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TR Ch. 5
| Question | Answer |
|---|---|
| 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. |
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