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. |