task stringlengths 34 71 | input stringlengths 8 997 | output stringlengths 1 255 | options list | pageTitle stringlengths 18 37 | outputColName stringlengths 1 30 | url stringlengths 39 45 | wdcFile stringlengths 71 74 |
|---|---|---|---|---|---|---|---|
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What happens in the "Log phase"? [Answer] | Cells double at regular intervals | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What happens in the "Stationary phase"? [Answer] | Cells maintain cell number but do not continue to grow because of nutrient depletion | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What happens in the "Decline phase"? [Answer] | Cells because to die because of lack of energy and nutrients | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Define "autolysis" [Answer] | The breakdown or an orgaism because of it's own purpose or mechanism | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Why may a bacterium autolyse? [Answer] | Some bacteria autolyse in order to spread and enhance growth of survivors | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] How can the number of viable cells in a culture be determined? [Answer] | by performing dilutions at each time point, spreading aliquots on petri dishes, and countingthe number of colonies that grow | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What is the meaning of CFU? [Answer] | Colony Forming Unit, Each viable cell that can grow into a colony on a petri plate is a CFU. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What information does a turbimimetric assay yield? [Answer] | A turbidimetric assay determines how many bacterial cells, living or dead, are present by use of a spectrophotometer. The number differs from CFU numbers, because CFU numbers only reflect viable cells. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Define "anabolism" [Answer] | The use of energy and building blocks to make new cellular materials | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Define "catabolism" [Answer] | The breakdown of complex materials that cells use for making more cells. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Define "metabolism" [Answer] | All the chemical processes occurring in a cell. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Define "enzymes" [Answer] | Protien catalysts that cells use to convert some molecules into others | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Some enzymatic reactions are controlled by negative feedback. What happens when the product of a given reaction becomes high in concentration? [Answer] | When the cell is in an environment with ample amino acids, for instance, the cell gets the signal to save energy and not make its own amino acid. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] What is activation energy? [Answer] | Activiation energy refers to the amount of heat neccessary to cause a chemical reaction. Enzymes can dramatically reduce the activation energy. | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] List the 3 major pathways of catabolism in organisms [Answer] | glycolysis, the Krebs cycle and electron transport | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Name the starting compund of glycolysis [Answer] | glucose | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] How many ATP's are produced by the following processes: a. glycolysis b. TCA cycle/electron transport [Answer] | a: glycolysis produces two ATPs b: TCA cycle/electron transport produces thirty ATPs | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Name the final electron acceptor in aerobic respiration [Answer] | oxygen | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Name two possible final acceptors in anaerobic respiration [Answer] | nitrate and sulfate | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] List six commercially valuable products produced by fermentation [Answer] | cheese, yogurt, vinegar, acetone, butyl alcohol, beer and wine | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
24cf5fe0_cards_about_Micro_Unit_5_of_14__Answer | [Question] Name three types of macromolecules for which building blocks, or precursor molecules, are required [Answer] | DNA, RNA, and amino acids | [] | Flashcards about Micro Unit 5 of 14 | Answer | http://www.studystack.com/flashcard-15244 | 1/1438042987127.36_20150728002307-00282-ip-10-236-191-2_747763189_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the US, what is healthcare insurance? [Answer] | Reduction of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of that risk by an entity | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The physician's office sent a request for payment to Able Insurance. The term used in the HC industry for this request for payment is a(n): [Answer] | Claim | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In which type of reimbursement methodology, do HC insurance companies reimburse providers after the costs have been incurred? [Answer] | Retrospective payment | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the HC industry, what is the term for receiving compensation for HC services? [Answer] | Reimbursement | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] To which of the following factors in health insurance status most closely linked? [Answer] | Employment | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In which type of HC payment method does the HC plan pay for each service that a provider renders? [Answer] | Fee-for-service reimbursement | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the HC industry, what is another term for "charge"? [Answer] | Fee | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the accounting system of the physician office, the account is categorized as "self pay". How should the insurance analyst interpret this category? [Answer] | The guarantor will pay the entire bill | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the term for a predetermined list of charges? [Answer] | Fee schedule | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In which type of HC payment method does the HC plan recompense providers with a fixed rate for each day a covered member is hospitalized? [Answer] | Per diem | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The coding system that is used primarily for reporting Dx for hospital inpatients is known as: [Answer] | ICD-9-CM | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which coding system was created for reporting procedures and services performed by physicians in clinical