Exam 1 Flashcards
What type of reimbursement method in which the cost is based on the provider’a charge for each service
Fee-for-service
The joint commission accreditation last how long?
3 years
What is indirect pay
Payment that involves the third party on the behalf of the patient.
Indirect payer can be who?
Insurance company, government companies MCO, self insured companies
The legal approval for facility to operate or for a person to practice within his or her profession?
Licensure
The omnibus budget reconciliation act of 1989 was established by whom ?
AHRQ agency for healthcare research and quality
Who pays for the healthcare in the us?
Largely paid by insurance provided by most employers
Which of the following is true about the source of insurance?
A. Most Americans receive health insurance through medicare
B. Most Americans receive health insurance through Medicaid
C.Most Americans receive health insurance through employer sponsored health insurance
D.Most Americans receive health insurance through policies as individual
E.Most Americans receive health insurance through do not have insurance
C.
Which insurance is not commonly offered ?
IPA and pcmh
What is the minimum FMAP that will qualify a state for the maximum eFMAP?
85%
When did the Massachusetts general hospital open ?
1821
Which us hospital started its first register of patients in 1791
New York hospital
What is almshouse
A house built for originally by a charitable person or organization for poor people to live in
First licensure to practice medicine was issued in what us state in 1790
New York
Who establishes the documentation. Standards
ACS
Who was the first AHIMA president
Ms. Myers
What was the purpose of the ACS
Founded in 1913, they devolved the hospital standardization. Program
When did the joint commission stated to perform accreditation surveys?
1953
True/ false
The joint commission. announces it survey process to the facility
False
What were the objectives for for Healthy people 2010
Disease prevention and health promotion
When and where was the first US school for nurses ?
New England hospital for women and children 1872
What does blue shield cover
To cover the cost of the physicians
To asses and document patient expectations and patient satisfaction. Is a secondary purpose
False it’s a primary purpose
To determine disability for ex worker’s compensation is a primary purpose
True
To bill for service is a secondary purpose
False it’s a primary
To asses technology is a secondary purpose
True
An accreditor is a individual user
True
What is an example of a proprietary hospital
Privately owned foundations partnerships
For profit hospitals are not privately owned
False they are privately owned
A prepaid fixed amount is paid to the provider for each person served regardless of how much or how often the patient receives health care services
Capitation
