Healthcare Reimbursement Review Questions and Correct Answers
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Course
Healthcare Reimbursement
Institution
Healthcare Reimbursement
Health Care Financing Administration Created in 1977 to coordinate and administer Medicare and Medicaid
HIPPA provisions 1. Ensures coverage for preexisting conditions 2. Protects against discrimination based on health status 3. Right to purchase individual plan
Healthy People 2000 objectives 1. ...
Healthcare Reimbursement Review
Questions and Correct Answers
Health Care Financing Administration ✅Created in 1977 to coordinate and administer
Medicare and Medicaid
HIPPA provisions ✅1. Ensures coverage for preexisting conditions
2. Protects against discrimination based on health status
3. Right to purchase individual plan
Healthy People 2000 objectives ✅1. Health promotion
2. Health protection
3. Preventative services
Healthy People 2010 objectives ✅1. Increasing length/quality of life
2. Eliminating health disparities among different population sectors
Healthy People 2020 objectives ✅1. Increase length/quality of life
2. Health equity
3. Health promotion
4. Healthy development and behaviors
Affordable Care Act ✅1. Expanded Medicaid eligibility
2. Established health insurance exchanges
3. Improved drug reimbursement
4. Created OCIIO
Fee for Service Reimbursement ✅Provider is paid based on amount they charge for a
service
Utilization Management ✅Evaluates necessity and appropriateness of care
Episode of Care (EOC) Reimbursement ✅One payment (bundled payments) made for
all services in a specific time period
Capitation ✅Form of EOC reimbursement. Provider paid a fixed amount per capita for
primary care services.
Global payments ✅Form of EOC reimbursement. Made in one lump sum for all
services provided for a specific illness or disease
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