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Exam (elaborations)

HFMA CSPR EXAM QUESTIONS WITH 100% COMPLETE ANSWERS!!

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HFMA CSPR EXAM QUESTIONS WITH 100% COMPLETE ANSWERS!!

Institution
HFMA CSPR
Course
HFMA CSPR










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Institution
HFMA CSPR
Course
HFMA CSPR

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Uploaded on
October 8, 2024
Number of pages
29
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • what is tiering

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HFMA CSPR
EXAM
QUESTIONS
WITH 100%
COMPLETE
Evatee 10/8/24 HFMA CSPR

,HFMA CSPR EXAM QUESTIONS WITH 100%
COMPLETE ANSWERS!!


The No Surprise Act was a product of:


A) The Health Insurance Portability Act
B) The Consolidation Appropriations Act
C) The Treaty of Algeron
D) The Affordable Care Act Answer - D) The Affordable Care Act


Which of the following is an advantage of direct contracting?


A) Providers do not have to adjudicate claims for payment
B) Employers can save the cost of working with an insurance company
C) It allows the patients to have a choice of providers and physicians
D) Providers can work directly with employers to reduce the cost of providing
insurance Answer - D) Providers can work directly with employers to reduce
the cost of providing insurance


Accountable Care Organizations (ACOs) have all of the following characteristics
EXCEPT:


A) Patient centric care model
B) Financial incentive for quantity of care
C) Integrated care coordination

, D) Electronic Medical Record System Answer - B) Financial incentive for
quantity of care


The Emergency Treatment and Active Labor Act (EMTALA) governs when a
patient may be transferred from one hospital to another when in a(n)
condition:


A) Life threatening
B) Non-emergency
C) Stable
D) Chronic Answer - A) Life threatening


STAR ratings are used to indicate the quality of:


A) Accountable Care Organizations performance
B) Medicare Advantage health plan performance
C) Services provided by hospitals
D) Services provided by physicians Answer - B) Medicare Advantage health
plan performance


To evaluate an organization's compliance with the CMS COP standards and
other accreditation requirements, is the purpose of:


A) A comprehensive accreditation process
B) Recovery Audits
C) The American Osteopathic Association
D) A clean claim Answer - A) A comprehensive accreditation process

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