Bba program - Study guides, Class notes & Summaries

HCCA - CHC Study Questions (MASTER FLASHCARDS) True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

What was considered the forerunner of what we now call health maintenance organizations? Prepaid groups practices The original impetus of HMOs development came from what developments in healthcare? - Employers seeking to control costs - Providers seeking patient revenues - Consumers seeking access to health care How did Blue Cross begin? Started when the Baylor Hospital in Texas offered 1,500 teachers prepaid impatient care. What are the integral components of managed c...

FMAX - answer-Family Max Amount MBP - answer-Monthly Benefit Payment BBA - answer-Bipartisan Budget Act DNH - answer-Deceased Number Holder HA - answer-Disabled Claimant MONET - answer-Miscellaneous Online Edited Transactions DBW - answer-Disabled Widow(er)'s Benefit EDCS - answer-Electronic Disability Collect System PC - answer-Program Center WINDEX - answer-Widow(er)'s Indexing T2 - answer-Title 2 Redesign YOC - answer-Years of Coverage CPS - answer-Critic...

What was considered the forerunner of what we now call health maintenance organizations? Prepaid groups practices The original impetus of HMOs development came from what developments in healthcare? - Employers seeking to control costs - Providers seeking patient revenues - Consumers seeking access to health care How did Blue Cross begin? Started when the Baylor Hospital in Texas offered 1,500 teachers prepaid impatient care. What are the integral components of managed c...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer- True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer- 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the app...

HCCA - CHC Study Questions (MASTER FLASHCARDS)Accurate 100% d. reliable and equal discipline - ANSWER c. non-retaliation for whistleblowers A Compliance Program with well written policies and procedures: a. can be successful if consistently reviewed and maintained b. cannot be effective due to the sheer volume presented c. will be effective if read by management d. will not be successful without the proper oversight - ANSWER d. will not be successful without the proper oversight A...

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