Agency Definitions Flashcards
HHS
Depth of Health & Human Services
US Government’s principal agency for protecting the health of all Americans and providing essential human services.
CMS part 1
Centers for Medicare & Medicaid Services
Combines oversight of Medicare (title XVIII) and federal Medicaid (title XIX) and State Children’s Health Insurance Program (CHIP), the health insurance marketplace, and related quality assurance activities.
CMS part 2
Centers for Medicare & Medicaid Services
Also responsible for developing rules and regulations that govern Medicare and Medicaid.
11 HHS operating divisions
NIH FDA CDC ATSDR IHS HRSA SAMHSA AHRQ CMS ACF ACM
QIO
Quality Improvement Organization
Monitors and improves utilitization of care for Medicare beneficiaries. Has national network of QIO’s responsible for each state, territory and DC.
OIG
Office of Inspector General
Mission is to protect the integrity of the HHS programs and health and welfare of beneficiaries of the programs. Has major role in investigating fraud & abuse.
AHA Bill of Rights
Replaced by Patient Care Partnership
During hosp stay, pt can expect: High quality hospital care Clean/safe environment Involvement in your care Protection of your privacy Help when leaving hospital Help with your billing claims
HIPPA
What is it?
Creates federal standards for insurers, homes, and employer plans, including those who are self insurers.
