ABQUARP 2025 Exam Graded A+
5 basic principals of ethical practice for CM - ANSWER-J-justice ( treat all fairly)
A-autonomy-respect pt right to make own decision
N-non-malfeasance-do no harm
F-fidelity-keep your promise
B-beneficence-to do good
6 major aims of health care - ANSWER-safe, effective, patient -centered, timely,
efficient and equitable.
AAAHC accreditation assoc for ambulatory health care - ANSWER-accredits over 5k
ambulatory health care orgs.
AAASF-American ass for accreditation of ambulatory surg facilities - ANSWER--
improve the quality of medical and surgical care in ambulatory surg facilities
ACA- Affordable Care Act - ANSWER-March 2010- 10 Titles
1-mandate health care coverage
3-test new ways to deliver care to pts-better care, lower cost
ACO-accountable care org - ANSWER-created under Medicare Shared Savings
Program, of the PPAC (patient protection and affordable care act)
-effective organization will lead to heath care system maximize their resources and
minimize their dysfunction
-network to manage at least 5k Medicare for at least for 3 years
-Needs own governing body
-receive shared savings, held liable for losses
ACR-American college of radiology - ANSWER--medical imaging
Active Error - ANSWER-whose effects are felt immediately
-sharp end
Adverse Events- stats: - ANSWER-1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Anti-Markup Rule - ANSWER-Medicare Diagnostic tests- prohibits the markup of the
technical component and professional component
if the CPT codes exists on the CMS list, it is a diagnostic test
, APSF- anesthesia patient safety foundation - ANSWER-First org to develop just to
improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
Avedis Donabedian MD - ANSWER-Brought modern quality assurance techniques to
modern medicine.
BBA-balanced budget Act - ANSWER-1997-comprehensive revision of federal statutes
governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
C-SNP Chronic Special Needs plan - ANSWER-Listed special conditions,
Others D-SNP dual eligible Medicare and Medicaid
CAP-college of pathologists - ANSWER-laboratories
Capitated payment - ANSWER-Enrollee is at full risk
CARF-commission of accreditation of Rehab facilities - ANSWER-disability, addiction
and substance abuse facility
CER-comparative effectiveness research - ANSWER-goal is to improve health
outcomes by developing and disseminating evidence based info to pt, providers of
different health treatment options.
CHAP-community health accreditation prog - ANSWER-not for profit accrediting body
for health hospice and DME
claims made - ANSWER-only during the time the policy was in effect
need tail coverage
CMSA- Case Mgt Society of America - ANSWER-1995- put forth first standards of
practice for CM.
-communication, coordination and collaboration of health care
CNC-Compromised Number Checklist - ANSWER-2011-Updated monthly of Medicare
beneficiary and provider ID # looking if any have been compromised
-appx 5000 providers and 280K beneficiaries were compromised.
Continuous Quality Improvement - ANSWER-uses a systematic process, enhance
performance. Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
CPI=center for program integrity - ANSWER-2010-integrate prevention, detection,
recovery and transparency and accountability
5 basic principals of ethical practice for CM - ANSWER-J-justice ( treat all fairly)
A-autonomy-respect pt right to make own decision
N-non-malfeasance-do no harm
F-fidelity-keep your promise
B-beneficence-to do good
6 major aims of health care - ANSWER-safe, effective, patient -centered, timely,
efficient and equitable.
AAAHC accreditation assoc for ambulatory health care - ANSWER-accredits over 5k
ambulatory health care orgs.
AAASF-American ass for accreditation of ambulatory surg facilities - ANSWER--
improve the quality of medical and surgical care in ambulatory surg facilities
ACA- Affordable Care Act - ANSWER-March 2010- 10 Titles
1-mandate health care coverage
3-test new ways to deliver care to pts-better care, lower cost
ACO-accountable care org - ANSWER-created under Medicare Shared Savings
Program, of the PPAC (patient protection and affordable care act)
-effective organization will lead to heath care system maximize their resources and
minimize their dysfunction
-network to manage at least 5k Medicare for at least for 3 years
-Needs own governing body
-receive shared savings, held liable for losses
ACR-American college of radiology - ANSWER--medical imaging
Active Error - ANSWER-whose effects are felt immediately
-sharp end
Adverse Events- stats: - ANSWER-1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Anti-Markup Rule - ANSWER-Medicare Diagnostic tests- prohibits the markup of the
technical component and professional component
if the CPT codes exists on the CMS list, it is a diagnostic test
, APSF- anesthesia patient safety foundation - ANSWER-First org to develop just to
improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
Avedis Donabedian MD - ANSWER-Brought modern quality assurance techniques to
modern medicine.
BBA-balanced budget Act - ANSWER-1997-comprehensive revision of federal statutes
governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
C-SNP Chronic Special Needs plan - ANSWER-Listed special conditions,
Others D-SNP dual eligible Medicare and Medicaid
CAP-college of pathologists - ANSWER-laboratories
Capitated payment - ANSWER-Enrollee is at full risk
CARF-commission of accreditation of Rehab facilities - ANSWER-disability, addiction
and substance abuse facility
CER-comparative effectiveness research - ANSWER-goal is to improve health
outcomes by developing and disseminating evidence based info to pt, providers of
different health treatment options.
CHAP-community health accreditation prog - ANSWER-not for profit accrediting body
for health hospice and DME
claims made - ANSWER-only during the time the policy was in effect
need tail coverage
CMSA- Case Mgt Society of America - ANSWER-1995- put forth first standards of
practice for CM.
-communication, coordination and collaboration of health care
CNC-Compromised Number Checklist - ANSWER-2011-Updated monthly of Medicare
beneficiary and provider ID # looking if any have been compromised
-appx 5000 providers and 280K beneficiaries were compromised.
Continuous Quality Improvement - ANSWER-uses a systematic process, enhance
performance. Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
CPI=center for program integrity - ANSWER-2010-integrate prevention, detection,
recovery and transparency and accountability
