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CPMSM - NAMSS Glossary All v3 Test questions and answers 2025 latest update.
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CPMSM - NAMSS Glossary All v3 Test questions and answers 2025 latest update.
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CPMSM - NAMSS Glossary Allv3 Test questions and answers
2025 latest update.
AAAHC (Accreditation Association for Ambulatory Health
Care) - answer The Accreditation Association for
Ambulatory Health Care - also known as AAAHC or the
Accreditation Association - is a private, non-profit
organization formed in 1979 to assist ambulatory health
care organizations improve the quality of care provided to
patients.
AANA (American Association of Nurse Anesthetists) -
answer Founded in 1931, the American Association of
Nurse Anesthetists (AANA) is the professional association
for more than 37,000 Certified Registered Nurse
Anesthetists (CRNAs) and student nurse anesthetists.
CRNAs are advanced practice nurses who are the hands-on
providers of 30 million anesthetics given in the United
States each year. .
ABMS (American Board of Medical Specialties) - answer
The American Board of Medical Specialties (ABMS), a not-
for-profit organization, assists 24 approved medical
specialty boards in the development and use of standards
in the ongoing evaluation and certification of physicians.
accessibility - answer The extent to which a member of a
managed care organization (MCO) can obtain available
services at the time they are needed. Such service refers
,to both telephone access and ease of scheduling an
appointment.
ACCME (Accreditation Council for Continuing Medical
Education) - answer The ACCME is the organization who
mission is the identification, development, and promotion
of standards for quality continuing medical education
(CME) utilized by physicians in their maintenance of
competence and incorporation of new knowledge to
improve quality medical care for patients and their
communities.
Accreditation - answer A determination by an accrediting
body that an eligible healthcare organization complies
with applicable Joint Commission standards. See also
accreditation decisions.
Accreditation Appeal - answer The process through which
an organization that has been preliminarily denied Joint
Commission accreditation exercises its right to a hearing
by an Appeals Hearing Panel, followed by a review of the
Panel's report and recommendation by The Joint
Commission's Board of Commissioners.
Accreditation Cycle - answer A period of accreditation at
the conclusion of which accreditation expires unless a full
survey is performed.
Accreditation Decisions - answer Categories of
accreditation that an organization can achieve based on a
full survey by the accrediting body
,Accreditation Report - answer A report of an
organization's survey findings; the report includes
organization strengths, requirements for improvement
(see definition), and supplemental findings (see
definition), as appropriate.
Accreditation Survey Findings - answer Findings from an
on-site evaluation conducted by Joint Commission's
surveyors which result in an organization's accreditation
decision.
Accreditation Watch - answer An attribute of an
organization's Joint Commission accreditation status. A
healthcare organization is placed on Accreditation Watch
when a sentinel event has occurred and a thorough and
credible root cause analysis of the sentinel event has not
been completed within a specified time frame. Although
Accreditation Watch status is not an official accreditation
category, it can be publicly disclosed by The Joint
Commission.
ACGME (Accreditation Council for Graduate Medical
Education) - answer The Accreditation Council for
Graduate Medical Education (ACGME) is responsible for
the Accreditation of post-MD medical training programs
within the United States. Accreditation is accomplished
through a peer review process and is based upon
established standards and guidelines.
, ADA (Americans with Disabilities Act) - answer The ADA
is a wide-ranging civil rights law that prohibits, under
certain circumstances, discrimination based on disability.
administration costs - answer Costs incurred by a carrier,
such as an insurance company or HMO, for administrative
services like claims processing and overhead expenses.
Administration costs are usually expressed as part of
premium.
ASO (Administrative Services Only) - answer A service
requiring a third party to deliver administrative services
to an employer group and requiring the employer to be at
risk for the cost of healthcare services provided. This is a
common arrangement when an employer sponsors a self-
funded healthcare program.
admissions/1000 - answer The number of hospital
admissions per 1,000 health plan members. The formula
for this measure is: (# of admissions/member months/ x
1,000 members x # of months.)
ADS (Alternative Delivery System) - answer A method of
providing healthcare benefits that depart from the
traditional indemnity methods. An HMO, for example, is
considered an alternative delivery system.
adverse selection - answer (1) Describes a plan with a
disproportionate share of enrollees who are sicker than
the general population, specifically, members who are
sicker than anticipated when the medical costs budget
was developed.
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