Prospective payment - Study guides, Class notes & Summaries
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WGU C425 OA TEST 2024-2025 ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS
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Which of the following is true in regards to health care today in the United States? 
There are more primary care physicians than specialty physicians. 
Primary care receives a higher reimbursement in professional fees. 
There are more specialty physicians than primary physicians. 
Outpatient care is slowly decreasing. -Correct Answer There are more specialty physicians than primary physicians. 
 
What triggered the downsizing phase in the U.S. hospital industry during the 1980s? 
Hill-Burton Ac...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
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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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Idaho Life and Health Final Exam Questions and Answers Already Passed
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Idaho Life and Health Final Exam 
Questions and Answers Already Passed 
 
What are the benefits that must be provided by an individual health insurance policy for 
prenatal, maternity, and delivery expenses? Prenatal, maternity, and delivery expenses are 
required to be covered under all health plans subject to the same deductible and coinsurance as 
other medical and surgical expenses. 
 
Which situation would qualify an individual for receiving benefits from a qualified long-term 
care policy?...
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HFMA CRCR Exam with 100% Correct Answers 2023
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HFMA CRCR Exam with 100% Correct Answers 2023 
 
Through what document does a hospital establish compliance standards? - Correct 
answer-code of conduct	 
 
What is the purpose OIG work plant? - Correct answer-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? - Correct answer-Non-diagnostic service provided on Tuesday through	 
Friday	 	 
 
What does a modifier al...
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ACHE BOG Sample Test| 246 QUESTIONS| WITH COMPLETE SOLUTIONS
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According to the Code of Ethics, one way executives can avoid or minimize negative implications of conflict of interest is: 
a) develop a PR plan to address conflict of interest scenarios 
b) not participate in specific decisions where conflict may exist 
c) ensure members submit annual holdings for inspection 
d) make the conflict known to those in superior positions Correct Answer: D 
 
The principles of quality improvement require that executives change their management philosophy from: 
A...
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Solutions Manual for Advanced Accounting 15th Edition By Hoyle Full Chapters 2024- 2025
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Solutions Manual for Advanced Accounting 15th Edition By Hoyle Full Chapters . Acquisition price ........................................................................... $2,295,000 
Equity income ($750,000 × 30%) .................................................. 225,000 
Dividends (90,000 shares × $1.00)................................................ (90,000) 
Investment in O’Fallon as of December 31.................................. $2.430,000 
7. A 
Acquisition price ....................
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45 Hour Post License Real Estate Florida Test Questions With Answers Latest Updated 2024/2025 | 100% Verified.
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45 Hour Post License Real Estate Florida Test Questions With Answers Latest Updated 2024/2025 | 100% Verified. When consumers, lured by lower prices, venture back into the market, business activity increases 
and confidence begins to return. Slowly, production facilities gear up to meet the new consumer 
demand, capital begins to flow back into business enterprises, and additional employees are 
hired. 
The three types of operating expenses of an income property are 
A) 
fixed, debt service, and...
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ETA CPP EXAM QUESTIONS AND ANSWERS
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What data elements are MOST critical to the payments professional when comparing a merchant's current statement to the new offer proposed by the payment professional? - Answer- Volume, average ticket, rate, and transaction fee 
 
Using the interchange plus model, which of the following costs can be adjusted during negotiations with the merchant? - Answer- Acquirer markup 
 
For most credit card transactions, what is the MAXIMUM numbers of days between the sale and when a dispute request can be ...
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CCHT final exam 100% already passed 2024/2025
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CCHT final exam 100% already passed 
2024/2025 
While technical staff are preforming duties in the dialysis unit which team member must 
always be present 
A. Registered nurse 
B. Medical director for unit 
C. Lab technician - CORRECT ANSWER-A. Registered nurse 
Two techs are heatedly discussing pt care situation. Which team member is responsible 
for disciplinary action 
A. Registered practical nurse 
B. Human resource manager 
C. Dialysis nurse manager - CORRECT ANSWER-C. Dialysis nurs...
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Utah Life and Health Insurance Questions With All Correct Answers!!
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Accident - Answer-A sudden event, unforeseen and unintended 
Claim - Answer-A demand for payment under the insurance policy 
Absolute assignment - Answer-A transfer by the policy holder of all control and rights to a third party 
Accident and Sickness - Answer-Insurance against bodily injury, disability or death by accident, or 
against disability or expense resulting from sickness, and the insurance relating thereto 
Accidental Means - Answer-The unexpected cause of an accidental bodily injury....
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