practice? [Answer] | CPT | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Under MS-DRGs, all of the following factors influence a facility's case mix index except for: [Answer] | The productivity standard for coders | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following is NOT a reason to perform case mix analysis? [Answer] | Determine the correct MS-DRG assignment for an encounter | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The practice of under coding can affect a hospital's MS-DRG case mix in which of the following ways? [Answer] | Makes it lower than warranted by the actual service/resource intensity of the facility | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following is the correct format for HCPCS Level II codes? [Answer] | A1234 | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which govt. fraud/abuse effort focused on recouping lost funds for Medicare due to inaccurate coding/billing & recovered $188 Mil. in first 2 years? [Answer] | Operation Restore Trust | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The 6th scope of Work for QIO introduced which of the following? [Answer] | Payment Error Prevention Program | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The policies and procedures section of coding compliance plan should include: [Answer] | Unbundling | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] MS-DRG relationships comparing with CC to without CC DRGs for the same clinical condition should be reviewed because: [Answer] | CCs can be over-coded by coders and CCs can be under-coded by coders | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following entities are voluntary insurance except: [Answer] | Medicare | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following entities is also known as a group plan? [Answer] | Employer based HC insurance plan | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following characteristics is the greatest advantage of group health care insurance? [Answer] | Greater benefits for lower premiums | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In regards to healthcare insurance the percentage that the guarantor pays is called the...? [Answer] | Coinsurance | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following services has the highest likelihood of being a covered service? [Answer] | Medically necessary | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the term for the contract between the HC insurance company and the individual or group for whom the company is assuming the risk? [Answer] | Policy | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which part of the medicare program was created under the medicare modernization act of 2003? [Answer] | Part D | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] This program formerly CHAMPUS Provides coverage for the dependents of active members of the armed forces: [Answer] | Tricare | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which government sponsored programs replaced the aid to families with dependent children AFDC program in 1996? [Answer] | Temporary assistance for needy families program TANF | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following is not a function of the indian health service IHS? [Answer] | Provides only inpatient healthcare services | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The civilian health medical program of the department of veterans affairs CHAMPVA is available for: [Answer] | spouse or widow of a veteran meeting specific criteria and children of a veteran meeting specific criteria | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] which of the following is/are true of SCHIP? [Answer] | Is a federal/state program and varies from state to state | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The medicare program is divided into how many parts? [Answer] | 4 | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Medicare part c is a ______ option known as medicare advantage: [Answer] | managed care | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following are true of state medical programs except: [Answer] | services offered to beneficiaries are the same in each state | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which TRICARE Program offers services to active duty family members (ADFMs) With no enrollment, deductible, or copayment fees for covered services? [Answer] | TRICARE Prime | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following are characteristics of managed care organizations except: [Answer] | Freedom of choice and autonomous decision making | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Access to mental or behavioral health medical specialists is through referral. What is the term for the person who makes the referral? [Answer] | PCP, gatekeeper, primary care provider (all of these) | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the term that means the evaluating, for a healthcare service, the appropriateness of its setting and it's level of service? [Answer] | Utilization review | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following services is most likely to be considered medically necessary? [Answer] | Standard of care for health condition | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following sets represent criteria for medical necessity and utilization review except: [Answer] | Federal Register Index and Ratings | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following services are typically reviewed for medical necessity and utilization except: [Answer] | Well-baby check | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Gatekeepers determine the appropriateness of all of the following components except: [Answer] | Rate of capitation or reimbursement | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The patient belonged to a managed care plan. Prior approval for the surgery was received. What number should the insurance analyst record? [Answer] | Precertification | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The patient belonged to a managed care plan. The patient had an elective surgery. Prior approval for it had not been obtained. What should the patient expect? [Answer] | Denial of reimbursement for the surgery | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the term for an MCO that serves Medicare beneficiaries? [Answer] | Medicare Advantage | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the 1970s, how did factors affect the Medicare Program? [Answer] | The increase in Medicare expenditures for