establish compliance standards? - answercode
of conduct
What is the purpose of OIG work plan - answerIdentify acceptable compliance programs
in various provider settings
If a Medicare patient is admitted on Friday, what service falls within the three day DRG
window rule? - answerNon-diagnostic services provided on Thursday through Friday
What does a modifier allow a provider to do? - answerReport a specific circumstances
that affected a procedure or service without changing the code or its definition.
If outpatient diagnostic services are provided within three days of an admission of a
Medicare beneficiary on an IPPS (inpatient perspective payment system) hospital, what
must happen? - answerThey must bill separately to the part B carrier
What is a recurring or series registration? - answerOne registration record is created for
multiple days of service.
What are non-emergency patients who come for service without prior notification to the
provider called? - answerUnscheduled patients
Which of the following statements applies to the observation patient type? - answerIt is
used to evaluate the need for an inpatient admission.
Which services are hospice program is required to provide on a around the clock
patient? - answerPhysician, nursing, and pharmacy
Schedule a instructions are used to prompt the scheduler to do what? -
answerComplete the scheduling process Correctly based on services requested
The time needed to prepare the patient before service is the difference between the
patient's arrival time in which of the following? - answerProcedure time
