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CCA EXAM PREP DOMAINS 2 NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CCA EXAM REVIEW 2025
(BRAND NEW!!)
Allowable fee .....ANSWER..... Average or maximum amount the
third-party payer will reimburse providers for the service
Block grant .....ANSWER..... It is a fixed amount of money given
or allocated for a specific purpose. Ex. Medicare's payment
system for home health services are consolidated into the single
payment
Capitated payment method .....ANSWER..... It is a method of
payment for health services in which the third-party payer
reimburses providers a fixed, per capita amount for a period.
"Per capita" means "per head"
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Case-based payment .....ANSWER..... Type of prospective
payment method in which the third-party payer reimburses the
provider a fixed, preestablished payment for each case
Adjacent episodes of care .....ANSWER..... Episodes of home
health that are contiguous and separated by no more than 6
days
Adjudication .....ANSWER..... The determination of the
reimbursement payment based upon the member's insurance
benefits
Adverse selection .....ANSWER..... Enrollment of excessive
proportion of persons with poor health status in a healthcare
plan or healthcare organization
RBRVS .....ANSWER..... The federal government's payment system
for physicians. It is a system of classifying health services based
on the cost of furnishing physicians' services in different settings,
CCA EXAM PREP DOMAINS 2 NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 600 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CCA EXAM REVIEW 2025
(BRAND NEW!!)
Allowable fee .....ANSWER..... Average or maximum amount the
third-party payer will reimburse providers for the service
Block grant .....ANSWER..... It is a fixed amount of money given
or allocated for a specific purpose. Ex. Medicare's payment
system for home health services are consolidated into the single
payment
Capitated payment method .....ANSWER..... It is a method of
payment for health services in which the third-party payer
reimburses providers a fixed, per capita amount for a period.
"Per capita" means "per head"
, Page 2 of 13
Case-based payment .....ANSWER..... Type of prospective
payment method in which the third-party payer reimburses the
provider a fixed, preestablished payment for each case
Adjacent episodes of care .....ANSWER..... Episodes of home
health that are contiguous and separated by no more than 6
days
Adjudication .....ANSWER..... The determination of the
reimbursement payment based upon the member's insurance
benefits
Adverse selection .....ANSWER..... Enrollment of excessive
proportion of persons with poor health status in a healthcare
plan or healthcare organization
RBRVS .....ANSWER..... The federal government's payment system
for physicians. It is a system of classifying health services based
on the cost of furnishing physicians' services in different settings,
