1|Page: 2024/2025 Grade A+
CRCR exam-Ensemble Questions and Correct
Answers & Latest Updated
Through what document does a hospital establish compliance standards,
o :## Code of Conduct
What is the purpose OIG work plan?
o :## 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?
o :## Non-diagnostic services provided on Tuesday through Friday
What does a modifier allow a provider to do?
o :## 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 day of the admission of a
Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what
must happen to
o :## They must be billed separately to the Part B carrier
What is a recurring or series registration?
o :## One registration record is created for multiple days of service
,Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
What are nonemergency patients who come for service without prior notification to the
provider called?
o :## Unscheduled patients
Which of the following statements apply to the observation patient type?
o :## It is used to evaluate the need for an inpatient admission
Which services are hospice programs required to provide on a around-the-clock patient
o :## Physician, nursing, and pharmacy
Scheduler instructions are used to prompt the scheduler to do what?
o :## Complete the scheduling process correctly based on service requested
The time needed to prepare the patient before service is the difference between the
patient's arrival time and which of the following?
o :## Procedure time
Medicare guidelines require that when a test is ordered for which an LCD (Local coverage
determination) or NCD (National coverage determination) exists, the information provided
on the order must include which of the following?
o :## Documentation of the medical necessity for the test.
What is an advantage of a preregistration program?
, Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
CRCR exam-Ensemble Questions and Correct
Answers & Latest Updated
Through what document does a hospital establish compliance standards,
o :## Code of Conduct
What is the purpose OIG work plan?
o :## 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?
o :## Non-diagnostic services provided on Tuesday through Friday
What does a modifier allow a provider to do?
o :## 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 day of the admission of a
Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what
must happen to
o :## They must be billed separately to the Part B carrier
What is a recurring or series registration?
o :## One registration record is created for multiple days of service
,Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
What are nonemergency patients who come for service without prior notification to the
provider called?
o :## Unscheduled patients
Which of the following statements apply to the observation patient type?
o :## It is used to evaluate the need for an inpatient admission
Which services are hospice programs required to provide on a around-the-clock patient
o :## Physician, nursing, and pharmacy
Scheduler instructions are used to prompt the scheduler to do what?
o :## Complete the scheduling process correctly based on service requested
The time needed to prepare the patient before service is the difference between the
patient's arrival time and which of the following?
o :## Procedure time
Medicare guidelines require that when a test is ordered for which an LCD (Local coverage
determination) or NCD (National coverage determination) exists, the information provided
on the order must include which of the following?
o :## Documentation of the medical necessity for the test.
What is an advantage of a preregistration program?
, Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
