Chapter 2 Key Terms with complete solutions 2023/2024

Chapter 2 Key Termsaccountable care organization (ACO) - correct answer groups of physicians, hospitals, and other health care providers, all of whom come together voluntarily to provide coordinated high quality care to Medicare patients advanced alternative payment modules (Advanced APMs) - correct answer include new ways for CMS to reimburse health care providers for care provided to Medicare beneficiaries; providers who participate in an Advanced APM through Medicare Part B may earn an incentive payment for participating in the innovative payment model alternative payment models (APMs) - correct answer payment approach that includes incentive payments to provide high-quality and cost-efficient care; APMs can apply to a specific clinical condition, a care episode, or a population ambulatory payment classifications (APCs) - correct answer prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms of resources required American Recovery and Reinvestment Act of 2009 (ARRA) - correct answer authorized an expenditure of $1.5 billion for grants for construction, renovation, and equipment, and for the acquisition of health information technology systems Balanced Budget Act of 1997 (BBA) - correct answer addresses health care fraud and abuse issues, and provides for Department of Health and Human Services (DHHS) Office of the Inspector General (OIG) investigative and audit services in health care fraud cases Civilian Health and Medical Program of the Department of Veteran Affairs (CHAMPVA) - correct answer program that provides health benefits for dependents of veterans rated as 100 percent permanently and totally disabled as a result of service-connected conditions, veterans who died as a result of service-connected conditions, and veterans who died on duty with less than 30 days of active service Civilian Health and Medical Program--Uniformed Services (CHAMPUS) - correct answer originally designed as a benefit for dependents of personnel serving in the armed forces and uniformed branches