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HealthcareDelivery 3

For AHIMA Health Care Delivery Systems course: Chapter 3

QuestionAnswer
The purpose of the Agency for Healthcare Research and Quality is to evaluate how the healthcare system is _______. ...how the healthcare system is working
Which federal legislation was responsible for the creation of the Healthcare Integrity and Protection Data Bank (HPDB)? HIPAA was responsible for the creation of the HPDB.
True or False: Professional credentials are one mechanism used to ensure competence and compliance with a professional code of ethics. The American Health Information Management Association offers a variety of certification examinations. Among others, AHIMA awards the CCS. TRUE
True or False: The NCHS is one of the organizational components of the Centers for Disease Control. TRUE
True or False: CARF is a government-sponsored organization. FALSE
Which aspect of the Tax Equity and Fiscal Responsibility Act of 1982 still has a profound influence on healthcare reimbursement today? The gradual implementation of a prospective payment system (PPS).
True or False: The Health Insurance Portability and Accountability Act (HIPAA) has a provision for standard medical code sets that include ICD-10- CM, ICD-10-PCS, and CPT coding systems. TRUE
_______ was the federal legislation responsible for the origin of utilization review by establishing professional standards review organizations (PSROs). Public Law 92-603
True or False: Coding Clinic for ICD-10-CM and ICD-10-PCS is the only official publication for coding advice for these code sets. TRUE
Which two governmental agencies share responsibility for overseeing all changes and modifications to the ICD-10-CM and ICD-10-PCS? National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS) are the US governmental agencies responsible for overseeing all changes and modifications to the ICD-10-CM and ICD-10-PCS.
True or False: A stated vision of American Health Information Management Association (AHIMA) is "quality healthcare through quality information." TRUE
True or False: The Institute of Medicine (IOM) is not a government organization. TRUE
The federal legislation responsible for the establishment of Accountable Care Organizations (ACOs) is _______. The Patient Protection and Affordable Care Act is responsible for the establishment of ACOs.
What is the primary function of the National Institutes of Health? The primary function of the NIH is to uncover knowledge leading to better public health.
CARF accredits _______. CARF accredits medical rehabilitation facilities.
The Joint Commission accredits _______. The Joint Commission accredits acute care hospitals, ambulatory care facilities, long-term care facilities, behavioral health facilities, healthcare networks, and managed care organizations.
True or False: The American Medical Association (AMA) licenses physicians. FALSE. State medical boards license physicians.
True or False: The American Health Information Management Association (AHIMA) was founded in 1928 under the name of the Association of Record Librarians of North America. TRUE
True or False: American Medical Association (AMA) is NOT part of the Cooperating Parties. TRUE. The Cooperating Parties are the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), the Centers for Medicare and Medicaid Services (CMS), and the National Center for Health Statistics (NCHS).
In what year was The Joint Commission established? 1952
List examples of healthcare legislation enacted before 1960. Biologics Control Act (1902) Social Security Act (1935)
List examples of healthcare legislation enacted from 1965-1990. Public Law 89-97 (1965) Public Law 92-603 (1972) Utilization Review Act (1977) Peer Review Improvement Act (1982) Tax Equity and Fiscal Responsibility Act (1982) Public Law 98-21 (1983) Consolidated Omnibus Budget Reconciliation Act (1985) Health Care Quality Improvement Act (1986) Omnibus Budget Reconciliation Act (1989)
List examples of healthcare legislation enacted from 1990-2019. Health Insurance Portability and Accountability Act (1996) Mental Health Parity Act of 1996 American Recovery and Reinvestment Act of 2009 Patient Protection and Affordable Care Act (2010)
The National Institutes of Health; The Centers for Disease Control and Prevention; The Food and Drug Administration; The Centers for Medicare and Medicaid Services; The Health Resources and Services Administration; and Agency for Health Care Policy and Research (AHCPR) are all part of what government cabinet department? Department of Health and Human Services (HHS).