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Question
A(n) _________________________ intermediary is the organization that has contracted with the federal government to process Medicare claims and payments for hospital inpatient health care services.Answer
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Related questions
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The board of directors of American Health Information Management Association manages the property, business, and affairs of the association.
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Fifty component state associations plus associations in the District of Columbia and Puerto Rico comprise the organizational structure of American Health Information Management Association.
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American Health Information Management Association plays an active role in developing standards for the electronic health record and confidentiality of health care information.
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Essentials for health information education programs are monitored by American Health Information Management Association in collaboration with the Joint Commission.
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Requirements for the licensing of health care organizations are called "regulations."
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At its inception, Medicare was operated as a fee-for-service reimbursement program.
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The process of assessing the quality of physician education by the American College of Surgeons in the early 1900s was dependent on the quality of the patient record.
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The protection of secondary health information is an ethical tenet promoted by American Health Information Management Association.
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Interpret the effect of the Tax Equity and Fiscal Responsibility Act of 1983 on the health information profession.
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All the following are recognized roles of a health information management professional by American Health Information Management Association except
a. Clinician.
b. Educator.
c. Analyst.
d. Researcher.
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All the following components were specified for a computerized patient record system by the Institute of Medicine Study of 1991 except
a. Clinical support systems.
b. Communications systems.
c. Alerts.
d. Reminders.
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A hospital classified as a Critical Access Hospital (CAH) receives reimbursement enhancements for meeting the needs of an underserved area.
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One of the goals of Healthy People 2020 is to lower the cost of health care in the United States while maintaining a high quality of life.
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A health care system comprising of two or more hospitals that are owned, managed, or leased by a single organization is called a(n) _____________________________________ delivery health care system.
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The Department of Health and Human Services agency whose primary responsibility is to produce and disseminate scientific research and policy-relevant information is the
a. Centers for Disease Control and Prevention.
b. Agency for Health Care Research and Quality.
c. Health Resources and Services Administration.
d. Administration for Children and Families.
Q:
A consumer or patient interested in changing managed care plans should review the standard performance measures that are developed by
a. The Joint Commission.
b. Commission on the Accreditation of Rehabilitation Facilities.
c. Department of Health and Human Services.
d. National Committee for Quality Assurance.
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If an emergency department physician fails to stabilize an indigent patient before transferring the patient to another facility, he or she is in violation of
a. Omnibus Budget Reconciliation Act.
b. Emergency Medical Treatment and Active Labor Act.
c. Patient Self-Determination Act.
d. Health Insurance Portability and Accountability Act.
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Which term refers to a primary care physician who is participating in a comprehensive managed care plan by providing most of the care to the patient?
a. Participant
b. Enrollee
c. Subscriber
d. Gatekeeper
Q:
The federal government contracts with private insurance companies to process Medicare claims and payments for inpatient hospital care. What reference title is then given to this insurance company?
a. Fiscal intermediary
b. Managed care provider
c. Beneficiary
d. Subscriber
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What type of health service is covered by Part B of Medicare?
a. Physician office visit
b. Custodial care
c. Inpatient care
d. Dental visit
Q:
Which legislation increased the public's awareness of patient rights, advance directives, and options for health care?
a. Consolidated Omnibus Budget Reconciliation Act of 1985
b. Omnibus Budget Reconciliation Act
c. Tax Equity and Fiscal Responsibility Act
d. Patient Self-Determination Act
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Which Department of Health and Human Services agency was established by Omnibus Budget Reconciliation Act in 1989 for supporting scientific research?
a. Centers for Disease Control and Prevention
b. Social Security Administration
c. Agency for Health Care Research and Quality
d. Health Resources and Services Administration
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Which federal branch of the government is charged with the health and welfare of the U.S. people, including numerous regulatory programs?
a. Department of Health and Human Services
b. Department of Defense
c. Department of Justice
d. Institute of Medicine
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Where are the Conditions of Participation regulations that govern the Medicare Program printed?
a. AHA Guide to the Health Care Field
b. Comprehensive Accreditation Manual for Hospitals
c. Federal Register
d. Medicare Handbook
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Which organization was responsible for establishing the hospital standardization program in the early 1900s?
a. American College of Surgeons
b. American Medical Association
c. American Osteopathic Association
d. Joint Commission
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Which one of the following officers in a health care organization serves as a liaison between the medical staff and the governing board?
a. CEO
b. COO
c. CFO
d. CIO
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Which one of the following legislative acts led to a rapid increase in the construction of new hospitals, purchase of equipment, and renovation of existing hospitals?
a. Hill-Burton Act
b. Tax Equity and Fiscal Responsibility Act
c. Consolidated Omnibus Budget Reconciliation Act
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Which one of the following is most likely to be a state-financed health care facility?
a. Public health service hospital
b. Long-term psychiatric institution
c. District hospital
d. Veterans Administration hospital
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The organization that compiles data on osteopathic physician location and type of practice is the
a. ACS.
b. NPDB.
c. APA.
d. AOA.
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Standards pertaining to the electronic health record are developed by which organization?
a. ASTM
b. ANSI
c. Joint Commission
d. CMS