Specialist Payment Representative
(HFMA) Test Bank | 150+ Verified
Questions & Answers | Updated &
Graded A+
Which of the following is the primary role of a payment representative in healthcare? -
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answersD) Facilitating claims processing
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RATIONALE: The primary role involves processing claims and ensuring timely payments
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from insurers.
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What is the purpose of the Explanation of Benefits (EOB)? - answersB) To explain the
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claim payment process
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RATIONALE: EOBs explain how an insurance claim was processed and the payment
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made
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Which of the following is a common reason for claim denials? - answersD) All of the above
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RATIONALE: All listed reasons can lead to claim denials.
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What is the significance of the National Provider Identifier (NPI)? - answersD) It identifies
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healthcare providers
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RATIONALE: The NPI uniquely identifies healthcare providers in billing and claims
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processes.
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Which of the following best describes the term "co-payment"? - answersC) A fixed amount
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a patient pays for a healthcare service
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RATIONALE: A co-payment is a fixed amount paid by the patient at the time of service
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Where can I access the full CSPR exam test bank with verified answers? - answersOpen
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your browser and go to:
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https://tinyurl.com/bdzns36y