Cspr 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
- Exam (elaborations) • 18 pages • 2023 Popular
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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...
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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) 2024 LATEST EXAM WITH 100 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) CSPR CERTIFICATION EXAM ANSWERED (BRAND NEW!!)
- Exam (elaborations) • 29 pages • 2024
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CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 LATEST EXAM WITH 100 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) CSPR CERTIFICATION EXAM ANSWERED (BRAND NEW!!)
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CSPR – Questions and Answers based on full course
- Exam (elaborations) • 12 pages • 2023
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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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CSPR - Certified Specialist Payment Rep (HFMA) with A+ Verified Solutions.
- Exam (elaborations) • 17 pages • 2023
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Available in package deal
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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...
-
CSPR - Certified Specialist Payment Rep (HFMA) Actual Test Questions and Answers with complete solution;latest solution guide
- Exam (elaborations) • 18 pages • 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Actual Test Questions and Answers with complete solution;latest solution guide
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CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers
- Exam (elaborations) • 32 pages • 2024
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CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers 
 
1.	Steps used to control costs of managed care include :Answer: Bundled codes Capitation 
Payer and Provider to agree on reasonable payment 
2.	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 
3.	Identify the various types of private health plan coverage:Answer: HMO Conven...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions With Complete Solutions
- Exam (elaborations) • 32 pages • 2023
-
- $13.99
- + learn more
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...