HFMA 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...

CSBI HFMA Exam With 100% Correct verified Answers 2024 Patient-centric - CORRECT The healthcare industry is shifting towards this approach. Based on the patient's condition and prospects for improvement, services are rendered in relation to the situation, as opposed to only considering how an individual progress through a series of facilities. HIPAA Act - CORRECT Health Insurance Portability and Accountability Act HITECH Act - CORRECT Health Information Technology Economic and Clinical ...

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