Data Elements Utilized to calculate average days in A/R - ANSWERS-Charges,
charity adj, contractual adj., and bad debt w/o
Sound Credit Administration - ANSWERS-Occurs before administration (SCA)
Utilization Review - ANSWERS-Review of healthcare services to determine if the
services are a necessary, appropriate, and efficient use of resources-before care is
rendered, during care delivery and after care is rendered.
HIPAA - ANSWERS-The Health Insurance Portability and Accountability Act, a
federal law protecting the privacy of patient-specific health care information and
providing the patient with control over how this information is used and
distributed
HIPAA Compliant Electronic Transaction - ANSWERS-ANSI transaction used to
send and receive eligibility info is: 270/271
Best Method for effective staff education - ANSWERS-Training, testing, role
playing and measured outcomes
Descriptive Statistics - ANSWERS-The branch of statistics that includes numerical,
graphical, and tabular methods for organizing and summarizing data
, Patient Rights - ANSWERS-Access to care, respect and dignity, privacy and
confidentiality, identity of all providing care, safety, information (dx, tx, care),
communication (interpreter)
Patient Encounter - ANSWERS-any personal contact between a patient and a
physician or other person authorized to furnish healthcare services for the
diagnosis or treatment of the patient
Disaster Planning - ANSWERS-The admissions/registration area should address the
following areas; response, backup, recovery and motivation
Hotwashes - ANSWERS-Performed after emergency management disaster and
development exercises.
Common Benchmark Processes - ANSWERS-Customer service/satisfaction,
employee training, process improvement and performance measurements.
Functions of Management - ANSWERS-organizing, planning, controlling and
directing
Stop Loss Provision - ANSWERS-used in health insurance to limit the maximum
amount of money the insured would have to pay out of pocket on a health claim
in any particular claim
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