Chapter 3 Flashcards

1
Q

MOON

A

Medicare Outpatient Observation Notice

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2
Q

ABN

A

Advanced Beneficiary Notice of Noncoverage

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3
Q

HINN

A

Hospital Issued Notice of Noncoverage

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4
Q

NOTICE

A

Notice of Observation Treatment and Implication of Care Eligibility

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5
Q

MACs

A

Medicare Administrative Contractors

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6
Q

CAH

A

Critical Access Hospital

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7
Q

NCD

A

National Coverage Determination

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8
Q

LCD

A

Local Coverage Determination

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9
Q

IEQ

A

Initial Enrollment Questionnaire

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10
Q

CWF

A

Common Working File

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11
Q

MSPQ

A

Medicare Secondary Payer Questionnaire

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12
Q

ALOS (I)

A

Average Length of Stay

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13
Q

MS-DRG

A

Medicare Severity Diagnosis Related Groups

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14
Q

DRG

A

Diagnosis Related Groups

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15
Q

ADC (I)

A

Average Daily Census

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16
Q

Percentage of Occupancy (I)

A

Census/ # of Licensed Beds Available

17
Q

Number of Patients seen (P)

A

Total # of Patient Encounters/ # of Days

18
Q

Midnight Census (I)

A

Previous Midnight Census - Discharge + Admissions +/- Status Changes

19
Q

Average Daily Census (I)

A

Total # of Patient Days/ # of Days

20
Q

Average Length of Stay (I)

A

Total # of Patient Days/ # of Discharges

21
Q

Inpatient

A

Acute care - Admitted to a hospital bed requiring the highest level of care

22
Q

Observation

A

assigned a bed to monitor patients acute condition which may resolve or worsen.

23
Q

Office

A

Services provided in practitioner’s place of business

24
Q

SNF

A

Skilled Nursing Facility

25
Q

Hospice

A

Palliative care provided to terminally ill patients

26
Q

Respite

A

temporary custodial care that allows an unpaid caregiver relief from caring for a physically frail person.

27
Q

Recurring or Series (level of care)

A

outpatient services where a patient will come in regularly for the same treatment (physical therapy)

28
Q

Examples for a Special Consent form

A

HIV positive testing, Anesthesia, Experimental procedures, Treatment for drug/alcohol disorders

29
Q

Implied consent - in fact

A

consent by silence, does not object

30
Q

Implied consent - by law

A

unconscious ER patient

31
Q

Emancipation

A

minor is freed from parental control