CSPRCertificationPre-Testquestionsand v v v v
answers with solutions 2025 v v v v
Medical Cost Ratio(MCR)/Medical Loss Ratio(MLR) - correct answer- Total
v v v v v v v v
Expenses divided by total premiums
v v v v v
PSOs differ from HMOs - correct answer-Delivery instead of insurance
v v v v v v v v v
Coinsurance refers to - correct answer-Provision to limit the amount of coverage, usually 80%
v v v v v v v v v v v v v
Process of tiering - correct answer-ranking of one or more delivery system components
v v v v v v v v v v v v
Tired network - correct answer-Facilities and providers who control costs while providing efficient care
v v v v v v v v v v v v v
Used to control costs of manage care - correct answer-combining services and bundling charges reasonable
v v v v v v v v v v v v v v
v payment agreements between payer and provider
v v v v v
reimbursement based upon the discretion of the provider v v v v v v v
Not a risk involved in per diem payments - correct answer-risk of internal efficinecy
v v v v v v v v v v v v v
aligning incentives - correct answer-
v v v v
Addition of some risk in the exchange of health care and remuneration
v v v v v v v v v v v
Standard contracts - correct answer-can help facilites maintain thier margins
v v v v v v v v v
rating tiers - correct answer-different rates charged based upon the number and relationships
v v v v v v v v v v v v
reinsurance - correct answer-Limits to insured's liability for catastrophic claims
v v v v v v v v v
answers with solutions 2025 v v v v
Medical Cost Ratio(MCR)/Medical Loss Ratio(MLR) - correct answer- Total
v v v v v v v v
Expenses divided by total premiums
v v v v v
PSOs differ from HMOs - correct answer-Delivery instead of insurance
v v v v v v v v v
Coinsurance refers to - correct answer-Provision to limit the amount of coverage, usually 80%
v v v v v v v v v v v v v
Process of tiering - correct answer-ranking of one or more delivery system components
v v v v v v v v v v v v
Tired network - correct answer-Facilities and providers who control costs while providing efficient care
v v v v v v v v v v v v v
Used to control costs of manage care - correct answer-combining services and bundling charges reasonable
v v v v v v v v v v v v v v
v payment agreements between payer and provider
v v v v v
reimbursement based upon the discretion of the provider v v v v v v v
Not a risk involved in per diem payments - correct answer-risk of internal efficinecy
v v v v v v v v v v v v v
aligning incentives - correct answer-
v v v v
Addition of some risk in the exchange of health care and remuneration
v v v v v v v v v v v
Standard contracts - correct answer-can help facilites maintain thier margins
v v v v v v v v v
rating tiers - correct answer-different rates charged based upon the number and relationships
v v v v v v v v v v v v
reinsurance - correct answer-Limits to insured's liability for catastrophic claims
v v v v v v v v v
