AAPC CIC - CHAPTER 1 ACTUAL EXAM STUDY SET RETAKE 2024

AFC - Acute Care Facility - CORRECT ANSWER-A health facility providing continuous professional medical care to patients who are in an acute phase of illness. Ambulatory Surgery - CORRECT ANSWER-Surgical procedures performed on a patient who is admitted, treated and released on the same day. ASC - CORRECT ANSWER-Ambulatory Surgical Center ASC Surgical Procedures - CORRECT ANSWER-Surgical procedures performed on an outpatient basis in an ASC. Clinic - CORRECT ANSWER-An outpatient facility that provides scheduled diagnostic, curative, rehabilitative, and education services for walk-in (ambulatory) patients. Consultation - CORRECT ANSWER-Advice or option rendered the request of another qualified provider. Cost Report (Medicare) - CORRECT ANSWER-An annual report required of facility contractors participating in the Medicare program. The report details the cost and charges the provider incurred in rendering services to all patients and the Medicare payments received during a specific reporting period. Cost and reporting procedures are defined by the Medicare program. CAH - Critical Access Hospital - CORRECT ANSWER-A hospital certified under a set of Medicare Conditions of Participation (CoP), which are structured differently than the acute care hospital CoP. DRG - Diagnosis Related Group - CORRECT ANSWER-A patient classification scheme providing a means of relating the type of patients hospital treats (ie, it's a case mix) to the cost incurred by the hospital. Diagnostic Laboratory Services - CORRECT ANSWER-Laboratory services required in the diagnosis of a disease or injury, regardless of where the services are rendered. For Medicare purposes, these services are paid under a separate fee schedule. These services include clinical lab tests performed on automated multichannel analyzers. Diagnostic Services - CORRECT ANSWER-An examination or procedure performed on a patient to obtain information to assess the medical condition of the patient or to identify a disease and/or to determine the nature and severity of a disease or injury. Diagnostic X-ray Services - CORRECT ANSWER-X-ray and other related imaging services performed for diagnostic purposes, including portable X-ray services. EMTALA (Emergency Medical Treatment and Active Labor Act) - CORRECT ANSWEREMTALA requires any Medicare-participating hospital that operates a hospital emergency department to provide an appropriate medical screening examination to any patient that requests such an examination. LTCH - Long-Term Care Hospital - CORRECT ANSWER-These facilities are certified as acute care hospitals, but LTCHs focus on patients who, on average, stay more than 25 days. LTCHs specialize in treating patients who may have more than one serious condition, butwho may improve with time and care, and return home. Medical Documentation - CORRECT ANSWER-Includes the following types of patient care records: operative notes; physical, occupational, and speech-language pathology notes; progress notes; physician certification and recertification; emergency room records, and the patient's medical record in its entirety Medicare Carriers Manual - CORRECT ANSWER-A manual that encompasses Medicare's policies regarding billing and reimbursement. The document is created and maintained by CMS, which provides it to Medicare Administrative Contractors (MACs) (local Part B carriers and fiscal intermediaries [FI]s) to assist with uniform reimbursement. Medicare Hospital Manual - CORRECT ANSWER-Manual containing information issued to hospitals participating in the Medicare program. It contains the policies and procedures applicable to the delivery of hospital services, claim process instructions, billing procedures, coverage requirements, and related Medical matters. Medicare Provider - CORRECT ANSWER-A facility, supplier