Drg is used to classify Study guides, Class notes & Summaries
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CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers
- Exam (elaborations) • 29 pages • 2023
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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 coverage - Answer HMO 
Conventional 
PPO and POS 
HDHP/SO plans - high-deductible health plans with a s...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 
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 
H...
-
CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
- Exam (elaborations) • 18 pages • 2023
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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 coverage - ANSWER-HMO 
Conventional 
PPO and POS 
HDHP/SO plans - high-deductible health plans with a savings...
-
CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions With Complete Solutions.
- Exam (elaborations) • 17 pages • 2024
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CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions With Complete Solutions.
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CSPR - Certified Specialist Payment Rep (HFMA) with A+ Verified Solutions.
- Exam (elaborations) • 17 pages • 2023
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Steps used to control costs of managed care include: correct answers Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
DRG is used to classify correct answers 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 answers HMO 
Conventional 
PPO and POS 
HDHP/SO plans - high-deductible health...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions With Complete Solutions
- Exam (elaborations) • 32 pages • 2023
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- $13.99
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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...
-
CCS Exam | Questions and Verified Answers| Latest 2023/ 2024 Update
- Exam (elaborations) • 62 pages • 2023
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CCS Exam | Questions and Verified Answers| 
Latest 2023/ 2024 Update 
 
QUESTION 
Digital signatures are 
 
 
 
Answer: 
Cryptography that ensures a document is authentic 
Cryptography is a field that develops methods to ensure data security. A digital signature scheme 
is a public key that ensures a document is authentic 
 
 
 
QUESTION 
he convention "omit code" is found only in volume three and usually applies to which of the 
following? 
 
 
 
Answer: 
An exploratory procedure in...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers with complete solution
- Exam (elaborations) • 23 pages • 2023
- Available in package deal
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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-deductible health plans with a savings option; Private - Includ...
-
CSPR - Certified Specialist Payment Rep (HFMA)
- Exam (elaborations) • 23 pages • 2024
- Available in package deal
-
- $7.99
- + learn more
CSPR - Certified Specialist Payment Rep 
(HFMA) 
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 
...
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WGU D050 (300) QUESTIONS AND ANSWERS HISTORY OF HEALTHCARE IN AMERICA FINAL EXAM LATEST 2024/2025
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When was healthcare first created in the United States? - ANSWER 1798 Act for Relief of the Sick and Disabled Seaman 
 
What was created in 1915? - ANSWER American Association for Labor Legislation... created in the model bill 
 
What was the precursor of Medicare and Medicaid? - ANSWER Social security passed in 1935 
 
What are the three main goals of ACA? - ANSWER expand access to health insurance, reduce healthcare costs, support innovative delivery methods 
 
How many children were on CHIP a...
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