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d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Determine the correct MS-DRG assignment for an encounter [Question]
Which of the following is NOT a reason to perform case mix analysis?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Makes it lower than warranted by the actual service/resource intensity of the facility [Question]
The practice of under coding can affect a hospital's MS-DRG case mix in which of the following ways?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] A1234 [Question]
Which of the following is the correct format for HCPCS Level II codes?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Operation Restore Trust [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Payment Error Prevention Program [Question]
The 6th scope of Work for QIO introduced which of the following?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Unbundling [Question]
The policies and procedures section of coding compliance plan should include:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] CCs can be over-coded by coders and CCs can be under-coded by coders [Question]
MS-DRG relationships comparing with CC to without CC DRGs for the same clinical condition should be reviewed because:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Medicare [Question]
All of the following entities are voluntary insurance except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Employer based HC insurance plan [Question]
Which of the following entities is also known as a group plan?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Greater benefits for lower premiums [Question]
Which of the following characteristics is the greatest advantage of group health care insurance?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Coinsurance [Question]
In regards to healthcare insurance the percentage that the guarantor pays is called the...?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Medically necessary [Question]
Which of the following services has the highest likelihood of being a covered service?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Policy [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Part D [Question]
Which part of the medicare program was created under the medicare modernization act of 2003?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Tricare [Question]
This program formerly CHAMPUS Provides coverage for the dependents of active members of the armed forces:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Temporary assistance for needy families program TANF [Question]
Which government sponsored programs replaced the aid to families with dependent children AFDC program in 1996?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Provides only inpatient healthcare services [Question]
Which of the following is not a function of the indian health service IHS?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] spouse or widow of a veteran meeting specific criteria and children of a veteran meeting specific criteria [Question]
The civilian health medical program of the department of veterans affairs CHAMPVA is available for:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Is a federal/state program and varies from state to state [Question]
which of the following is/are true of SCHIP?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] 4 [Question]
The medicare program is divided into how many parts?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] managed care [Question]
Medicare part c is a ______ option known as medicare advantage:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] services offered to beneficiaries are the same in each state [Question]
All of the following are true of state medical programs except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] TRICARE Prime [Question]
Which TRICARE Program offers services to active duty family members (ADFMs) With no enrollment, deductible, or copayment fees for covered services?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Freedom of choice and autonomous decision making [Question]
All of the following are characteristics of managed care organizations except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] PCP, gatekeeper, primary care provider (all of these) [Question]
Access to mental or behavioral health medical specialists is through referral. What is the term for the person who makes the referral?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Utilization review [Question]
What is the term that means the evaluating, for a healthcare service, the appropriateness of its setting and it's level of service?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Standard of care for health condition [Question]
Which of the following services is most likely to be considered medically necessary?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Federal Register Index and Ratings [Question]
All of the following sets represent criteria for medical necessity and utilization review except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Well-baby check [Question]
All of the following services are typically reviewed for medical necessity and utilization except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Rate of capitation or reimbursement [Question]
Gatekeepers determine the appropriateness of all of the following components except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Precertification [Question]
The patient belonged to a managed care plan. Prior approval for the surgery was received. What number should the insurance analyst record?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Denial of reimbursement for the surgery [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Medicare Advantage [Question]
What is the term for an MCO that serves Medicare beneficiaries?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] The increase in Medicare expenditures for inpatient hospital care jeopardized Medicare's ability to fund other health programs. [Question]
In the 1970s, how did factors affect the Medicare Program?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Incentive for cost control because hospitals retain profits or suffer losses based on differences between payment rate and actual costs [Question]
Which of the following points is a guideline for the acute hospital prosective payment system?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Case mix index [Question]
What is the average of the sum of the relative weights of all patients treated during a specified time period?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Progress notes [Question]
The MS-DRG payment includes reimbursement for all of the following inpatient services except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Grouper [Question]
What is the general term for software that assigns inpatient diagnosis related groups?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Disproportionate share hospital [Question]
What is Medicare's term for a facility with a high percentage of low income patients?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Consumption of resources [Question]
In MS-DRGs, for what is the case mix index a proxy?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Base payment rate [Question]
In the IPPS, what is the term for each hospital's unique standardized amount based on its costs per Medicare discharge?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Full service emergency department [Question]
Which of the following is not a patient level adjustment used in the IPF PPS?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] MS-DRG calculated for the encounter [Question]
Medicare inpatient reimbursement levels are based on _____
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Ambulance [Question]
Which of the following sites is considered a facility in the RBRVS payment system?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] d. APCs are based on the CPT or HCPCS code(s) reported. [Question]
Which of the following statements is true about APCs?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[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 [Question]
the APC system, an outlier payment is paid when which of the following occurs?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Ambulatory Payment Classifications August 1, 2000 [Question]
The prospective payment system used by hospitals for the majority of services provided to Medicare hospital outpatients is called ______ and became effective on ______.
