Accounts Receivable - Answer-Patient bills for services that have already been provided that legally are due to a facility.
Autopsy Rates - Answer-The percent of autopsies performed on patients who die in the hospital; reasons for not performing an autopsy in the hospital may include legal inqui...
NHA - CERTIFIED ELECTRONIC HEALTH RECORD
SPECIALIST (CEHRS) STUDY GUIDE AVTEC
Accounts Receivable - Answer-Patient bills for services that have already been provided
that legally are due to a facility.
Autopsy Rates - Answer-The percent of autopsies performed on patients who die in the
hospital; reasons for not performing an autopsy in the hospital may include legal inquiry
or family preference.
Average Length of Stay (ALOS) - Answer-The total number of patient days in a period
divided by the number of patients; for example, the ALOS for cardiology services in
February was 6.1 days.
Benchmarks - Answer-Goals or metrics a facility wants to meet; for example, if the
industry standard is 90% of patients should have advance directives entered into their
patient record within 24 hour of admission, and a hospital was only meeting this for 45%
of the patients, they would use the external benchmark of 90% as a goal and track
performance toward that goal by month or quarter.
Centers for Disease and Control and Prevention (CDC) - Answer-A division of the
Department of Health and Human Services.
Chief Executive Officer (CEO) - Answer-Leader of a facility who reports to the Board of
Directors.
Chief Financial Officer (CFO) - Answer-Leader who oversees all financial and fiscal
decisions and issues for a facility; generally reports to the CEO.
Commercial Insurers - Answer-Private, non-government insurers; these are often the
insurance options available through employers.
Comorbidity - Answer-Disease that exists at the same time as a primary disease that a
patient is being treated for at the time; for example, a patient who has cancer is
receiving cancer specific treatment and is also a diabetic - diabetes mellitus would be
considered the comorbid condition.
Complications - Answer-Unexpected events or circumstances that happen to a patient
during the course of his care; hospital-acquired infections, such as those involving
MRSA, are considered to be complications, as are reactions to medications or an
adverse response to any treatment.
Copayment - Answer-Money the patient must pay toward the bill as contracted between
the insurer and provider; amounts range from $5 to $50, and $75 for emergency room
and specialist visits; provider's office visits are often in the $10 to $35 range.
, Daily Census - Answer-The count of how many patients are in beds by patient care unit
for an inpatient facility.
Department of Health and Human Services (HHS) - Answer-Principle agency for
protecting Americans' Health
Institute of Medicine (IOM) - Answer-Non-governmental, independent, and nonprofit
organization that provides unbiased, expert advice to governmental and private
decision-makers, as well as the public.
Morbidity - Answer-Refers to disease
Mortality (death) Rate - Answer-The percentage of all discharged patients who are
discharged due to death within a prescribed period; for example, if a hospital has
discharged 30 patients in a month, and of those 5 were deaths, the mortality rate for the
month would be expressed as 5/30 or 16.7%.
National Ambulatory Medical Care Survey (NAMCS) - Answer-Collects data on
ambulatory medical care provided in the U.S.; the data is collected from visits to office
based providers who provide direct patient care.
National Center for Health Statistics (NCHS) - Answer-Nation's primary statistics
organization; it works to compile, analyze, and disseminate information on the nation's
health to influence and guide health policy and practice in a manner that best serves the
population.
National Health Inpatient Quality Measures - Answer-A set of specific data that hospitals
must collect and report to CMS and the Joint Commission to document quality patient
care.
Occupancy Rate - Answer-The percentage of licensed beds in a hospital that have a
patient assigned to them, and thus are generating revenue.
Patient Care Unit (PCU) - Answer-For the purpose of census data, a PCU has a defined
number of beds and is staff assigned; also called floors, units, or wards.
Prospective Payment System (PPS) - Answer-System initially implemented by Medicare
in the early 1980's that replaced fee-for-service payments for the provision of health
services with predetermined payments based on the principal diagnosis of the patient.
Service Lines - Answer-Groups of patient services by specialty; hospitals define these
individually, and they vary by facility with some similarities, such as obstetrics; examples
include cardiology, neurology, thoracic surgery, general surgery, and the gynecology;
some facilities choose to combine similar or related lines, such as obstetrics and
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