Hfma Study guides, Study 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 Popular
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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)
- Exam (elaborations) • 28 pages • 2023
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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
- Exam (elaborations) • 17 pages • 2023
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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...
Too much month left at the end of the money?
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HFMA CHFP MODULE 1 Business of Healthcare COMPLETE EXAM 2024 with Verified Answers Graded A+.
- Exam (elaborations) • 16 pages • 2024
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HFMA CHFP MODULE 1 Business of Healthcare COMPLETE EXAM 2024 with Verified Answers Graded A+. 
1. A hospital is planning to expand its services by adding a new wing with 50 
beds and a state-of-the-art diagnostic center. The hospital has conducted a 
market analysis and projected the demand and revenue for the new services. 
The hospital also has estimated the capital and operating costs of the 
expansion project. What is the next step in the financial strategic planning 
process for the hospita...
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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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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
- Exam (elaborations) • 18 pages • 2023
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- R261,16
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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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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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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
- Exam (elaborations) • 18 pages • 2023
- Available in package deal
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- R628,98
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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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