MHA 705 Module 1- 6 Exam - Questions And Answers
/2024 {GRADED A}
Direct Costs - CORRECT ANSWER Costs unique and exclusive
to a department. GENERATE REVENUE
Ex- costs associated with providing the clinical testing such as staff
and supplies.
Indirect costs (overheads) - CORRECT ANSWER Costs...
Direct Costs - CORRECT ANSWER Costs unique and exclusive
to a department. GENERATE REVENUE
Ex- costs associated with providing the clinical testing such as staff
and supplies.
Indirect costs (overheads) - CORRECT ANSWER Costs
associated with shared resources used by the entire organization
documentation of healthcare services provided to an individual during
any aspect of healthcare delivery in any type of healthcare
organization - CORRECT ANSWER legal health record (LHR)
provides the organization with the ability to accurately and uniquely
identify its patients
--the first step in the creation of each patient's record within the EHR
and initiates the flow of patient information within the EHR -
CORRECT ANSWER patient registration
key application within an organization's registration system; uniquely
identifies the individuals who have received services from the
organization - CORRECT ANSWER master patient index (MPI)
used to implement the release of health information to patients and
facilitate communications between patients and providers through a
web connection, utilizing a secure username and password -
CORRECT ANSWER patient/member web portals
an application used to create a claim for services, to submit charges
to third-party payments or patients, to track receipt of payments, and
,to generate reports of billing- and claims-related activities -
CORRECT ANSWER billing software
a technique used to study the flow of operations - CORRECT
ANSWER workflow analysis
focused specifically on the capabilities and features of the software:
how to navigate through the application, how to enter data into
different modules within the application, and such - CORRECT
ANSWER functionality training
focused on applying the systems capabilities and features within the
context of the specific workflow of a person doing a task or series of
tasks - CORRECT ANSWER workflow training
begins with communication between the front-end user and the
developer of the form, utilizing a standard data dictionary for the
organization - CORRECT ANSWER electronic forms and
templates
an important piece of the overall EHR maintenance and will include a
formal disaster recovery plan process and downtime planning -
CORRECT ANSWER contingency planning
a compilation of clinically relevant physical and diagnostic corners,
procedures, and psychosocial and cultural issues that may affect the
health status and care of patients - CORRECT ANSWER
problem list
EHR stands for? - CORRECT ANSWER electronic health record
process that begins when a patient comes into the healthcare system
and includes those activities that have to occur in order for a provider
of the care to bill at the end of the patient's service encounter -
CORRECT ANSWER revenue cycle
,three phases of the revenue cycle? - CORRECT ANSWER front-
end, middle, and back-end
what does the front-end of the revenue cycle include? - CORRECT
ANSWER patient access functions such as scheduling of the
patient for services, registration of the patient, prior or reauthorization
for services, insurance verification, service estimates, and financial
counseling
what does the middle of the revenue cycle include? - CORRECT
ANSWER case management, capture of charges for services
rendered, and coding for those services based on clinical
documentation
what does the back-end of the revenue cycle include? - CORRECT
ANSWER the business office or patient financial service process
and includes claims processing and payment posting, follow-up,
customer service, collections of unpaid bills, and denial management
the requirement that a healthcare provider obtain permission from the
health insurer prior to predefined services being provided to the
patients - CORRECT ANSWER preauthorization
staff dedicated to helping patients and physicians determine sources
of reimbursement for healthcare services - CORRECT ANSWER
financial counselors
healthcare services that have been or will be provided but are never
expected to result in cash inflows - CORRECT ANSWER charity
care
the collection of the portion of the bill that is likely the responsibility
of the patient prior to the provision of service - CORRECT ANSWER
point-of-service (POS) collection
, a determination that a service is reasonable and necessary for the
related diagnosis of treatment of illness and injury - CORRECT
ANSWER medical necessity
when an insurer providers financial incentive or discounted rates to a
facility to obtain a flow of patients it would not otherwise receive -
CORRECT ANSWER steerage
a collaborative process of assessment, planning, facilitation, care
coordination, evaluation, and advocacy for options and services to
meet an individual's and family's comprehensive health needs through
communication and available resources to promote quality cost
effective outcomes - CORRECT ANSWER case management
meaningful use - CORRECT ANSWER the use of certified
electronic health record technology to achieve health and efficiency
goals, with a financial incentive from Medicare and Medicaid
HITECH - CORRECT ANSWER Health Information Technology
for Economic and Clinical Health Act
IOM - CORRECT ANSWER Institute of Medicine
EHR - CORRECT ANSWER Electronic Health Record: An
integration of all medical documentation into electronic format,
Interoperable
EMR - CORRECT ANSWER electronic medical record. Not
interoperable
HL7 - CORRECT ANSWER Health Level 7; standards
development organization accredited by the American National
Standards Institute that addresses issues at the 7th, or application,
level of healthcare system interconnections
migration path - CORRECT ANSWER A strategic plan that
identifies applications, technology, and operational elements needed
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