Medicare statutes rules Study guides, Class notes & Summaries
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CPMSM QUESTIONS AND ANSWERS FULLY SOLVED
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CPMSM QUESTIONS AND ANSWERS FULLY SOLVED 
 HFAP stands for? 
Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) 
 
 
 
The following bodies approves clinical privileges? 
Governing Body or Board 
 
 
 
 
Brainpower 
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Which NCQA-required committee makes recommendations regarding credentialin...
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CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 2023-2024
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CRCR EXAM WITH CORRECT CHOICES, 
CERTIFIED AND VERRIFIED 
What are collection agency fees based on? - CORRECT ANSWER-A percentage of 
dollars collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or 
what other rule? - CORRECT ANSWER-Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated 
between the payer and some or all providers? - CORRECT ANSWER-Case rates 
What customer service improvements might improve the patie...
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HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers
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HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...
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CSPR – Questions and Answers based on full course
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam Questions and Answers
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam
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NAB Core Practice Exam 110 Questions all with correct Answers
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1. Which one of the following steps should be taken first in a risk management program? 
 
A. Purchasing of adequate insurance 
B. Conducting of employee safety drills 
C. Identifying hazards and risks 
D. Conducting staff in-services on incident reporting and accident prevention. - ANSWER-C. Identifying hazards and risks 
 
2. Which of the following professionals is authorized to dispense medications? 
A. registered nurse 
B. licensed nurse, physician and, in some states, medication aide. ...
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam Questions & Answers..
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam Questions & Answers..docx
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam Questions & Answers.
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Medicare Statutes, Rules, and Regulations Pertaining to Medicare Supplement and Long-term Care Exam Questions & Answers..docx
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Trends in Health Care Delivery - Law, Legislation and Nursing Practice
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Trends in Health Care Delivery - Law, 
Legislation and Nursing Practice 
Laws - ANSWER-Man-made, unique to the mores and attitudes of a people, and 
intended to bring order and justice to their society 
Three major sources of law - ANSWER-•Statutory law 
•Executive, administrative, regulatory law 
•Judicial law 
Statutory Law - Definition - ANSWER-•Laws written and enacted by legislative 
bodies 
•Violations are criminal offenses and are punishable by fines or imprisonment 
Statutory L...
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Trends in Health Care Delivery Exam Questions and Answers 2024
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Trends in Health Care Delivery Exam 
Questions and Answers 2024 
Laws - Answer-Man-made, unique to the mores and attitudes of a people, and intended 
to bring order and justice to their society 
Three major sources of law - Answer-•Statutory law 
•Executive, administrative, regulatory law 
•Judicial law 
Statutory Law - Definition - Answer-•Laws written and enacted by legislative bodies 
•Violations are criminal offenses and are punishable by fines or imprisonment 
Statutory Law - Answ...
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