Chaa exam stuvia Study guides, Class notes & Summaries

Medicare Two-midnight rule - ANSWER-What is the CMS rule that states that an inpatient stay must cross two midnights to be paid for under Medicare part A? OIG - ANSWER-Which program is responsible for protecting the integrity of the Hospital and Human Services (HHS) program by detecting and preventing fraud? 7 - ANSWER-An effective compliance level has a minimum of how many levels? Creating standards of privacy - ANSWER-Part of an effective compliance program Not being treating in an...

Accepting Assignment - ANSWER-When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Access - ANSWER-The Patient's ability to obtain medical care. The ease of access is determined by such components as the availability of medical services and their acceptability to the patient, the location of health care facilities, transportation, hours of operation and cost of care. ...

ACCEPTING ASSIGNMENT - ANSWER-When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Acute Care - ANSWER-Medical attention given to patients with conditions of sudden onset that demand urgent attention or care of limited duration when the patient's health and wellness would deteriorate without treatment. The care is generally short-term rather than long-term or chronic c...

CHAA - ANSWER-Certified Healthcare Access Associate NAHAM - ANSWER-The National Association of Healthcare Access Management AIDET - ANSWER-Acknowledge, Introduce, Duration, Explanation and Thanks Active Customer Feedback - ANSWER-occurs when the provider requests information from the patient. Ex. Customer surveys, Customer comment cards and Customer callback programs Passive Customer Feedback - ANSWER-Is the formal and informal process of obtaining and responding to patient complimen...

Internal and external - ANSWER-Patient access service's customers are_____________________. External Customers - ANSWER-is Vital to ensure a positive healthcare experience for patients. Demonstrating compassion - ANSWER-is as significant (important) as competence in assuring that a clean & accurate claim is generated. All personnel providing services to patients and families - ANSWER-are responsible for knowing, promoting, and assisting patients to exercise their rights. At anytime ...

Scatter Diagram - ANSWER-A graphic display of data plotted along two dimensions used to screen for a relationship between two variables Run Chart - ANSWER-a visual display of data that enables monitoring of a process to determine whether there is a systemic change in process over time Pareto Chart - ANSWER-A graphic representation of the frequency with which certain events occur may be used to set priorities or oppotunities for improvement Measure - ANSWER-A number assigned to an object...

Scatter Diagram - ANSWER-A graphic display of data plotted along two dimensions used to screen for a relationship between two variables Run Chart - ANSWER-a visual display of data that enables monitoring of a process to determine whether there is a systemic change in process over time Pareto Chart - ANSWER-A graphic representation of the frequency with which certain events occur may be used to set priorities or oppotunities for improvement Measure - ANSWER-A number assigned to an object...

− People age 65 and older − People of any age with end stage renal disease − Certain disabled people under age 65 Medicare Prefix A - ANSWER-A - Primary wage earner Medicare Prefix B - ANSWER-B - Entitled to benefits through spouse Medicare Prefix C - ANSWER-C - Child Medicare Prefix D - ANSWER-D - Widow Medicare Prefix D1 - ANSWER-D1 - Widower Medicare Prefix W - ANSWER-W - Disabled widow Medicare Prefix W1 - ANSWER-W1 - Disabled widower Medicare Part A - ANSWER...

Medicare Two-midnight rule - ANSWER-What is the CMS rule that states that an inpatient stay must cross two midnights to be paid for under Medicare part A? OIG - ANSWER-Which program is responsible for protecting the integrity of the Hospital and Human Services (HHS) program by detecting and preventing fraud? 7 - ANSWER-An effective compliance level has a minimum of how many levels? Creating standards of privacy - ANSWER-Part of an effective compliance program Not being treating in an...

Accepting Assignment - ANSWER-When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Access - ANSWER-The Patient's ability to obtain medical care. The ease of access is determined by such components as the availability of medical services and their acceptability to the patient, the location of health care facilities, transportation, hours of operation and cost of care. ...