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HFMA CRCR EXAM 2025 QUESTIONS AND ANSWERS Through what document does a hospital establish compliance standards? ....ANSWER ...-code of conduct What is the purpose OIG work plant? - ....ANSWER ...-Identify Acceptable compliance programs in various provider setting 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 What does a modifier allow a provider to do? - ....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 Prospective Payment System) hospital, what must happen to these charges - ....ANSWER ...-They must be billed separately to the part B Carrier what is a recurring or series registration? - ....ANSWER ...-One registration record is created for multiple days of service ...©️ 2025, ALL RIGHTS RESERVED 1