MHA 706-M1 P2B EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Fee-for-Service
Payment tied to the amount of services provided
Prospective Payment
Fixed payment determined beforehand, unrelated to costs or charges
Capitation
Payment tied to the size of the covered population
Provider Incentives
Financial motivations impacting providers' behavior
Medical Coding
First step in the reimbursement process, performed based on clinicians' notes
Chargemaster
Facilitates accurate and efficient payment for services rendered, containing department
codes, service descriptions, charge amounts, etc.
ICD Codes
Used to specify diseases, symptoms, or injuries with up to 7 digits
CPT Codes
Used to specify medical procedures with 5 digits
HCPCS Codes
Expanded system including non-physician services, ambulance services, and durable
medical equipment
WITH COMPLETE SOLUTIONS VERIFIED
Fee-for-Service
Payment tied to the amount of services provided
Prospective Payment
Fixed payment determined beforehand, unrelated to costs or charges
Capitation
Payment tied to the size of the covered population
Provider Incentives
Financial motivations impacting providers' behavior
Medical Coding
First step in the reimbursement process, performed based on clinicians' notes
Chargemaster
Facilitates accurate and efficient payment for services rendered, containing department
codes, service descriptions, charge amounts, etc.
ICD Codes
Used to specify diseases, symptoms, or injuries with up to 7 digits
CPT Codes
Used to specify medical procedures with 5 digits
HCPCS Codes
Expanded system including non-physician services, ambulance services, and durable
medical equipment
