CRCR study guide Exam 2026 Questions
and Answers
Through which document does a hospital establish compliance standards ? -
Correct answer-Code of conduct
What is the purpose of the OIG work plan - Correct answer-Identify acceptable
compliance programs in various provider settings.
If a Medicare patient is admitted on Friday what services fall within the three day
DRG window rule? - Correct answer-Diagnostic and clinically related non
diagnostic charges provided on the Tuesday, Wednesday, Thursday and Friday
before admission.
What does a modifier allow a provider to do? - Correct answer-Report a specific
circumstance that affected a procedure or service without changing the code or it's
definition.
If outpatient diagnostic services are provided within three days of the admission of
a Medicare beneficiary to an IPPS hospital, what must happen to these charges ? -
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
and Answers
Through which document does a hospital establish compliance standards ? -
Correct answer-Code of conduct
What is the purpose of the OIG work plan - Correct answer-Identify acceptable
compliance programs in various provider settings.
If a Medicare patient is admitted on Friday what services fall within the three day
DRG window rule? - Correct answer-Diagnostic and clinically related non
diagnostic charges provided on the Tuesday, Wednesday, Thursday and Friday
before admission.
What does a modifier allow a provider to do? - Correct answer-Report a specific
circumstance that affected a procedure or service without changing the code or it's
definition.
If outpatient diagnostic services are provided within three days of the admission of
a Medicare beneficiary to an IPPS hospital, what must happen to these charges ? -
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1