13 terms

Step-By-Step Ch. 1, part B

Reimbursement, HIPAA, and Compliance... (Exercise)
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Terms in this set (...)

The major third-party payer in the United States in the ___________.
Government
The Medicare program was established in what year??
1965
Hospital Insurance is Medicare, Part____.
A
Supplemental Medical Insurance is Medicare, Part_____.
B
Which edition of the Federal Register is of special interest to hospital facilities??
October
Which edition of the Federal Register is of special interest to outpatient facilities??
November and December
What does RBRVS stand for??
Resource - Based Relative Value Scale
The Medicare Economic Index (MEI) is published in what publication??
Federal Register
In, 1989, a major change took place in Medicare with the enactment of_________ __________ ___________ _____.
Omnibus Budget Reconciliation Act (OBRA)
This term is the intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit.
Fraud
This organization develops a work plan to identify areas of the Medicare program that will be monitored.
Office of the Inspector General (OIG)
The physician responsible for controlling and managing the health care of an HMO enrollee is the ____________.
Gatekeeper
What does the abbreviation PACE stand for??
Program for All-inclusive Care for the Elderly