Cspr Study guides, Class notes & Summaries
Looking for the best study guides, study notes and summaries about Cspr? On this page you'll find 231 study documents about Cspr.
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CSPR - Questions based on full course (2024) Answered To Score A+
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CSPR - Questions based on full course (2024) Answered To Score A+
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CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions & Answers Solved 100% Correct!!
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CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions & Answers Solved 100% Correct!!
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CSPR - Questions based on full course Questions With Complete Solutions
- Exam (elaborations) • 21 pages • 2023
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? correct answer: HMO Act of 1973 
 
ACA correct answer: Affordable Care Act 
 
HMO (Health Maintenance Organization) correct 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 correct answer: part of prospective payment in which healthcare p...
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CSPR - Certified Specialist Payment Rep (HFMA) Solved Questions & Answers, Already Passed!!
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CSPR - Certified Specialist Payment Rep (HFMA) Solved Questions & Answers, Already Passed!!
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CSPR - Certified Specialist Payment Rep (HFMA) Exam Questions With 100% Complete Solutions.
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CSPR - Certified Specialist Payment Rep (HFMA) Exam Questions With 100% Complete Solutions.
And that's how you make extra money
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023/2024 Graded A+
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023/2024 Graded A+
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CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers
- Exam (elaborations) • 29 pages • 2023
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CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers
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CSPR - Certified Specialist Payment Rep (HFMA)
- Exam (elaborations) • 23 pages • 2023
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CSPR - Certified Specialist Payment Rep (HFMA)
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CSPR - Certified Specialist Payment Rep (HFMA)
- Exam (elaborations) • 23 pages • 2024
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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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CSPR - Certified Specialist Payment Rep (HFMA) Exam Questions With 100% Complete Solutions..
- Exam (elaborations) • 17 pages • 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Exam Questions With 100% Complete Solutions..
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