This association publishes the Current Procedural Terminology (CPT)coding system.
What is the American Medical Association?
100
This federal law legislated Medicare and Medicaid in 1965.
What is Public Law 89-97 of 1965?
100
In January of 2006, Medicare implemented a prescription coverage listed as Part _____?
What is D?
100
Under The Joint Commission, Hospitals must undergo a full survey at least every ___________ years.
What is 3?
100
The HIPAA component that governs the electronic transfer of medical information for business purposes such as insurance claims, payments, and eligibility is _____.
What is Transaction and Code Sets?
200
This association began in 1876 and was dedicated to standardizing curriculum for U.S. medical schools.
What is the American Association of Medical Colleges?
200
This federal law made it possible for the Healthcare Financing Administration (HCFA), whose name was later changed to the Centers for Medicare and Medicaid Services, to deny reimbursement for substandard healthcare services provided to Medicare and Medicaid beneficiaries.
What is Consolidated Omnibus Budget Reconciliation Act of 1985
200
Companies that have a contract to handle claims processing, payments, authorizations, and provider inquiries for Medicare and Medicaid for a region or a state are called _____.
What are intermediaries?
200
True or False: The Joint Commission is the only professional organization that accredits healthcare facilities.
What is false?
For 100 extra points, name one of the other organizations that accredit healthcare facilities.
200
This Uniform Identifier will be a unique number assigned to each insurance plan and to the organizations that administer insurance plans, such as payers and third-party administrators.
What is National Health Plan Identifier?
300
Four professional associations from the U.S. and Canada joined forces with the American College of Surgeons in 1952 to form the
What is the Joint Commission on Accreditation of Hospitals?
300
True or False: The development of managed care was an indirect result of the Federal Governments enactment of the Medicare and Medicaid Laws of 1965.
What is true?
300
Medicare and Medicaid come into existence in _____.
What is 1965?
300
True or False: If a facility has met the Joint Commission accreditation standards, they do not have to undergo audits and inspection to ensure that the rules and standards (COP) of Medicare are being met.
What is true?
300
The acronym EPHI stands for _____.
What is electronic protected health information?
400
This association uses the acronym CMS.
What is Centers for Medicare and Medicaid Services?
400
This state passed legislation requiring the registration of nurses in 1903.
What is North Carolina?
400
This government-funded insurance is provided to people suffering from end-stage renal disease.
What is Medicare?
400
Hospitals are required to collect and transmit data to The Joint Commission for a minimum of _____ core measure sets or a combination of applicable core measure sets and non-core measures.
What is four?
400
_____ is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information.
Choose one answer.
a. integrated delivery system
b. Health Level 7
c. Digital Imaging and Communication in Medicine
d. health information exchange
500
This led to the formation of the American College of Surgeons in 1913.
What is the need for hospital reforms?
500
True or False: Federal laws regulate operation of facilities, sanitation, medical and nursing staff requirements, and patient records.
What is False.
For an extra 100 points, what is the correct answer?
500
This insurance is funded through federal and state governments.
What is Medicaid?
500
_____® is the name the Joint Commission gave to the initiative that integrates ongoing performance and outcome measures into the accreditation process.