HFMA CRCR Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Through what document does a hospital establish compliance standards?
Ans: code of conduct
Quiz: What is the purpose OIG work plant?
Ans: Identify Acceptable compliance programs in various provider setting
Quiz: If a Medicare patient is admitted on Friday, what services fall within the three-day
DRG window rule?
Ans: Non-diagnostic service provided on Tuesday through Friday
Quiz: What does a modifier allow a provider to do?
Ans: Report a specific circumstance that affected a procedure or service without changing
the code or its definition
Quiz: 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
Ans: They must be billed separately to the part B Carrier
Quiz: what is a recurring or series registration?
Ans: One registration record is created for multiple days of service
o
o
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, Quiz: What are nonemergency patients who come for service without prior notification
to the provider called?
Ans: Unscheduled patients
Quiz: Which of the following statement apply to the observation patient type?
Ans: It is used to evaluate the need for an inpatient admission
Quiz: which services are hospice programs required to provide around the clock
patient
Ans: Physician, Nursing, Pharmacy
Quiz: Scheduler instructions are used to prompt the scheduler to do what?
Ans: Complete the scheduling process correctly based on service requeste
Quiz: The Time needed to prepare the patient before service is the difference between
the patients arrival time and which of the following?
Ans: Procedure time
Quiz: Medicare guidelines require that when a test is ordered for a LCD or NCD
exists, the information provided on the order must include:
Ans: Documentation of the medical necessity for the test
Quiz: What is the advantage of a pre-registration program
Ans: It reduces processing times at the time of service
o
o
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in the number given.
, Quiz: What date are required to establish a new MPI(Master patient Index) entry
Ans: The responsible party's full legal name, date of birth, and social security number
Quiz: Which of the following statements is true about third-party payments?
Ans: The payments are received by the provider from the payer responsible for
reimbursing the provider for the patient's covered services.
Quiz: Which provision protects the patient from medical expenses that exceed the pre-
set level
Ans: stop loss
Quiz: what documentation must a primary care physician send to HMO patient to
authorize a visit to a specialist for additional testing or care?
Ans: Referral
Quiz: Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
provider may not ask about a patient's insurance information if it would delay what?
Ans: Medical screening and stabilizing treatment
Quiz: Which of the following is a step in the discharge process?
Ans: Have a case management service complete the discharge plan
Quiz: The hospital has a APC based contract for the payment of outpatient services.
Total anticipated charges for the visit are $2,380. The approved APC payment rate is $780.
Where will the patients benefit package be applied?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
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in the number given.
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Through what document does a hospital establish compliance standards?
Ans: code of conduct
Quiz: What is the purpose OIG work plant?
Ans: Identify Acceptable compliance programs in various provider setting
Quiz: If a Medicare patient is admitted on Friday, what services fall within the three-day
DRG window rule?
Ans: Non-diagnostic service provided on Tuesday through Friday
Quiz: What does a modifier allow a provider to do?
Ans: Report a specific circumstance that affected a procedure or service without changing
the code or its definition
Quiz: 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
Ans: They must be billed separately to the part B Carrier
Quiz: what is a recurring or series registration?
Ans: One registration record is created for multiple days of service
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Quiz: What are nonemergency patients who come for service without prior notification
to the provider called?
Ans: Unscheduled patients
Quiz: Which of the following statement apply to the observation patient type?
Ans: It is used to evaluate the need for an inpatient admission
Quiz: which services are hospice programs required to provide around the clock
patient
Ans: Physician, Nursing, Pharmacy
Quiz: Scheduler instructions are used to prompt the scheduler to do what?
Ans: Complete the scheduling process correctly based on service requeste
Quiz: The Time needed to prepare the patient before service is the difference between
the patients arrival time and which of the following?
Ans: Procedure time
Quiz: Medicare guidelines require that when a test is ordered for a LCD or NCD
exists, the information provided on the order must include:
Ans: Documentation of the medical necessity for the test
Quiz: What is the advantage of a pre-registration program
Ans: It reduces processing times at the time of service
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Quiz: What date are required to establish a new MPI(Master patient Index) entry
Ans: The responsible party's full legal name, date of birth, and social security number
Quiz: Which of the following statements is true about third-party payments?
Ans: The payments are received by the provider from the payer responsible for
reimbursing the provider for the patient's covered services.
Quiz: Which provision protects the patient from medical expenses that exceed the pre-
set level
Ans: stop loss
Quiz: what documentation must a primary care physician send to HMO patient to
authorize a visit to a specialist for additional testing or care?
Ans: Referral
Quiz: Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the
provider may not ask about a patient's insurance information if it would delay what?
Ans: Medical screening and stabilizing treatment
Quiz: Which of the following is a step in the discharge process?
Ans: Have a case management service complete the discharge plan
Quiz: The hospital has a APC based contract for the payment of outpatient services.
Total anticipated charges for the visit are $2,380. The approved APC payment rate is $780.
Where will the patients benefit package be applied?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
