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CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 ACTUAL EXAM COMPLETE 350 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ CA$27.21   Add to cart
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CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 ACTUAL EXAM COMPLETE 350 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
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CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) 2024 ACTUAL EXAM COMPLETE 350 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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Document information

  • August 10, 2024
  • 80
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cspr
  • cspr hfma 2024
  • cspr hfma exam
  • cspr hfma exam 2024
  • cspr certified specialist payment rep hfma 20

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  • CSPR - CERTIFIED SPECIALIST PAYMENT REP
  • CSPR - CERTIFIED SPECIALIST PAYMENT REP

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CSPR - CERTIFIED SPECIALIST
PAYMENT REP (HFMA) 2024 ACTUAL
EXAM COMPLETE 350 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
/ALREADY GRADED A+




To ensure that patients have the education, tools, and
support they need to make decisions and participate in
their own care is the goal of:


A) The Patient Protection and Affordable Care Act
(PPACA)
B) A patient-centered medical home (PCMH)
C) Accountable care organizations (ACO's)
D) Managed care organizations (MCO's) -
....ANSWER...B) A patient-centered medical home
(PCMH)

,Accountable Care Organizations are designed with the
following criteria:


A) To make providers independent of each other
B) To provide no financial incentives for provider
cooperation
C) To save money by avoiding unnecessary tests
D) To increase the use of emergency room services -
....ANSWER...C) To save money by avoiding unnecessary
tests


Prospective performance and Retrospective performances
are considered:


A) Private health plans
B) Contract performance models
C) Rating tiers
D) Consumer Directed Health Plans (CDHP) -
....ANSWER...B) Contract performance models


Reporting initiative including: Required Nation
Performance Measurement, Voluntary National
Performance Measurement, and Employer Coalition
Performance Measure, are all:

,A) Group advocacy goals intended to reduced consumer
spending
B) Consumer advocacy and healthcare value efforts
C) Healthcare report cards available to the public
D) Reports that contain public information regarding all
healthcare issues - ....ANSWER...C) Healthcare report
cards available to the public


Identify which option is NOT a payment type that
comprises a large percentage of Medicare expenditures.


A) Inpatient prospective Payment Systems
B) Outpatient Prospective Payment System
C) Medicare payments to physicians
D) MS-DRG payment - ....ANSWER...C) Medicare
payments to physicians


Which option is NOT a practice used to control the costs
of managed care?


A) Delivering services that are reasonable, and payers
agree on medical necessity and reimburse for services

, B) Combining services, bundling associated charges,
determining an appropriate charge the that set of services


C) Making advance payment to providers for all services
needed to care for a member


D) The payer and provider agreeing on a reasonable
payment for each service - ....ANSWER...C) Making
advance payment to providers for all services needed to
care for a member


Under Title XIX of the Social Security Act, Medicaid:


A) Mandates medical services for certain individuals and
low-income families
B) Advocates medical assistance for certain individuals
and low-come families
C) Pays for medical assistance for certain individuals and
low-income families
D) Provides medical referrals for certain individuals and
low-income families - ....ANSWER...C) Pays for medical
assistance for certain individuals and low-income families


Choice of providers and plans, which is a patient
protection for managed Medicare enrollees, involes:

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