The assessment tool used in skilled nursing facility settings to place patients into
Resource Utilization Groups (RUGs), which determines the facilities reimbursement
rate.
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Minimum Data Set MDS
,Statements that delineate care that is expected to be provided to all clients. They
include predefined outcomes of care clients can expect from providers and are
accepted within the community of professionals, based upon the best scientific
knowledge, current outcomes data, and clinical expertise.
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Standards of Care:
Basic therapy services provided by professionals on a rehabilitation unit. Usually
refers to nursing, physical therapy, occupational therapy, speech-language pathology,
neuropsychology, social work and therapeutic recreation.
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Core Therapies:
Inability to understand the meaning of written, spoken or tactile speech symbols
because of disease or injury to the auditory and visual brain centers.
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Sensory Aphasia:
A not-for-profit organization that provides reviews and accreditation for utilization
review services/programs provided by freestanding agencies. It is also known as the
American Accreditation Health Care Commission.
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Utilization Review Accreditation Commission (URAC):
Groupings for prospective reimbursement under Medicare for home health agencies.
Placement into an HHRG is based on the OASIS score. Reimbursement rates
correspond to the level of home health provided.
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Home Health Resource Group (HHRG):
A type of review used to determine that the hospital admission is appropriate,
clinically necessary, justified, and reimbursable.
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Medical Necessity on Admission
The use of information and knowledge gained from outcomes monitoring to achieve
optimal patient outcomes through improved clinical decision making and service
delivery.
Give this one a try later!
Outcomes Management
Resource Utilization Groups (RUGs), which determines the facilities reimbursement
rate.
Give this one a try later!
Minimum Data Set MDS
,Statements that delineate care that is expected to be provided to all clients. They
include predefined outcomes of care clients can expect from providers and are
accepted within the community of professionals, based upon the best scientific
knowledge, current outcomes data, and clinical expertise.
Give this one a try later!
Standards of Care:
Basic therapy services provided by professionals on a rehabilitation unit. Usually
refers to nursing, physical therapy, occupational therapy, speech-language pathology,
neuropsychology, social work and therapeutic recreation.
Give this one a try later!
Core Therapies:
Inability to understand the meaning of written, spoken or tactile speech symbols
because of disease or injury to the auditory and visual brain centers.
Give this one a try later!
Sensory Aphasia:
A not-for-profit organization that provides reviews and accreditation for utilization
review services/programs provided by freestanding agencies. It is also known as the
American Accreditation Health Care Commission.
, Give this one a try later!
Utilization Review Accreditation Commission (URAC):
Groupings for prospective reimbursement under Medicare for home health agencies.
Placement into an HHRG is based on the OASIS score. Reimbursement rates
correspond to the level of home health provided.
Give this one a try later!
Home Health Resource Group (HHRG):
A type of review used to determine that the hospital admission is appropriate,
clinically necessary, justified, and reimbursable.
Give this one a try later!
Medical Necessity on Admission
The use of information and knowledge gained from outcomes monitoring to achieve
optimal patient outcomes through improved clinical decision making and service
delivery.
Give this one a try later!
Outcomes Management
