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Examen

CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2025 ACTUAL EXAM COMPREHENSIVE QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
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26

mayo 2025

2024/2025

A+
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...
wilmug
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