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AAPC CIC - Chapter 1 Study Guide with Complete Solutions

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AAPC CIC - Chapter 1 Study Guide with Complete Solutions AFC - Acute Care Facility - Answer-A health facility providing continuous professional medical care to patients who are in an acute phase of illness. Ambulatory Surgery - Answer-Surgical procedures performed on a patient who is admitted, treated and released on the same day. ASC - Answer-Ambulatory Surgical Center ASC Surgical Procedures - Answer-Surgical procedures performed on an outpatient basis in an ASC. Clinic - Answer-An outpatient facility that provides scheduled diagnostic, curative, rehabilitative, and education services for walk-in (ambulatory) patients. Consultation - Answer-Advice or option rendered the request of another qualified provider. Cost Report (Medicare) - 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 - 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 - 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. EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 2/8 Diagnostic Laboratory Services - 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 - 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 - 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) - Answer-EMTALA 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 - 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 - Answer-Includes the following types of patient care records: operative notes; physical, occupational, and speech-language pathology notes; progress notes; ph

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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




AAPC CIC - Chapter 1 Study Guide with
Complete Solutions

AFC - Acute Care Facility - Answer✔✔-A health facility providing continuous professional medical care to

patients who are in an acute phase of illness.


Ambulatory Surgery - Answer✔✔-Surgical procedures performed on a patient who is admitted, treated

and released on the same day.


ASC - Answer✔✔-Ambulatory Surgical Center


ASC Surgical Procedures - Answer✔✔-Surgical procedures performed on an outpatient basis in an ASC.


Clinic - Answer✔✔-An outpatient facility that provides scheduled diagnostic, curative, rehabilitative, and

education services for walk-in (ambulatory) patients.


Consultation - Answer✔✔-Advice or option rendered the request of another qualified provider.


Cost Report (Medicare) - 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 - 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 - 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.

Page 1/8

, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



Diagnostic Laboratory Services - 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 - 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 - 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) - Answer✔✔-EMTALA 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 - 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 - 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

Page 2/8

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