HFMA CRCR EXAM LATEST EXAM 170+
QUESTIONS AND CORRECT ANSWERS
Through what document does a hospital
establish compliance standards? - code of
conduct
What is the purpose OIG work plant? -
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? - Non-diagnostic service
provided on Tuesday through Friday
What does a modifier allow a provider to do?
- 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 days of the admission of a
Medicare beneficiary to an IPPS (Inpatient
Prospective Payment System) hospital, what
must happen to these charges - They must be
billed separately to the part B Carrier
what is a recurring or series registration? -
One registration record is created for
multiple days of service
What are nonemergency patients who come
for service without prior notification to the
provider called? - Unscheduled patients
,Which of the following statement apply to the
observation patient type? - It is used to
evaluate the need for an inpatient admission
which services are hospice programs
required to provide around the clock patient
- Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt
the scheduler to do what? - Complete the
scheduling process correctly based on service
requeste
The Time needed to prepare the patient
before service is the difference between the
patients arrival time and which of the
following? - Procedure time
, Medicare guidelines require that when a test
is ordered for a LCD or NCD exists, the
information provided on the order must
include: - Documentation of the medical
necessity for the test
What is the advantage of a pre-registration
program - It reduces processing times at the
time of service
What date are required to establish a new
MPI(Master patient Index) entry - The
responsible party's full legal name, date of
birth, and social security number
Which of the following statements is true
about third-party payments? - The payments
are received by the provider from the payer
responsible for reimbursing the provider for
the patient's covered services.
QUESTIONS AND CORRECT ANSWERS
Through what document does a hospital
establish compliance standards? - code of
conduct
What is the purpose OIG work plant? -
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? - Non-diagnostic service
provided on Tuesday through Friday
What does a modifier allow a provider to do?
- 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 days of the admission of a
Medicare beneficiary to an IPPS (Inpatient
Prospective Payment System) hospital, what
must happen to these charges - They must be
billed separately to the part B Carrier
what is a recurring or series registration? -
One registration record is created for
multiple days of service
What are nonemergency patients who come
for service without prior notification to the
provider called? - Unscheduled patients
,Which of the following statement apply to the
observation patient type? - It is used to
evaluate the need for an inpatient admission
which services are hospice programs
required to provide around the clock patient
- Physician, Nursing, Pharmacy
Scheduler instructions are used to prompt
the scheduler to do what? - Complete the
scheduling process correctly based on service
requeste
The Time needed to prepare the patient
before service is the difference between the
patients arrival time and which of the
following? - Procedure time
, Medicare guidelines require that when a test
is ordered for a LCD or NCD exists, the
information provided on the order must
include: - Documentation of the medical
necessity for the test
What is the advantage of a pre-registration
program - It reduces processing times at the
time of service
What date are required to establish a new
MPI(Master patient Index) entry - The
responsible party's full legal name, date of
birth, and social security number
Which of the following statements is true
about third-party payments? - The payments
are received by the provider from the payer
responsible for reimbursing the provider for
the patient's covered services.
