Medicare Integrity Program (MIP) - Correct Answer - Authorizes
CMS to contract entities for cost report auditing, medical review,
anti-fraud activities, and the Medicare Secondary Payer program.
Medicare Shared Savings Program - Correct Answer - Mandated
by PPACA to improve care quality for Medicare fee-for-service
beneficiaries through Accountable Care Organizations (ACOs).
Message Digest - Correct Answer - Text representation as a string
of digits created using a formula, encrypted and attached to an
electronic document for electronic signatures.
Minimum Necessary Standard - Correct Answer - HIPAA Privacy
Rule principle that protected health information should only be
used when necessary for a specific purpose.
, National Plan and Provider Enumeration System (NPPES) -
Correct Answer - CMS system assigning unique identifiers (NPI)
to healthcare providers.
National Provider Identifier (NPI) - Correct Answer - Unique 10-
digit numeric identifier for healthcare providers, including a check
digit in the last position.
National Standard Employer Identification Number (EIN) - Correct
Answer - Unique 9-digit identifier for employers sponsoring health
insurance, assigned by the IRS since January 1998.
National Standard Format (NSF) - Correct Answer - Flat-file
format for billing provider and noninstitutional services like those
on a CMS-1500 claim.
Notice of Privacy Practices (NPP) - Correct Answer - Document
outlining individual health privacy rights regarding protected
health information.
Precedent - Correct Answer - Legally binding court decision
following stare decisis, requiring applying precedent law to similar
cases.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nursehailey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
