HFMA: Healthcare Financial Management Association Exam Guide with Verified Answers

HFMA: Healthcare Financial Management Association Exam Guide with Verified Answers
Through what document does a hospital establish compliance
standards?
Correct answer: Code of Conduct
What is the purpose of the OIG work plan?
Correct answer: Communicate issues that will be reviewed
during the year for compliance with Medicare regulations
If a Medicare patient is admitted on Friday, what services fall
within the three-day DRG window rule?
Correct answer: Diagnostic services and related charges
provided on the 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 its definition
If outpatient diagnostic services are provided within three days
of the admission of a Medicare beneficiary to an IPPS (Inpatient 

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