Traditional means of charging for healthcare in the US
What is fee for service
100
Technique used to efficiently move an individual requiring major health services through the system resulting in more effective use of services and reduced cost.
What is Case Management
100
Reimbursement amount for care is set ahead of time
What is prospective payment
100
Agencies such as insurance companies and government programs that pay providers for health services provided to individuals are
What is third-party payers
100
Provide care for adults who cannot safely be alone throughout the day
What is Adult day centers
200
The patient/individual must need help with at least 3 activities of daily living to enter a
What is Assisted Living Facility
200
Persons who furnish entry into the healthcare system
What is primary care physicians
200
A patient wishes to designate someone to make healthcare decisions for him
What is durable power of attorney
200
A person that stay within a hospital less than 24 hours is considered
What is outpatient
200
Public health department is classified
What is Community healthcare facility
300
Illness > 6 months, irreversible, usually more than on medical problem
What is Chronic
300
Reversible, sudden, and curable illness
What is Acute
300
Payment group that is a fixed daily rate that includes all required services, medications, and treatments. Usually used in nursing homes
What is Resource Utilization Groups
300
Group that sets a limit on the reimbursement that the hospital will receive for care
What is Diagnosis Related Groups
300
Healthcare institution that has the responsibility of maintaining the health of the community as a whole
What is public health department
400
The main difference between a nursing home and assisted living
What is less government regulations on assisted living
400
This area has an inadequate supply of primary health care providers
What is rural areas
400
The healthcare agency designed to assist the terminally ill individual until death
What is hospice
400
Nursing homes and convalescent centers are
What is long-term care facilities
400
Federally funded insurance program for those 65 and older
What is Medicare
500
Measurement that refers to the severity of the illness and the rapidity of change in the client. Used in the hospital to determine staffing and patient assignments for nurses.
What is Acuity Measures
500
Federally and state funded program for individuals with low incomes
What is medicaid
500
Hospitals, nursing homes, and related organizations may seek accreditation from
What is (JCAHO) Joint Commission on the Accreditation Of Healthcare Organizations
AKA: Joint Commission
500
Incurable, irreversible, medically confirmed to produce death within 6 months
What is Terminal
500
Facilities that are operated to provide a return on investment for stockholders