Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

AAHAM CRCS STACK 3 and 4

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
What are the primary functions and responsibilities of Patient Access?   show
๐Ÿ—‘
What are the collection control points for a Facility?   show
๐Ÿ—‘
What are the collection control points for a provider practice?   show
๐Ÿ—‘
show MC OP Observation Notice: because hospital IP is part A and observation is part B, the Notice Act requires MOON to be given to pt hospitalized more than 24 hours if they are in observation status.  
๐Ÿ—‘
When is the MOON expected to be given and to whom does it apply?   show
๐Ÿ—‘
show Hospitals are required to give this to all MC and MC Advantage beneficiaries who are hospital inpatients: w/i 2 days of admission AND w/i 2 days of discharge  
๐Ÿ—‘
What are the functions of Case Management (F)?   show
๐Ÿ—‘
show Hospital issued notice of non-coverage - like an ABN for hospital inpatients svcs NOT requiring an ABN/HINN: -svcs listed in MC Manual -screenings: mammo, prostate, routine phys, routine foot care, cosmetic surgery, dental, self administered drugs  
๐Ÿ—‘
show Per CMS, required to retain ABN 5 years from discharge/completion of care (unless the state requires longer) whether the pt accepted/refused care.  
๐Ÿ—‘
What are the ABN triggering events?   show
๐Ÿ—‘
What is an ABN and what must it list?   show
๐Ÿ—‘
show Prevent, ID and remedy instances of fraud, abuse or other unacceptable conduct. Issuing important docs: MOON, Guarantor forms, ABN, HINN, Important Message from MC.  
๐Ÿ—‘
Explain Inpatient and Observation levels of care:   show
๐Ÿ—‘
Explain ER/ED and recurring/series levels of care:   show
๐Ÿ—‘
Explain what LTC (level of care) stands for and describe:   show
๐Ÿ—‘
Describe office and Outpatient levels of care:   show
๐Ÿ—‘
What does SNF (level of care) stand for and describe:   show
๐Ÿ—‘
show Hospice: no life saving measures, keep pt comfortable and without pain. Respite: to give a break to non-paid care providers Home Health - Part time in home nursing care  
๐Ÿ—‘
Consent forms: general vs special   show
๐Ÿ—‘
list and describe the Types of Consent:   show
๐Ÿ—‘
What does AOB stand for and describe   show
๐Ÿ—‘
show The child has: -fathered or given birth to a child -no longer requires parental guidance/financial support -has reached the age of majority  
๐Ÿ—‘
show -Intoxication -unconsciousness -declared mentally incompetent by courts  
๐Ÿ—‘
show - Must be clear and concise, legible and well organized - can never alter, erase, delete, remove or destroy a record -if correction is needed, authorized personel can draw a single line strike-thru and initial. NO white out.  
๐Ÿ—‘
Who is authorized to make entries in a patient's medical record?   show
๐Ÿ—‘
show - w/ pt written consent -subpoena from a court and proper notice to the patient or patient's legal rep. -may be delivered by fax from 1 facility to another w/ auth. - specific auths are required for dx like hiv, psych, alcohol and drug.  
๐Ÿ—‘
show Can be accepted by: Physician/physician extender (PA, NP, etc) or RN MUST CONTAIN: -date and time of order Name of ordering physician name of pt and their status exact order, verbatim full name and title of staff member documenting  
๐Ÿ—‘
show National Coverage Determination: med review policies issued by CMS that ID specific DME, svcs, procedures or tech that MC can cover.  
๐Ÿ—‘
show Local Coverage Determination: policies made by MACs that specify criteria for svcs and show under what clinical circumstances an item/svc is considered to be reasonable, necessary and appropriate.  
๐Ÿ—‘
What is a Definitive Diagnosis?   show
๐Ÿ—‘
show Provides potential cov scenarios, not specific dx, signs, symptoms or ICD-10 codes. usually says something like "this policy is not exclusive" will require med recs for determination.  
๐Ÿ—‘
What does MSP stand for and list when this happens:   show
๐Ÿ—‘
show Initial Enrollment Questionnaire (for opt initial enrollment in MC) Common Working File - CMS file w/ pt elegibility & utilization data such as: -PART A & B ENTITLEMENT & DED INFO -DOB/DOD -Benefit periods -MSP info  
๐Ÿ—‘
show Medicare Secondary Payer Questionaire, form to determine if MC is primary or secondary. asks about employment, accidents, etc. Provider must obtain every 90 days for recurring OP accounts. Must be retained by provider for 10 yrs.  
๐Ÿ—‘
What does a provider have to do to terminate a patient relationship?   show
๐Ÿ—‘
What does ALOS stand for and how to determine:   show
๐Ÿ—‘
What is the midnight census and how to determine:   show
๐Ÿ—‘
What does ADC mean and how to determine:   show
๐Ÿ—‘
How do you determine percentage of occupancy?   show
๐Ÿ—‘
How to calculate average number of patients seen per day (P)?   show
๐Ÿ—‘


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how
Popular Medical sets