CRCR STUDY GUIDE REVIEW 2025/2026 LATEST EXAM QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+

Through what document does a hospital
establish compliance standards? -
ANSWER-Code of Conduct
What is the purpose of the OIG work
plan? - 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? - ANSWERDiagnostic services and related charges
provided on Wednesday, Thursday and
Friday before admission.
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
combined with the inpatient bill and
paid under the MS-DRG (diagnosis
related group) system.
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