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] APGs (Ambulatory Patient Groups) [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.
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] EMS provider skill set used during the transport [Question]
Under the Ambulance Fee Schedule, the _______________ is used to determine the level of service for ground transport.
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] no payment is made to the ambulance supplier/provider [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] The procedure in the highest level group receives full payment and the remaining receive half (50%) payment [Question]
Under the ASC List multiple procedures performed during the same surgical session are reimbursed at which of the following rate?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] There is disparity between ambulatory surgical center and hospital outpatient facility payments for the same services [Question]
The Medicare Modernization Act of 2003 mandated the creation of a new PPS for ASC services because ___________________.
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] an ASC must accept Medicare payment as payment in full [Question]
Medicare-certified ASCs must accept assignment, meaning
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Home health agency [Question]
In which of the PAC payment systems, is the unit of payment the 60-day episode of care?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] ≥ 25 days [Question]
Generally, what is the average length of stay of long-term care hospitals?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Acute myocardial infarction [Question]
Patients with all the following conditions are appropriate for LTCHs except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Based on principal diagnosis [Question]
In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care MS-DRGs similar?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Major diagnostic category [Question]
All of the following elements are part of the IRF PPS except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Principal [Question]
All of the following types of diagnoses are used in the IRF PPS except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Patient Assessment Instrument [Question]
In the IRF PPS, what is the tool for data collection that drives payment?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Durable medical equipment [Question]
All of the following services are consolidated into a single payment under the HHPPS except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Long term care hospital [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] functional status [Question]
What is the term used in a rehabilitation facility to mean “a patient’s ability to perform activities of daily living”?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Coordination of all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue [Question]
Which of the following is the definition of revenue cycle management?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] CPT codes that appear in the hospital’s charge master [Question]
The term “hard coding” refers to:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Accounts receivable [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?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] 30-day [Question]
Aging of accounts is the practice of counting the days, generally in ____ increments, from the time a bill has been sent to the payer to the current day.
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] The date the bill drops [Question]
Most facilities begin counting days in accounts receivable at which of the following times
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Contractual allowance [Question]
The difference between what is charged and what is paid is known as:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Volunteer services [Question]
of the following is not a function area of the revenue cycle?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Fiscal Intermediary [Question]
Which entity is responsible for processing Part A claims and hospital-based Part B claims for institutional services on behalf of Medicare?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Medicare Code Editor [Question]
Which of the following is not used to reconcile accounts in the patient accounting department?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] for which valid and reliable performance measures are available [Question]
What targets should be the focus of pay-for-performance or value-based purchasing systems?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Compensation withheld for lack of improvement [Question]
Which of the following situations would be included in a penalty-based model of pay-for- performance?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] CMS, Employers, Health Plans. All of the above [Question]
Which of the following entities sponsor value-based purchasing or pay-for-performance systems?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Reduce errors [Question]
How do organizations control costs indirectly
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Sponsors can evaluate policies and procedures [Question]
Why are incremental implementations of pay-for-performance systems preferable to full-scale implementations?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Authoritarian [Question]
In value-based purchasing and pay-for-performance systems, characteristics of adopted performance measures should include all the following except:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Public report cards [Question]
Which of the following incentives is non-financial?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Attribution [Question]
In order for P4P and VBP systems to function properly, the system must be able to identify the clinician who provided the care and is responsible for the care’s quality. In P4P and VBP, this process is known as:
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Hospital outpatient departments and Ambulatory Surgical Centers [Question]
The Tax Relief and Health Care Act of 2006 (MIEA-TEHCA) expanded CMS quality initiatives to which two setting?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Staphylococcus infections [Question]
Which condition is not included on the Hospital Acquired Conditions provision list for FY 2009?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
d06276a7_ards_about_Reimbursement_Final__Question
[Answer] Medicare Modernization Act [Question]
Which piece of legislation initiated the reporting of the RHQDAPU program?
