Chapter 3 Flashcards
MOON
Medicare Outpatient Observation Notice
ABN
Advanced Beneficiary Notice of Noncoverage
HINN
Hospital Issued Notice of Noncoverage
NOTICE
Notice of Observation Treatment and Implication of Care Eligibility
MACs
Medicare Administrative Contractors
CAH
Critical Access Hospital
NCD
National Coverage Determination
LCD
Local Coverage Determination
IEQ
Initial Enrollment Questionnaire
CWF
Common Working File
MSPQ
Medicare Secondary Payer Questionnaire
ALOS (I)
Average Length of Stay
MS-DRG
Medicare Severity Diagnosis Related Groups
DRG
Diagnosis Related Groups
ADC (I)
Average Daily Census
Percentage of Occupancy (I)
Census/ # of Licensed Beds Available
Number of Patients seen (P)
Total # of Patient Encounters/ # of Days
Midnight Census (I)
Previous Midnight Census - Discharge + Admissions +/- Status Changes
Average Daily Census (I)
Total # of Patient Days/ # of Days
Average Length of Stay (I)
Total # of Patient Days/ # of Discharges
Inpatient
Acute care - Admitted to a hospital bed requiring the highest level of care
Observation
assigned a bed to monitor patients acute condition which may resolve or worsen.
Office
Services provided in practitioner’s place of business
SNF
Skilled Nursing Facility
Hospice
Palliative care provided to terminally ill patients
Respite
temporary custodial care that allows an unpaid caregiver relief from caring for a physically frail person.
Recurring or Series (level of care)
outpatient services where a patient will come in regularly for the same treatment (physical therapy)
Examples for a Special Consent form
HIV positive testing, Anesthesia, Experimental procedures, Treatment for drug/alcohol disorders
Implied consent - in fact
consent by silence, does not object
Implied consent - by law
unconscious ER patient
Emancipation
minor is freed from parental control
