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

CSPR - Certified Specialist Payment Rep (HFMA) 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 PPO and POS HDHP/SO plans...

Steps used to control costs of managed care include - ANSWERBundled codes Capitation Payer and Provider to agree on reasonable payment 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 - ANSWER1-HMO 2-Conventional 3-PPO and POS 4-HDHP/SO plans - high-deductible health plans with a sav...

CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions & Answers Solved 100% Correct!!

NCSBN Practice Questions 1-15 Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher - C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with preg...

Principal Diagnosis The disease or condition that was present on admission, was the principal reason for admission, and received treatment or evaluation during the hospital stay or visit for the reason established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care First Listed Diagnosis Used in the outpatient setting, this term is used (instead of the inpatient setting's principal diagnosis), and it is determined in accordance wi...

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: - 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 - Includ...

When was healthcare first created in the United States? - ANSWER 1798 Act for Relief of the Sick and Disabled Seaman What was created in 1915? - ANSWER American Association for Labor Legislation... created in the model bill What was the precursor of Medicare and Medicaid? - ANSWER Social security passed in 1935 What are the three main goals of ACA? - ANSWER expand access to health insurance, reduce healthcare costs, support innovative delivery methods How many children were on CHIP a...

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) Exam 2024/2025 with Complete Solutions 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