CCM Certification Exam Practice Questions and Answers

AAPM&R American Academy of Physical Medicine and Rehabilitation accessible a term used to denote building facilities that are barrier-free thus enabling all members of society safe access, including persons with psychical disabilities Accountable Care Organization (ACO) A set of healthcare providers including primary care physicians, specialists, and hospitals that work together collaboratively and accept collective accountability for the cost and quality of care delivered to a population of patients. Actionable Tort A legal duty, imposed by statute or otherwise, owing by defendant to the one injured. ADA Americans with Disabilities Act ADAAA Americans with Disabilities Act Amendments Act of 2008 actuary a trained insurance professional who specializes in determining policy rates, calculating premiums, and conducting statistical studies. Actuarial Study Statistical analysis of a population based on its utilization of healthcare services and demographic trends of the population. Results used to estimate healthcare plan premiums or costs. adhesive contract A contract between two parties where one party with stronger bargaining power sets the terms and conditions and the other party, which is the weaker of the two with little to no ability to negotiate, must adhere to the contract and is placed in a "take it or leave it" position ACG Adjusted Clinical Group. Developed by the School of Public Health at Johns Hopkins University, this system clusters clients into homogenous groups (102 discrete groups) based on a unique approach to measuring morbidity to ultimately improve accuracy and fairness in evaluating healthcare provider performance, identifying clients at high risk, forecasting healthcare utilization, and setting equitable payment structure and rates for the providers of care. The System accounts for the burden of morbidity in a client population based on disease patterns, age, and gender and relies on the diagnostic and/or pharmaceutical code information found in insurance claims or other computerized client health records