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CRCR study guide 9 Questions with Answers 2023 Through which document does a hospital establish compliance standards ? - CORRECT ANSWERSCode of conduct What is the purpose of the OIG work plan - ... CORRECT ANSWERSIdentify 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 ANSWERSDiagnostic 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 ANSWERSReport 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 ? - CORRECT ANSWERSThey must be combined with the inpatient bill paid under the MS-DRG system Why is the OIG pursuing the Medicare secondary payer initiative? - CORRECT ANSWERSIt reviews Medicare payments for beneficiaries who have other insurance and assessed the effectiveness of procedures in preventing inappropriate Medicare payments for beneficiaries with other insurance coverage. What is a reoccurring or series registration? - CORRECT ANSWERSOne registration record is created for multiple days of service What are nonemergency patients who come for service without prior notification to the provider called ? - CORRECT ANSWERSUnscheduled patients Which of the following statements apply to the observation patient type ? - CORRECT ANSWERSIt is used to evaluate the need for an inpatient admission [Show More]

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