Hfma 2 - Study guides, Class notes & Summaries

HFMA CHFP MODULE 1 Business of Healthcare COMPLETE EXAM 2024 with Verified Answers Graded A+. 1. A hospital is planning to expand its services by adding a new wing with 50 beds and a state-of-the-art diagnostic center. The hospital has conducted a market analysis and projected the demand and revenue for the new services. The hospital also has estimated the capital and operating costs of the expansion project. What is the next step in the financial strategic planning process for the hospita...

HFMA CHFP MODULE 2 BUSINESS OF HEALTHCARE COMPLETE EXAM WITH ANSWERS & RATIONALES

HFMA CHFP MODULE 2 COMPREHENSIVE EXAM REVIEW Q & A 2024.HFMA CHFP MODULE 2 COMPREHENSIVE EXAM REVIEW Q & A 2024.HFMA CHFP MODULE 2 COMPREHENSIVE EXAM REVIEW Q & A 2024.

CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update) 1. What are the challenging areas of healthcare continuum of care? ~ Answer: 1-Lack of Coordination ~ 2-Healthcare Users on their own ~ 3-Service Coordination 2. What are the types of service on health continuum? ~ Answer: 1-Well - preventative care, primary care ~ 2-At Risk - acute care ~ 3-At risk mild - specialty care ~ 4-Early Chronic - chronic care...

CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam | Questions and Verified Answers (2024 / 2025 Update) 1. What are the challenging areas of healthcare continuum of care? ~ Answer: 1-Lack of Coordination ~ 2-Healthcare Users on their own ~ 3-Service Coordination 2. What are the types of service on health continuum? ~ Answer: 1-Well - preventative care, primary care ~ 2-At Risk - acute care ~ 3-At risk mild - specialty care ~ 4-Early Chronic - chronic care ~ 5-Late Chronic - long-te...

CSBI – HFMA EXAM 2024 WITH 100% CORRECT ANSWERS What has changed for Healthcare Analytics? - correct answer 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data - correct answer Refers to the Growth in available data, massive continually increasing volume of live and stored data for analysis; and the increase in tools available for highly sophisticated ways to comb...

CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update) What has changed for Healthcare Analytics? - ANSWER 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data - ANSWER Refers to the Growth in...

What is tiering? - Ans: The ranking or classifying of one or more of the provider delivery system components Which option is a practice used to control costs of managed care? - Ans: -Making advance payment to providers for all services needed to care for a member -Combining services provided and bundling the associated charges -Agreement between the payer and provider on reasonable payment for each service. Which option is a risk involved in per diem payments? - Ans: -The risk to the ins...

Certified Specialist Payment Rep (CSPR) HFMA 2024/25 Review-Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - 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 - HMO Conventional PPO and POS HDHP/SO plans - high...

HFMA 2 Questions and Correct Solutions 2024 Describe the paper and electronic claims flow process. - Answer -1. Electronic Claim Submission= EDI claims forwarded to either directly or via EDI clearing house/ vendor. 2. Claims Verification= Clearinghouse specifications and insurance company requirements used to validate transmitted claims. 3. Rejected Claims = Claims not meeting requirements returned via clearinghouse error report. 4. Accepted claims= sent to insurance company for provider...