Drg is used to classify - Study guides, Class notes & Summaries

CSPR - CERTIFIED SPECIALIST PAYMENT REP (HFMA) EXAM WITH ANSWERS GRADED A+ 1. Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable pay- ment 2. DRG is used to classify Inpatient admissions for the purpose of reimburs- ing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred 3. Identify the various types of private health plan coverage 4. Managed care organi-...

CSPR - Certified Specialist Payment Rep (HFMA) | Questions and Correct Answers | Latest Update 2024/2025 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...

Steps used to control costs of managed care include: - CORRECT ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - CORRECT 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 - CORRECT ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible heal...

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-deductible health plans with a savings option; Private - Include...

CSPR - Certified Specialist Payment Rep (HFMA) Questions with Correct Answers | Graded A+ 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 PP...

Steps used to control costs of managed care include: correct answer: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify correct 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 correct answer: HMO Conventional PPO and POS HDHP/SO plans - high-deductible hea...

CSPR - Certified Specialist Payment Rep (HFMA) Review Test 2024. 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 an...

CSPR - Certified Specialist Payment Rep (HFMA) Review Test 2024. 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 an...

Steps used to control costs of managed care include: - ANSWERBundled codes Capitation Payer and Provider to agree on reasonable payment All of the above DRG is used to classify - ANSWERInpatient 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 - ANSWERHMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans...

CCA Practice Exam Questions and Answers | Latest Version | 2024/2025 | Already Passed What is the main purpose of the ICD-10-CM coding system? To classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care. What code set is used for inpatient hospital services? ICD-10-PCS is used for inpatient hospital procedures. What is the definition of a "principal diagnosis" in coding? The condition established after study to be chiefly responsible...