Step-By-Step Ch. 1 ~ Part D

Reimbursement, HIPAA, and Compliance... (Review)

Terms in this set (...)

Two insurance programs were established in 1965 by the amendments to the Social Security Act known as Part ___ and Part _____.
A & B
The Secretary of DHHS has delegated responsibility for Medicare to which department??
Centers for Medicare and Medicaid Services (CMS)
Who administers funds for Medicare??
Social Security Administration
Who is eligble for Medicare??
a) people eligible for disability benefits from Social Security. b) people with permanent kidney failure.
List the three components of the relative value unit:_________ __________ ___________.
Work, overhead, malpractice
What does RBRVS stand for??
Resource - Based Relative Value Scale
What is the fastest growing segment of our population today??
The elderly (60+)
What is the name given to the groups that handle the daily operations of the Medicare program??
Centers for Medicare and Medicaid Services (CMS)
Intentional deception or misrepresentation is known as ________.
Quality Improvement Organization (QIQ) were previously termed ____________.
Peer Review Organizations (PRO)
MS-DRG assignment reports ________ services.
Part A
October editions of the Federal Register are of special interest to ________ ___________.
Hospital Facilities
OBRA 1990 contained modifications and clarifications regarding the _________ ____ ___________.
Physician Fee Schedule