Drg stands for - Study guides, Class notes & Summaries

HVBP stands for - Hospital Value Based Purchasing HVBP defined - medicare system of reimbursing for quality care DRG stands for - Diagnosis Related Group

CPXP Exam Questions With Verified Solutions/Guaranteed success

CCM Exam 315 Questions with Verified Answers HMO - CORRECT ANSWER health maintenance organization ACO - CORRECT ANSWER Accountable Care Organization Viatical Settlements - CORRECT ANSWER ability to sell own insurance policy CHAMPVA - CORRECT ANSWER Civilian Health and Medical Program of the Veterans Administrationtr CHAMPVA for Life - CORRECT ANSWER provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Cover...

CPXP by Kathryn ( Q & A)

"hold harmless clause" - Answer * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - Answer * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a - Answer entity that processes nonstandard health infor...

Financial Resource Management in Healthcare - C428 Costs- monitor for excess on services provided Cash- most important indicator because it determines your ability to keep operating your business/loans; meet obligations Capital- raise $ for facility and equipment Control- use resources wisely - ANS Finance within a healthcare organization can be condensed into the "four Cs": Accrual Basis Accounting - ANS -Accounting basis in which companies record, in the periods in...

CCM EXAM 300 Questions with Verified Answers ACO - CORRECT ANSWER An acronym for Accountable Care Organization Actuary - CORRECT ANSWER A person in the insurance field who decides insurance policy rates and reserves dividends, as well as conducts various other statistical analyses Parternship for Health ACT 1966 - CORRECT ANSWER recognized health promotion and illness prevention as a " State of complete physical, mental, social well being Assessment tool and diagnostic tests - CORRE...

Which type of information is not maintained in a medical record? a. observations b. medical or surgical interventions c. Treatment outcomes d. Financial records correct answers d. Financial records EHR stands for: a. Extended health record b. Electronic health response c. Electronic health record d. Establish health record correct answers C. Electronic health record The Medicare program is made of several parts. Which part covers provider fees without the use of a private insurer? ...

CCM Exam 90 Questions with Verified Answers Precertification is also known as: - CORRECT ANSWER prospective review The CCM is with a patient who is discussing suicidal thoughts. The MOST important question to ask the patient is - CORRECT ANSWER Do you have a plan The Health Effectiveness Data and Information Set (HEDIS) is - CORRECT ANSWER a widely used set of performance measures developed and maintained by the National Committee for Quality Assurance (NCQA) Telephonic case managers...

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 b. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance Susceptible Aureus d. Mild Resistance Steptococcus Aureus a. Methicillin Resistant Staphylococcus Aureus What does the forth character in diabetes mellitus diabetes codes indicate? a. The condition as controll...