HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
What is the HITECH Act of 2009? - ANSWERS-It encouraged
investement in electronic health record (EHR) technology
What did the HITECH ACT do? - ANSWERS-It provided incentives to
providers to develop meaningful use EHR technology advancements
How has IT Advancement changed? - ANSWERS-Providers are
updating outdated cost accounting system to help better control cost
What is Group Purchasing Organizations in IT? - ANSWERS-They have
been technology-enabled to pool healthcare provider volumes and
reduce until material costs
Healthcare providers are using _____________ _______ ______
_________ concepts to break down processes and eliminate inefficient
steps - ANSWERS-lean thinking & Six Sigma
How have Mergers and Acquisitions changed the Healthcare industry? -
ANSWERS--Spread and eliminate redundant fixed costs
-Strengthen market penetration
-Gain access to capital
END OF
PAGE
1
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
-Add service lines
-Better negotiating leverage with commercial payors
What is a change in retail due to healthcare? - ANSWERS-Retail Health
Care such as CVS and Walmart
What is Patient-Centered Medical Homes? - ANSWERS-It is a
partnership between primary care provider, Patient and Families to
provide comprehensive long-term care
What is Compliance? - ANSWERS-Provision of care, privacy, billing,
accounting, ect. Includes HIPAA and EMTALA
What is HIPAA? - ANSWERS-Healthcare Insurance Portability and
Accounting Act
What is EMTALA ('86)? - ANSWERS-Emergency Depts accepting
Medicare payments must provide appropriate medical screening
examination (MSE) to anyone seeking treatment, regardless of
citizenship, legal status or ability to pay
END OF
PAGE
2
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
What are market reactions fo changes in Healthcare? - ANSWERS--
Mergers and Acquisitions
-Retail Heath Care
-Patient-Centered Medical Homes
-Compliance
What is impacting reimbursement? - ANSWERS--Recovering Audit
Contractors (RACs)
-New DRG (Diagnosis Related Groups) CMS System
-ICD 10 updated from ICD 9 (International Statistical Classification of
Diseases)
What is Recovering Audit Contractors (RACs)? - ANSWERS-CMS
program designed to reduce billing errors
How are the new DRG CMS system impacting reimbursement? -
ANSWERS--Intent to more closely align reimbursement to patient
severity of illness
-Results in certain hospitals earning more but many earning less
END OF
PAGE
3
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
How has the ICD 10 updated from ICD 9 impacted reimbursement? -
ANSWERS-- Coming system for diseases used on the UD for health
insurance reimbursement to now include morbidity and mortality data
reporting
-ICD 9 developed in the 1970's and is outdated for advancements
-US was behind other countries in moving to ICD 10
- Significant cost burden on payors and providers to update systems and
processes to comply with ICD 10
What is Value-Based Pricing (VBP)? - ANSWERS-IT aims to move
provider reimbursement from "fee-for-service" or "prospective payment
system" to "fee-for-performance (quality/cost)"
*A reduction in based DRG fee and an available quality bonus structure
Since the introduction of Medicare/Medicaid in 1965, the US
government has become a ______ ______ in healthcare - ANSWERS-
major force
For VBP how is it progressing in healthcare? - ANSWERS-Difficult to
implement and monitor.
It is slowly increasing in practice
END OF
PAGE
4
REVIEW CH 1,13,3,&2
What is the HITECH Act of 2009? - ANSWERS-It encouraged
investement in electronic health record (EHR) technology
What did the HITECH ACT do? - ANSWERS-It provided incentives to
providers to develop meaningful use EHR technology advancements
How has IT Advancement changed? - ANSWERS-Providers are
updating outdated cost accounting system to help better control cost
What is Group Purchasing Organizations in IT? - ANSWERS-They have
been technology-enabled to pool healthcare provider volumes and
reduce until material costs
Healthcare providers are using _____________ _______ ______
_________ concepts to break down processes and eliminate inefficient
steps - ANSWERS-lean thinking & Six Sigma
How have Mergers and Acquisitions changed the Healthcare industry? -
ANSWERS--Spread and eliminate redundant fixed costs
-Strengthen market penetration
-Gain access to capital
END OF
PAGE
1
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
-Add service lines
-Better negotiating leverage with commercial payors
What is a change in retail due to healthcare? - ANSWERS-Retail Health
Care such as CVS and Walmart
What is Patient-Centered Medical Homes? - ANSWERS-It is a
partnership between primary care provider, Patient and Families to
provide comprehensive long-term care
What is Compliance? - ANSWERS-Provision of care, privacy, billing,
accounting, ect. Includes HIPAA and EMTALA
What is HIPAA? - ANSWERS-Healthcare Insurance Portability and
Accounting Act
What is EMTALA ('86)? - ANSWERS-Emergency Depts accepting
Medicare payments must provide appropriate medical screening
examination (MSE) to anyone seeking treatment, regardless of
citizenship, legal status or ability to pay
END OF
PAGE
2
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
What are market reactions fo changes in Healthcare? - ANSWERS--
Mergers and Acquisitions
-Retail Heath Care
-Patient-Centered Medical Homes
-Compliance
What is impacting reimbursement? - ANSWERS--Recovering Audit
Contractors (RACs)
-New DRG (Diagnosis Related Groups) CMS System
-ICD 10 updated from ICD 9 (International Statistical Classification of
Diseases)
What is Recovering Audit Contractors (RACs)? - ANSWERS-CMS
program designed to reduce billing errors
How are the new DRG CMS system impacting reimbursement? -
ANSWERS--Intent to more closely align reimbursement to patient
severity of illness
-Results in certain hospitals earning more but many earning less
END OF
PAGE
3
, HMGT 3311 EXAM LATEST
REVIEW CH 1,13,3,&2
How has the ICD 10 updated from ICD 9 impacted reimbursement? -
ANSWERS-- Coming system for diseases used on the UD for health
insurance reimbursement to now include morbidity and mortality data
reporting
-ICD 9 developed in the 1970's and is outdated for advancements
-US was behind other countries in moving to ICD 10
- Significant cost burden on payors and providers to update systems and
processes to comply with ICD 10
What is Value-Based Pricing (VBP)? - ANSWERS-IT aims to move
provider reimbursement from "fee-for-service" or "prospective payment
system" to "fee-for-performance (quality/cost)"
*A reduction in based DRG fee and an available quality bonus structure
Since the introduction of Medicare/Medicaid in 1965, the US
government has become a ______ ______ in healthcare - ANSWERS-
major force
For VBP how is it progressing in healthcare? - ANSWERS-Difficult to
implement and monitor.
It is slowly increasing in practice
END OF
PAGE
4
