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CBCS Exam 2

Health Care Entities

TermDefinition
Medicare Administrative Contractor (MAC) Processes Medicare Part A and B claim.
American Health Information Management Association (AHIMA) A professional association for health professionals involved in the health information management (HIM) needed to deliver quality health care to the public.
Health Information Management (HIM) Applied to health and health care. It is the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care.
Business Associate (BA) Individuals, groups, or organizations who are not members of a covered entity's workforce that perform functions or activities on behalf of or for a covered entity.
Centers for Medicare & Medicaid Services (CMS) A federal agency within the HHS that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Department of Health and Human Services (HHS) Cabinet-level agency in executive branch of federal government. Its mission is to enhance and protect the well-being of all Americans by providing effective health and human services and fostering advances in medicine, public health, and social services.
Healthcare Fraud Prevention and Enforcement Action Team (HEAT) The purpose of HEAT is to strengthen efforts to fight fraud and abuse and invest new technologies to prevent both fraud and abuse.
World Health Organization (WHO) A specialized agency of the United Nations that is concerned with world public health.
Managed Care Organization (MCO) Organization that practices managed care principals. It's health plan or health company works to provide quality care at a cost-effective price.
Created by: cattomko
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