Aaham stuvia - Study guides, Class notes & Summaries

1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...

CRCS - Answer Certified Revenue Cycle Specialist AAHAM - Answer The American Association of Healthcare Administrative Management 1-Day Rule - Answer a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within one day prior to the hospital admission are bundled with the inpatient services for Medicare billing. 3-Day Rule - Answer a requirement that all diagnostic or outpatient services furnished in connection with the p...

AABB - Answers American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse - Answers Improperly, and often unknowingly, violating regulations ALJ hearing - Answers The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks - Answers AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association - Answers AOA; one of six CMS - approved accreditation orga...

Also known as the Kennedy kassenbaum bill - Answer HIPAA Providers that a reporter error must be corrected or explained within 2 billing cycles or 90 days - Answer Fair credit billing act Formerly known as HCFA - Answer CMS Also known as regulation Z - Answer Truth in lending act Was recently amended to place additional requirements on CRA s - Answer Fair credit reporting act Established HSAs known as MSAs) - Answer HIPAA Prohibits harassment,abuse and use of false or misleadin...

AAHAM Review correcCMS - ANSWER Centers for Medicare and Medicaid Services - a division of HSS that administers the Medicare program, it also works with state governments to administer the Medicaid program, the Children's Health Insurance Program, and portability standards for health in general QIO - ANSWER Quality Improvement Organization - to improve the effectiveness, efficiency, and quality of services delivered to Medicare beneficiaries at a lower cost t 100%

Identify federal agencies playing a major role in healthcare - Answer Department of Health and Human Services (BHHS) and Centers for Medicare and Medicaid Services (CMS) General provisions of major federal regulations - Answer Patient rights, Affordable care, Anti-Fraud and abuse, Credit and Collections, Regulation 501, Patient anti-dumping, Laboratory licensing, and other areas addressed by HIPAA Roles of The Joint Commission - Answer Accreditation as requirement of participation in Medic...

AAHAM(2024 Latest Update)a Regulation Z (Truth in Lending) - ANSWER Deals with disclosure of info before credit is extended. This Truth in lending act require that APR & finance charges are clearly and conspicuously identified. What was CMS formerly known as? - ANSWER Health Care Financing Administration (HCFA) Fair Credit Billing Act - ANSWER Protects consumers from inaccurate or unfair practices by issuers of open ended credit and Provides that a reported error must be corrected or expl...

The name and acronym for the government's largest grant making agency - Answer Department of Health and Human Services (DHHS) Medicare is also known as Title *BLANK* of CMS - Answer XVII (18) Medicaid is also known as Title *BLANK* of CMS - Answer XIX (19) The program that reviews all quality of service complaints submitted by Medicare beneficiaries - Answer Quality Improvement Organization (QIO) Agencies subject to the Freedom of Information Act (FOIA) are also subject to the *BLAN...