Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct 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? - Correct answer-Non-diagnostic service provided on Tuesday through Friday 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 Prospective Payment System) hospital, what must happen to these charges - Correct answer-They must be billed separately to the part B Carrier what is a recurring or series registration? - Correct answer-One 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 answer-Unscheduled patients Which of the following statement apply to the observation patient type? - Correct answer-It is used to evaluate the need for an inpatient admission which services are hospice programs required to provide around the clock patient - Correct answer-Physician, Nursing, Pharmacy Scheduler instructions are used to prompt the scheduler to do what? - Correct answerComplete the scheduling process correctly based on service requested The Time needed to prepare the patient before service is the difference between the patients arrival time and which of the following? - Correct answer-Procedure time Medicare guidelines require that when a test is ordered for a LCD or NCD exists, the information provided on the order must include: - Correct answer-Documentation of the medical necessity for the test