Healthcare Reimbursement Review Questions and Correct Answers
0 view 0 purchase
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
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 twishfrancis. 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.