inpatient hospital care jeopardized Medicare's ability to fund other health programs. | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following points is a guideline for the acute hospital prosective payment system? [Answer] | Incentive for cost control because hospitals retain profits or suffer losses based on differences between payment rate and actual costs | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the average of the sum of the relative weights of all patients treated during a specified time period? [Answer] | Case mix index | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The MS-DRG payment includes reimbursement for all of the following inpatient services except: [Answer] | Progress notes | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the general term for software that assigns inpatient diagnosis related groups? [Answer] | Grouper | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is Medicare's term for a facility with a high percentage of low income patients? [Answer] | Disproportionate share hospital | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In MS-DRGs, for what is the case mix index a proxy? [Answer] | Consumption of resources | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the IPPS, what is the term for each hospital's unique standardized amount based on its costs per Medicare discharge? [Answer] | Base payment rate | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following is not a patient level adjustment used in the IPF PPS? [Answer] | Full service emergency department | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Medicare inpatient reimbursement levels are based on _____ [Answer] | MS-DRG calculated for the encounter | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following sites is considered a facility in the RBRVS payment system? [Answer] | Ambulance | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following statements is true about APCs? [Answer] | d. APCs are based on the CPT or HCPCS code(s) reported. | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] the APC system, an outlier payment is paid when which of the following occurs? [Answer] | The cost of the service is greater than the APC payment by a fixed ratio and exceeds the APC payment plus a threshold amount | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The prospective payment system used by hospitals for the majority of services provided to Medicare hospital outpatients is called ______ and became effective on ______. [Answer] | Ambulatory Payment Classifications August 1, 2000 | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] This PPS has been adopted for use by many third party payers (that is, Medicaid) for reimbursement of outpatient visits. It is not the methodology used by Medicare. [Answer] | APGs (Ambulatory Patient Groups) | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Under the Ambulance Fee Schedule, the _______________ is used to determine the level of service for ground transport. [Answer] | EMS provider skill set used during the transport | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] When a patient is pronounced dead prior to an ambulance being called, which of the following payment provisions is followed under the Ambulance Fee Schedule? [Answer] | no payment is made to the ambulance supplier/provider | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Under the ASC List multiple procedures performed during the same surgical session are reimbursed at which of the following rate? [Answer] | The procedure in the highest level group receives full payment and the remaining receive half (50%) payment | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The Medicare Modernization Act of 2003 mandated the creation of a new PPS for ASC services because ___________________. [Answer] | There is disparity between ambulatory surgical center and hospital outpatient facility payments for the same services | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Medicare-certified ASCs must accept assignment, meaning [Answer] | an ASC must accept Medicare payment as payment in full | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In which of the PAC payment systems, is the unit of payment the 60-day episode of care? [Answer] | Home health agency | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Generally, what is the average length of stay of long-term care hospitals? [Answer] | ≥ 25 days | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Patients with all the following conditions are appropriate for LTCHs except: [Answer] | Acute myocardial infarction | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care MS-DRGs similar? [Answer] | Based on principal diagnosis | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following elements are part of the IRF PPS except: [Answer] | Major diagnostic category | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following types of diagnoses are used in the IRF PPS except: [Answer] | Principal | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In the IRF PPS, what is the tool for data collection that drives payment? [Answer] | Patient Assessment Instrument | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] All of the following services are consolidated into a single payment under the HHPPS except: [Answer] | Durable medical equipment | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In which of the PAC payment systems, is the adjusted rate multiplied by the patient’s number of Medicare days to determine the reimbursement amount? [Answer] | Long term care hospital | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] What is the term used in a rehabilitation facility to mean “a patient’s ability to perform activities of daily living”? [Answer] | functional status | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] Which of the following is the definition of revenue cycle management? [Answer] | Coordination of all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] The term “hard coding” refers to: [Answer] | CPT codes that appear in the hospital’s charge master | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
7f0e4ea9_ards_about_Reimbursement_Final__Answer | [Question] In healthcare settings, the record of the cash the facility will receive for the services it has provided is known as which of the following terms? [Answer] | Accounts receivable | [] | Flashcards about Reimbursement Final | Answer | http://www.studystack.com/flashcard-606074 | 1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.