(4) essay questions.Make sure you provide plenty of detail.Each question will be worth 25 points.

1. Be able to explain the process to determine a MS-DRG

2. Explain what populations are included in carve outs and what services may be considered carved-out

3. Explain the different types of HMOs and what the level of involvement is needed from the facility

4. Many tools involved with meeting accuracy and integrity standards.Be able to identify the tools used in the different settings to ensure those standards

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