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CAHIMS Exam prep _ Questions And Answers Rated 100- Correct.pdf

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  • Course
  • CGAP - Certified Government Auditing Professional
  • Institution
  • CGAP - Certified Government Auditing Professional

CAHIMS Exam prep _ Questions And Answers Rated 100- C

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  • August 29, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CGAP - Certified Government Auditing Professional
  • CGAP - Certified Government Auditing Professional
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Denyss
8/30/24, 3:17 AM



CAHIMS Exam prep
Jeremiah




Terms in this set (91)

majority of patient healthcare needs, often the entry point into healthcare, includes
Primary care
screening, prevention, diagnosis, and treatment for acute and chronic health problems

generally more specialized care and can include surgery, cardiology, and other care
Secondary care
provided by specialists

complex, highly specialized healthcare, often university hospitals, requires
sophisticated technology, multiple specialists and subspecialists, a diagnostic support
Tertiary care
group and intensive care facilities. Examples include trauma centers, burn centers, and
neonatal care

physical structures that house patients who are sick or injured. Person may be admitted
in one of two ways: emergency room and evaluated by a team of clinicians- if patient is
Hospitals
sick enough then admitted, and a patient may also be directly admitted from a
physician's office

provide care for patients needing comprehensive rehabilitation and medical
management often associated with stroke, joint replacement or other serious injury.
Rehabilitative facilities or acute rehabilitation
After surgery or acute illness, a patient may be too frail to return home and may need
hospitals
to spend time in a rehabilitation center for specialized speech, physical, and
occupational therapy

provide full medical care after a hospitalization. Also provide assistance with activities
of daily living, such as meals, personal care, housekeeping, and laundry, while the
Skilled nursing facility patient is recovering. Manage transition of acute illness or injury to return home, Avg
stay in a SNF is greater than 25 days. Provide long-term care for patients needing
residential nursing services for an extended period of time

specialized hospitals designed for patients who need intensive, hospital-level care for
Long-term acute care hospital
weeks or months

Adult day care provides meals and activities during the day

typically retirement communities consisting of condominiums or apartments. Residents
Independent living
can usually purchase added services such as meals or housekeeping

separate apartments or private rooms in a common building where a number of
Assisted living services, such as personal care, medication administration, meals, and housekeeping
are provided




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specialized healthcare designed to serve patients with a terminal illness. Focuses on
maximizing the quality of life and providing palliative care, including pain control.
Families are typically involved in the hospice care of their loved ones, and services such
Hospice care as grief counseling and help with managing patient's final affairs are often provided to
them. Hospice care can be provided in a variety of settings. Hospice programs can
involve both inpatient care as well as hospice care provided in ambulatory
environments, including the home

60% US surgeries are outpatient. Equipped to handle surgery, pain management and
Ambulatory surgery centers (ASC) certain diagnostic procedures that do not require overnight hospitalization. May be
part of a hospital, specialty hospital, or own facility

department of the hospital responsible for the provision of medical and surgical care to
patients arriving at the hospital in need of immediate care. ED personnel may respond
ED to certain situations in hospital, such as cardiac arrest. If the patient is discharged
directly from the ED then the episode is considered an outpatient event. In ED
considered observation patient

Such as sports medicine and rehabilitation, provided in outpatient settings- hospital
Outpatient specialty medicine
based clinics, physician offices, non-hospital clinic settings

clinical services such as pathology and laboratory medicine, radiology, and nuclear
Diagnostic services
medicine

Typically perform tests such as x-rays, CT scans, MRI, mammograms, and position
Diagnostic imaging facilities
emission tomography scans

primarily evaluate biological specimens including blood. Divisions of a laboratory
Medical laboratories
include chemistry, hematology, microbiology and toxicology

dedicated to a particular type of testing. Include DNA testing, medical pathology,
Specialized medical laboratories parasitology and mycology, and toxicology. Specialized labs also provide
nonradiologic testing services

Provide care to underserved populations, are run by nonprofit organizations or state
Community health clinics
and local governments

Provided to patients in their home by a skilled nursing professional. Usually prescribed
by PCP for: patients who are disabled or who suffer chronic debilitating illness, seniors
who are still able to live at home by require regular health oversight, patients who
might otherwise require a stay in a more expensive long-term care hospital or
rehabilitation facility, post-hospitalization recovery fro patients just released from a
Home healthcare
long-term care hospital or rehabilitation center who require a few weeks of regular
health oversight. Combination of professional healthcare services and life assistance
services- medical and psychological assessment, nursing care, wound care, medication
oversight or teaching, pain management, disease education and management, therapy
and rehabilitation, physical, speech, or occupational

located in schools and offer a wide range of services depending on state and local
School-based health centers policy. Provide screening and preventive care, treat minor illnesses. Offer behavioral
and counseling. Linked to local HCOs for referral

located in an employment facility or can be mobile clinic. Focus on occupational health
and injury prevention but now include preventive care, screening and chronic disease
Employer-based health clinics
management. Allow employer to have control over healthcare costs by emphasizing
wellness care, and employees to receive healthcare without taking off work

Veteran's Health Administration, provides healthcare for veterans through a series of
outpatient and inpatient facilities run by the U.S. Department of Veteran Affairs. One of
VHA
the largest healthcare systems in the world and provides training for a majority of
America's medical, nursing, and allied health professionals




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