2024 CRCR Answer Key Terms | Complete Answers 100% Correct
- Accountable Care Organization
Answer: Assumes responsibility for the care of a clearly defined population of
Medicare beneficiaries attributed to it on the basis of their pattern of use of primary care; Groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients
- Accounts Receivable
Answer: money owed by third-party payers and patients to the provider for health care services
- Advanced Beneficiary Notice
Answer: "waiver of liability"; medical providers are re- quired to give a patient notice when they offer services or items that they know or have reason to believe Medicare will determine to be medically unnecessary, and therefore will not pay for
- Aged Trial Balance
Answer: report that shows accounts receivable totals by financial class and aging
- Ambulatory Payment Classificaiton
Answer: government's method of paying for facility outpatient services for Medicare when a patient is discharged or transferred to another facility not affiliated with the initial treatment facility
- Average Daily Gross Revenue
Answer: Monthly Gross Patient Service Revenue divided by Days in the month
- Bad Debt Agency
Answer: third-party that focuses on working self-pay claims including patient
balances remaining after insurance has paid
- Bundled Payment
Answer: the reimbursement of health care providers on the basis of expected costs for clinically-defined episodes of care
- Care Management
Answer: method of managing the provision of healthcare with the goal of improving continuity and quality of care while lowering cost
- Case Mix Index
- / 1
Answer: average DRG weight for all of a hospital's Medicare volume