What is cspr - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 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 H...

ARM microarchitecture Exam 2024/2025 Questions With Completed & Verified Solutions.

CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) VERIFIED QUESTIONS AND DETAILED ANSWERS ALREADY RANKED A+. Which of the following statements regarding employer-based health insurance in the United States is true? - ANSWER - The real advent of employer-based insurance came through Blue Cross, which was started by hospital associations during the Depression. The Health Maintenance Organization (HMO) Act of 1973 gave qualified HMOs the right to "mandate" an employer under certain condition...

CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 With Complete Answers A+ Graded 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 - A...