CAHIMS Class Verified Solution 2023

CAHIMS Class Verified Solution 2023 Three Types of Healthcare - ANS-Primary, Secondary, and Tertiary Five Non-Hospital Inpatient Facilities - ANS-Post-Acute Inpatient Care, Skilled Nursing Facilities (SNFs or "Sniffs"), Long-Term Acute Care Hospitals, Long-Term Adult Care, and Hospice Care Seven Outpatient Healthcare Service Centers - ANS-Physician Office, ASC, ED, Diagnostic Services, Community Health Clinics, School-Based Health Centers, and Employer Based Clinic Seven places where care is provided - ANS-Inpatient Hospitals, Inpatient Non-Hospital Facilities, Outpatient Facilities, Home Healthcare, Federal Healthcare Facilities, and Networks both Horizontal and Vertical Five executives in management patient care and information - ANS-CIO, CMO, CNO, CMIO, and CNIO Three managed care plans - ANS-HMO, PPO, and POS Types of Medicare - ANS-A - Hospital Insurance and Skilled Nursing, B - Medical Insurance Clinic and Outpatient, C - Medicare Advantage put A/B and sometimes D together, D - Drug Coverage Eight parts of medical billing process - ANS-Scheduling, Registration, Delivery of Medical Services, Charge Capture, Coding, EOB, Reimbursement, Final and Settlement What ICD CM and CPT stand for - ANS-International Classification of Disease Clinical Modification and Current Procedural Terminology DRG or Diagnosis Related Group - ANS-How Medicare and some insurance classify hospital cases into 467 groups of "products" provided and determine how much to pay ERISA or Employee Retirement Income Security Act - ANS-Act in 1974 set minimum standards in pensions and health plans COBRA - ANS-Act providing health benefit provisions in 1986 which amended ERISA to provide continuation of group health coverage that would otherwise be terminated HIPAA or Health Insurance Portability and Accountability Act - ANS-Act in 1996 which protects health insurance coverage on loss of job and established standards for electronic health care transactions Patient Protection and Affordable Care Act - ANS-Act in 2010 overhauled hospital and primary physician practices to drive better outcomes and lower costs. It also was intended to increase health insurance accessibility, quality, and affordability HITECH or Health Information Technology for Economic and Clinical Health Act - ANSAct was part of ARRA in 2009 and promotes the adoption of health information technology, such as a nationwide network of electronic health records, which is considered needed to do population health management Meaningful use - ANS- Continues...