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Flashcards about Reimbursement Final
Question
http://www.studystack.com/flashcard-606074
1/1438042987127.36_20150728002307-00008-ip-10-236-191-2_715580459_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] Decalogue [Definition]
10 Commandments
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] ascetic [Definition]
one who lives a life of contemplation and rigourous self-denial for religious purposes
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] karma [Definition]
in Buddhism or Hinduism, the effect of the actions of past and present lifetimes, both good and bad on one's present life
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] reincarnation [Definition]
rebirth in another body
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] nirvana [Definition]
in Buddhism the state of perfect blessedness achieved by the extinction of individual existence and by the absorption of the soul into the supreme spirit, or by extinction of all passions and desires
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] enlightenment [Definition]
being made able to see or comprehend the truth; free from ignorance, prejudice or superstition
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] orthodox [Definition]
conforming to the usual beliefs or established doctrine, especially in religion
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] novice [Definition]
one who has entered a religious group or order but has not taken final vows
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] secular [Definition]
pertaining to the world or to things not spirtual or sacred
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] homage [Definition]
to pay respect by external action
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] arduous [Definition]
steep and therefore difficult of ascent; hard to climb
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
6967f0f0_lashcards_about_Buddhism_Vocab__Definition
[Vocab] incantation [Definition]
the chanting of magical words or a formula in casting a spell or performing other magic
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Flashcards about Buddhism Vocab
Definition
http://www.studystack.com/flashcard-32738
1/1438042990112.50_20150728002310-00052-ip-10-236-191-2_737591853_3.json
a2adaf2b_Flashcards_about_Child_PSYCH_D__Answer
[Question] Child Development [Answer]
Field of study in which researchers from many disciplines work to describe and understand the important changes that take place as children grow through childhood
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Flashcards about Child PSYCH D
Answer
http://www.studystack.com/flashcard-690081
1/1438042990112.50_20150728002310-00106-ip-10-236-191-2_717427060_3.json
a2adaf2b_Flashcards_about_Child_PSYCH_D__Answer
[Question] Physical Development [Answer]
Component of development related to growth in size, strength, and muscle coordination
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Flashcards about Child PSYCH D
Answer
http://www.studystack.com/flashcard-690081
1/1438042990112.50_20150728002310-00106-ip-10-236-191-2_717427060_3.json
a2adaf2b_Flashcards_about_Child_PSYCH_D__Answer
[Question] Cognitive development [Answer]
Component of development related to changes in how children perceive, think, remember, solve problems, and communicate
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Flashcards about Child PSYCH D
Answer
http://www.studystack.com/flashcard-690081
1/1438042990112.50_20150728002310-00106-ip-10-236-191-2_717427060_3.json
a2adaf2b_Flashcards_about_Child_PSYCH_D__Answer
[Question] Socioemotional development [Answer]
Component of development related to changes in how children interact with other people (e.g., family members, peers, and playmates) and manage their emotions
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Flashcards about Child PSYCH D
Answer
http://www.studystack.com/flashcard-690081
1/1438042990112.50_20150728002310-00106-ip-10-236-191-2_717427060_3.json
a2adaf2b_Flashcards_about_Child_PSYCH_D__Answer
[Question] Nature [Answer]
The biological forces (genetics) that govern development
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Flashcards about Child PSYCH D
Answer
http://www.studystack.com/flashcard-690081
1/1438042990112.50_20150728002310-00106-ip-10-236-191-2_717427060_3.json