TR Ch. 5
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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active treatment | services provided under individualized assessment and treatment plans that are supervised by a physician and considered as reasonable and necessary medical care.
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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.
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Architectural and Transportation barriers Compliance Board | Established by the rehab Act of 1973 aided in ADAAG
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Capital expenses | Large sums of money associated with major purchases or construction of buildings
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Capitation | a fixed payment defined for a range of health-care services for a specific group of individuals
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carve outs | certain services that are excluded from capitation rates and reimbursed on a fee-for-service basis like mental health costs.
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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.
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cost allocation | the process used to determine, identify, and assign the actual costs of a service to a particular department or program.
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cost benefits | outcomes from intervention that are deemed worth the cost.
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cost containment | the process of designing programs to control the costs of services to clients.
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direct costs | expenses - supplies, equipment - need to provide a service.
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expenses | all costs incurred in the delivery of a service such as salaries, equipment, and supplies.
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fee-for-service | charges assessed participants for the services they receive.
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fiscal year (FY) | the budget year of an agency; may or may not coincide with the calendar year.
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indirect costs | expenses such as utilities, maintenance, and housekeeping that are also needed to provide a service - indirectly assigned
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market segment | selecting and targeting a certain cleintele that is appropriate for a service.
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marketing | the process of identifying the customer's needs and designing programs and services to ensure a long-term relationship
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mission statement | the reason and purpose that a tr service exists
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necessary medical care | a service that is required.
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net revenue surplus | profit
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outcome indicators | describe the effects of the service such as changes in functional capacity, health status and quality of life.
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philosophy statement | identifies the basic concepts, values, beliefs
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policies, prodedures and rules | specific directions that establish how programs and services are to be operated
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privileding criteria | criteria that define the limits of professional practice based ont eh professional's competence and credentials
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process indicators | describe the nature of the interaction between the client and service provider
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productivity measurement | the process of comparing the quantity of services provided with the amount of resources
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program budgets | all the revenues and expenses for an entire program.
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Prospective Payment System (pps) | a method of reimbursement based upon paying a rearranged amount for services
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reasonable medical care | a service which has been shown eto be effective
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risk management | identifying and developing processes for controlling the delivery of safe services
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scope of care | identifies the programs and services available from the department.
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structure indicators | resources that must be available for service delivery, like staff and equipment.
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third-party payer | a private insurance company or government agency that reimburses another institution or individual for services provided to a client
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uniform Federal Accessibility standards (ufas) | criteria used to define accessibility proior to adaag
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unit cost | the specific increment, such as an hour or a day, that is used to allocate a cost for a service.
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utilization review | the assessment of the necessity and effectiveness of a service in the care and treatment of clients.
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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.
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zero-based budget | has to have justification for each service.
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