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CNML Test Exam Questions Revised With Correct Answers < Updated & Already Passed > DRGs - ANSWER : Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System - ANSWER : Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider - ANSWER : Used by HMO's: insurance coverage for contracted providers or institutions ...

CNML Test with Complete Solutions 2024/2025 DRGs - Correct Answer Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System - Correct Answer Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider - Correct Answer Used by HMO's: insurance coverage for contracted providers or institutions HMOs - Correct Answer Health maintenance o...

CNML Test Questions and Answers 2024 DRGs Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider Used by HMO's: insurance coverage for contracted providers or institutions HMOs Health maintenance organizations: comprehensive healthcare to people who pay a ...

CNML TEST 2024 EXAM!!