HFMA CRCR ACTUAL - ANSWERS, / . Quiz____? Through what document d...

HFMA CRCR / ACTUAL

QUESTIONS WITH VERIFIED

ANSWERS, / .

Quiz____?Through what document does a hospital establish compliance standards? - Answer✓✓ code of conduct Quiz____?What is the purpose OIG work plant? - Answer✓✓ 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? - Answer✓✓ Non-diagnostic service provided on Tuesday through Friday Quiz____?What does a modifier allow a provider to do? - Answer✓✓ Page 1 of 41 1 / 4

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 - Answer✓✓ They must be billed separately to the part B Carrier Quiz____?what is a recurring or series registration? - Answer✓✓ One registration record is created for multiple days of service Quiz____?What are nonemergency patients who come for service without prior notification to the provider called? - Answer✓✓ Unscheduled patients Quiz____?Which of the following statement apply to the observation patient type? - Answer✓✓ It is used to evaluate the need for an inpatient admission Page 2 of 41 2 / 4

Quiz____?which services are hospice programs required to provide around the clock patient - Answer✓✓ Physician, Nursing, Pharmacy Quiz____?Scheduler instructions are used to prompt the scheduler to do what? - Answer✓✓ 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? - Answer✓✓ 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: -

Answer✓✓ Documentation of the medical necessity for the test Page 3 of 41 3 / 4

Quiz____?What is the advantage of a pre-registration program - Answer✓✓ It reduces processing times at the time of service Quiz____?What date are required to establish a new MPI(Master patient Index) entry - Answer✓✓ 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? - Answer✓✓ 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 - Answer✓✓ 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? - Page 4 of 41

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