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HFMA CRCR EXAM LATES T EXAM
QUESTIONS AND CORREC T
ANSWERS(100% VERIFIE D
ANSWERS)
Question: Through what document does a hospital
establish compliance standards?
Correct answer: code of conduct
Question: What is the purpose of the OIG work plan?
Correct answer: Identify Acceptable compliance
programs in various provider setting
Question: If a Medicare patient is admitted on Friday,
what services fall within the three-day DRG window rule?
Correct answer: Non-diagnostic service provided on
Tuesday through Friday
Question: What does a modifier allow a provider to do?
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Correct answer: Report a specific circumstance that
affected a procedure or service without changing the code or its definition
Question: 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?
Correct answer: They must be billed separately to the part
B Carrier
Question: What is a recurring or series registration?
Correct answer: One registration record is created for
multiple days of service
Question: What are nonemergency patients who come for
service without prior notification to the provider called?
Correct answer: Unscheduled patients
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Question: Which of the following statement apply to the
observation patient type?
Correct answer: It is used to evaluate the need for an
inpatient admission
Question: Which services are hospice programs required
to provide around the clock patient?
Correct answer: Physician, Nursing, Pharmacy
Question: Scheduler instructions are used to prompt the
scheduler to do what?
Correct answer: Complete the scheduling process
correctly based on service requeste
Question: The Time needed to prepare the patient before
service is the difference between the patients arrival time and which of the following?
Correct answer: Procedure time
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Question: Medicare guidelines require that when a test is
ordered for a LCD or NCD exists, the information
provided on the order must include:
Correct answer: Documentation of the medical necessity
for the test
Question: What is the advantage of a pre-registration
program?
Correct answer: It reduces processing times at the time of
service
Question: What date are required to establish a new MPI
(Master Patient Index) entry?
Correct answer: The responsible party's full legal name,
date of birth, and social security number
Question: Which of the following statements is true about
third-party payments?
Correct answer: The payments are received by the
provider from the payer responsible for reimbursing the provider for the patient's covered services.