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Through what document does a hospital establish compliance standards? - code of conduct What is the purpose OIG work plant? - Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? -...

Purpose of Contracts - Purpose Contracts will be used to define terms between two or more parties for the provision of a service or product. In health care, contracts are used for: Health plan or payer agreements. Construction projects. Collection services. Maintenance on equipment. Leasing sp...

Contribution Margin - Difference between marginal revenue and marginal cost. Break-even point - Level of sales volume of a product producing the exact amount of contribution margin needed to cover fixed costs. Overhead - Indirect Costs Activity-based costing (ABC) - Method of determining product...

Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the ...

What has changed for Healthcare Analytics? - 1 - Increased computing power and storage, decrease in cost; 2 - increased abundance of data in healthcare; 3 - increase in individuals having strong competencies Big Data - Refers to the Growth in available data, massive continually increasing volume...