Cspr hfma 2024 - Study guides, Class notes & Summaries

Certified Specialist Payment Rep (CSPR) HFMA 2024/25 Review-Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - HMO Conventional PPO and POS HDHP/SO plans - high...

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CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) ALREADY GRADED A+

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CSPR - Certified Specialist Payment Rep (HFMA) | Questions and Correct Answers | Latest Update 2024/2025 Steps used to control costs of managed care include: - Answer -Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Answer -Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan...

CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions & Answers Solved 100% Correct!!

CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 ACTUAL EXAM COMPLETE 350 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

What is tiering? - Ans: The ranking or classifying of one or more of the provider delivery system components Which option is a practice used to control costs of managed care? - Ans: -Making advance payment to providers for all services needed to care for a member -Combining services provided and bundling the associated charges -Agreement between the payer and provider on reasonable payment for each service. Which option is a risk involved in per diem payments? - Ans: -The risk to the ins...

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