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TR Ch. 5

QuestionAnswer
active treatment services provided under individualized assessment and treatment plans that are supervised by a physician and considered as reasonable and necessary medical care.
Allowances and Uncollectibles charges to those unable to pay that are passed on to other revenue or cost recovery centers like other clients or programs that are able to pay the service price.
Architectural and Transportation barriers Compliance Board Established by the rehab Act of 1973 aided in ADAAG
Capital expenses Large sums of money associated with major purchases or construction of buildings
Capitation a fixed payment defined for a range of health-care services for a specific group of individuals
carve outs certain services that are excluded from capitation rates and reimbursed on a fee-for-service basis like mental health costs.
competency assessment a process to ensure that staff competence is objectively assessed, maintained, and continually improved so quality performance in the provision of services is demonstrated.
cost allocation the process used to determine, identify, and assign the actual costs of a service to a particular department or program.
cost benefits outcomes from intervention that are deemed worth the cost.
cost containment the process of designing programs to control the costs of services to clients.
direct costs expenses - supplies, equipment - need to provide a service.
expenses all costs incurred in the delivery of a service such as salaries, equipment, and supplies.
fee-for-service charges assessed participants for the services they receive.
fiscal year (FY) the budget year of an agency; may or may not coincide with the calendar year.
indirect costs expenses such as utilities, maintenance, and housekeeping that are also needed to provide a service - indirectly assigned
market segment selecting and targeting a certain cleintele that is appropriate for a service.
marketing the process of identifying the customer's needs and designing programs and services to ensure a long-term relationship
mission statement the reason and purpose that a tr service exists
necessary medical care a service that is required.
net revenue surplus profit
outcome indicators describe the effects of the service such as changes in functional capacity, health status and quality of life.
philosophy statement identifies the basic concepts, values, beliefs
policies, prodedures and rules specific directions that establish how programs and services are to be operated
privileding criteria criteria that define the limits of professional practice based ont eh professional's competence and credentials
process indicators describe the nature of the interaction between the client and service provider
productivity measurement the process of comparing the quantity of services provided with the amount of resources
program budgets all the revenues and expenses for an entire program.
Prospective Payment System (pps) a method of reimbursement based upon paying a rearranged amount for services
reasonable medical care a service which has been shown eto be effective
risk management identifying and developing processes for controlling the delivery of safe services
scope of care identifies the programs and services available from the department.
structure indicators resources that must be available for service delivery, like staff and equipment.
third-party payer a private insurance company or government agency that reimburses another institution or individual for services provided to a client
uniform Federal Accessibility standards (ufas) criteria used to define accessibility proior to adaag
unit cost the specific increment, such as an hour or a day, that is used to allocate a cost for a service.
utilization review the assessment of the necessity and effectiveness of a service in the care and treatment of clients.
vision identifies an agency's basic values and beliefs and focuses on the future or end results, which define how it wants to be perceived by the public.
zero-based budget has to have justification for each service.
Created by: 1332513025
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