Hfma Study guides, Class notes & Summaries
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HFMA CRCR FINAL EXAM AND PRACTICE EXAM TEST BANK WITH 300 MULTIPLE CHOICE 2024 | ACTUAL REAL EXAM QUESTIONS WITH DETAILED ANSWERS | EXPERT VERIFIED | GUARANTEED PASS | GRADED A | LATEST UPDATE
- Exam (elaborations) • 74 pages • 2024
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HFMA CRCR FINAL EXAM AND PRACTICE EXAM TEST BANK WITH 300 MULTIPLE CHOICE 2024 | ACTUAL REAL EXAM QUESTIONS WITH DETAILED ANSWERS | EXPERT VERIFIED | GUARANTEED PASS | GRADED A | LATEST UPDATE
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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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CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update)
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CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update) 
 
 
 
1.	What are the challenging areas of healthcare continuum of care? 
 
 
~	Answer: 1-Lack of Coordination 
~	2-Healthcare Users on their own 
~	3-Service Coordination 
 
 
 
2.	What are the types of service on health continuum? 
 
 
~	Answer: 1-Well - preventative care, primary care 
~	2-At Risk - acute care 
~	3-At risk mild - specialty care 
~	4-Early Chronic - chronic care...
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HFMA CRCR EXAM LATEST 2023-2024 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)
- Exam (elaborations) • 20 pages • 2023
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HFMA CRCR EXAM LATEST 2023-2024 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) 
IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - ANSWER- They must be billed separately to the part B Carrier 
 
what is a recurring or series registration? - ANSWER- One registration record is created for multiple days of service 
 
What are nonemergen...
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HFMA CRCR exam 2023 with 100% correct answers
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Through what document does a hospital establish compliance standards? 
code of conduct 
 
 
 
What is the purpose OIG work plant? 
Identify Acceptable compliance programs in various provider setting 
 
 
 
If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? 
Non-diagnostic service provided on Tuesday through Friday 
 
 
 
What does a modifier allow a provider to do? 
Report a specific circumstance that affected a procedure or service without chan...
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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...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
- Exam (elaborations) • 18 pages • 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...
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CSBI - HFMA Exam Practice Questions and Answers 2023 with complete solution
- Exam (elaborations) • 12 pages • 2023
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CSBI - HFMA Exam Practice Questions and Answers 2023 with complete solution
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HFMA CRCR EXAM LATEST 2023-2024 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(100% VERIFIED ANSWERS)
- Exam (elaborations) • 20 pages • 2024
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HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(100% VERIFIED ANSWERS) 
HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) 
 
IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - ANSWER- One registr...
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CSBI HFMA: (STUDY BUNDLE EXAMS) Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update)
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CSBI HFMA: (STUDY BUNDLE EXAMS) Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update)
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