CPAR GEORGIA EXAM QUESTIONSWITH CORRECT ANSWERS 2026

CPAR GEORGIA EXAM
QUESTIONSWITH CORRECT
ANSWERS 2026
Withhold - portion of claim deducted and withheld to be capitated
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UM Utilization Managment -
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Wevaluating the necessity, appropriateness, and efficiency of health care services against establ
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ishged guid lines. . UM USUALLY INCLUDES NEW ACTIONS OR DECISIONS BASED ON THE OVE
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RALL ANALYSISS OV UTILIZATION
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UR Utilization review -
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Wreview of appropriateness of admissions, services ordered and provided, length of a stay, and
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Wdischarge practice. peer review or public agency can do UR. Managed care organizations will/
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can refuse to pay for services that do not meet their own sets of UR standards. The practices
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of PRe-certification, re-
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certification, and retrospective review and concurrent review all discribe UR methods
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vital statistics -
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Wbirths, deaths, marriages, health and disease. vital stats in the US are published by NATIONAL
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WCENTER FOR HEALTH STATISTICS. These can be obtained from CDC, state health department,
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county health department, and other agencies. can also refer to blood pressure, temp, height
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Wand weight W




Underwriting - W



Wprocess of selecting, classifying, analyzing, and assuming risk acording to insurability. used to
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determin if insurance can offer coverage.
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Urgent Admission - W W



Wpatient requiring amdission for diagnosis and treatment that would be required within 48 ho
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urs to live
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