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2024 HFMA CRCR Study Guide A+ Rated Guide | Questions and Answers (Solved)

2024 HFMA CRCR Study Guide A+ Rated Guide | Questions and Answers (Solved)

1. Through what document does a hospital establish compliance standards?-
Answer: Code of Conduct
2. What is the purpose of the OIG work plan?
Answer: Communicate issues that will bereviewed during the year for compliance
with Medicare regulations
3. If a Medicare patient is admitted on Friday, what services fall within the threeday DRG window rule?
Answer: Diagnostic services and related charges providedon the Wednesday,
Thursday and Friday before admission
4. What does a modifier allow a provider to do?
Answer: Report a specific circumstancethat affected a procedure or service without
changing the code or its definition
5. 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 combinedwith the inpatient bill and paid under the MS-DRG
(diagnosis-related group) system
6. Why is the OIG (Office of Inspector General) pursuing the Medicare Secondary
Payer (MSP) initiative?
Answer: It reviews Medicare payments for beneficiarieswho have other insurance
and assesses the effectiveness of procedures in pre-venting inappropriate Medicare
payments for beneficiaries with other insurance coverage
7. What is a recurring or series registration?
Answer: One registration record is createdfor multiple days of service
8. What are non-emergency patients who come for service without prior notification
to the provider called?
Answer: Unscheduled patients
9. Which of the following statements apply to the observation patient type?
Answer: Itis used to evaluate the need for an inpatient admission

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"Welcome to ExamNavigator - your perfect study assistant! Here you will find cheat sheets, study materials, exams, quizzes, tests, and notes to prepare for exams and study successfully. Our store offers a wide selection of materials on various subjects and difficulty levels, created by experienced teachers and checked for quality. Our cheat sheets are an easy and quick way to remember key points and definitions. And our study materials, tests, and quizzes will help you absorb the material and prepare for exams. Our store also has notes and lecture summaries that will help you save time and make the learning process more efficient.

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2024 HFMA CRCP ( Certified Revenue Cycle Representative) ( HFMA CRCP Version 1- 4 + Study Guide ) New Full Questions and Answers ( Included ) 100% Correct
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