Paymen - Study guides, Class notes & Summaries

Steps used to control costs of managed care include: - CORRECT ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - CORRECT 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 coverage - CORRECT ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible heal...

Common Examples of Overpayment Estimated overtime hours paid to employee who could not work the overtime Estimated contracted hours paid then contractual hors reduced during the period of estimation Estimated paid absence turns into a period of unpaid absence Estimated hours include enhanced payments but actual working hours do not Overtaken holiday entitlement allowed but did not return, exceeded holiday entitlement Employee leaves and has received payments beyond the date of leaving Inf...

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Steps used to control costs of managed care include: correct answer: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify correct 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 coverage correct answer: HMO Conventional PPO and POS HDHP/SO plans - high-deductible hea...

CSPR - Certified Specialist Payment Rep (HFMA) UPDATED Actual Exam Questions and CORRECT Answers Steps used to control costs of managed care include: - CORRECT ANSWER- Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - CORRECT 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

NATIONAL CHECK PAYMENTS CERTIFICATION (NCP) 2024 QUESTIONS WITH 100% CORRECT ANSWERS!!

CSPR - Certified Specialist Payment Rep (HFMA) Graded A+ 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...

CSPR - Certified Specialist Payment Rep (HFMA) | NEWEST | With complete solution | Updated

CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers