Ambulatory Care Cert Exam CORRECT
QUESTIONS & ANSWERS(RATED A)
Accreditation Association for Ambulatory Health Care (AAAHC) - ANSWER private, non-profit agency that
offers voluntary peer-based review of the quality of health care services of ambulatory health
organizations
Ambulatory Patient Classifications (APCs) - ANSWER used by CMS for prospective payment in hospital
outpatient depts and ambulatory surgery centers; based on procedures and adjusted for severity
Ambulatory Patient Groups (APGs) - ANSWER patient classification system designed to explain amount
and type of resource used in ambulatory care visit
Balanced Scorecard - ANSWER Graphic or pictoral display of the orgs indicators chosen to support the
strategic plan and vision of the org; allows for examination of the relationships among the separate
indicators (care, quality, financial, operational)
CMS - ANSWER Formerly Health Care Financing Administration (HCFA); dividsion within the US Dept of
Health and Human Services that determines the standard rules and reporting mechanisms for health
care services
Clinical Care Classification (CCC) - ANSWER Formerly home health care classification (HHCC); Saba's
Georgetown System for Patient Problems, Interventions and Outcomes.
Commercial Indemnity Plans - ANSWER a type of insurance contract in which the insurer pays for care
received up to a fixed amount per encounter or episode of illness
Cultural awareness - ANSWER conscious learning process through which one becomes appreciative and
sensitive to the cultures of other people
Cultural knowledge - ANSWER process of understanding the key aspects of a groups culture
, Cultural Skills - ANSWER ability to collect relevant data regarding health histories and perform culturally
specific assessments
Dysthymia - ANSWER Depression that is chronic in nature, more mild than major depression
Emergency Medical Treatment and Active Labor Act (EMTALA) - ANSWER federal law passed in 1986 to
ensure patient access to emergency services regardless of ability to pay
Equal Employment Opportunity Commission (EEOC) - ANSWER a federal agency that enforces regulations
concerning equal opportunity
Ethnopharmacology - ANSWER emerging field of research that is increasingly focusing on the effect of
genetic and cultural factors on absorption, metabolism, distribution and elimination and the mechanism
of action/effect of drugs
Health Care Financing Administration Common Procedure Coding System (HCPCS) - ANSWER a uniform
method for health care providers and medical suppliers to report professional services, procedures and
supplies to health care plans
HEDIS - ANSWER A set of standardized performance measures designed to assure that purchasers and
consumers have the information they need to reliably compare the performance of health plans;
sponsored and maintained by NCQA
Independent Practice Association (IPA) - ANSWER a legal entity whose members are independent
physicians who contract with the IPA for the purpose of having the IPA contract with one or more HMOs
The Joint Commission (formerly JCAHO) - ANSWER indepenedent, no profit org that evaluates and
accredits more than 15,000 healthcare programs in the US
Institute of Medicine (IOM) - ANSWER independent, non-profit org that works to provide unbiased and
authoritative advice to decision makers and the public to improve health
QUESTIONS & ANSWERS(RATED A)
Accreditation Association for Ambulatory Health Care (AAAHC) - ANSWER private, non-profit agency that
offers voluntary peer-based review of the quality of health care services of ambulatory health
organizations
Ambulatory Patient Classifications (APCs) - ANSWER used by CMS for prospective payment in hospital
outpatient depts and ambulatory surgery centers; based on procedures and adjusted for severity
Ambulatory Patient Groups (APGs) - ANSWER patient classification system designed to explain amount
and type of resource used in ambulatory care visit
Balanced Scorecard - ANSWER Graphic or pictoral display of the orgs indicators chosen to support the
strategic plan and vision of the org; allows for examination of the relationships among the separate
indicators (care, quality, financial, operational)
CMS - ANSWER Formerly Health Care Financing Administration (HCFA); dividsion within the US Dept of
Health and Human Services that determines the standard rules and reporting mechanisms for health
care services
Clinical Care Classification (CCC) - ANSWER Formerly home health care classification (HHCC); Saba's
Georgetown System for Patient Problems, Interventions and Outcomes.
Commercial Indemnity Plans - ANSWER a type of insurance contract in which the insurer pays for care
received up to a fixed amount per encounter or episode of illness
Cultural awareness - ANSWER conscious learning process through which one becomes appreciative and
sensitive to the cultures of other people
Cultural knowledge - ANSWER process of understanding the key aspects of a groups culture
, Cultural Skills - ANSWER ability to collect relevant data regarding health histories and perform culturally
specific assessments
Dysthymia - ANSWER Depression that is chronic in nature, more mild than major depression
Emergency Medical Treatment and Active Labor Act (EMTALA) - ANSWER federal law passed in 1986 to
ensure patient access to emergency services regardless of ability to pay
Equal Employment Opportunity Commission (EEOC) - ANSWER a federal agency that enforces regulations
concerning equal opportunity
Ethnopharmacology - ANSWER emerging field of research that is increasingly focusing on the effect of
genetic and cultural factors on absorption, metabolism, distribution and elimination and the mechanism
of action/effect of drugs
Health Care Financing Administration Common Procedure Coding System (HCPCS) - ANSWER a uniform
method for health care providers and medical suppliers to report professional services, procedures and
supplies to health care plans
HEDIS - ANSWER A set of standardized performance measures designed to assure that purchasers and
consumers have the information they need to reliably compare the performance of health plans;
sponsored and maintained by NCQA
Independent Practice Association (IPA) - ANSWER a legal entity whose members are independent
physicians who contract with the IPA for the purpose of having the IPA contract with one or more HMOs
The Joint Commission (formerly JCAHO) - ANSWER indepenedent, no profit org that evaluates and
accredits more than 15,000 healthcare programs in the US
Institute of Medicine (IOM) - ANSWER independent, non-profit org that works to provide unbiased and
authoritative advice to decision makers and the public to improve health
