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Expansion of Coverage
Payment Changes
Collaborative Care
Integrity of Federal Health Care
Misc.
100
Ambulatory services, emergency services, hospitalization, maternity and newborn care, mental health hand substance use disorder, rehabilitative and habilitative services and devices.
What are Essential Health Benefits?
100
Reduces the practice expense part of payment to physical therapists across all settings and further decreases the amount paid for the practice expense part of each unit beyond the first.
What is Multiple Procedure Payment Reduction (MPPR) policy?
100
Is an organization of healthcare providers that agrees to be accountable for the quality, cost and overall care of medicare beneficiaries who are assigned to it.
What is Accountable Care Organization (ACO)
100
Who provided for funding increases to the program integrity efforts, such as auditing programs
What is the ACA?
100
The year that the state of the art TWU Houston Center Opens in the Texas Medical Center.
What is 2006?
200
Serves as reference plan for states. Chosen by states to include EHB's that all other plans provided in that state must include.
What is state-specific benchmark plan?
200
If individuals are in the 2nd or 3rd month of their grace period, the cost of any claims submitted during that time will need to be billed to the ______ if the insurance premiums remain unpaid for.
Who is the patient/individual?
200
An approach to providing comprehensive primary care that facilitates partnerships between individual patients and their personal providers and when appropriate, the patient's family.
What are Patient-centered Medical Homes (PCMH)?
200
The quality of being honest and having strong moral principles; moral uprightness.
What is Integrity?
200
The number of diamonds featured on TWU's official seal.
What are two diamonds?
300
Provides insurance plans certified by the marketplace providing EHB's, following cost-sharing limits. Meets network adequacy standards.
What are Qualified Health Plans?
300
This is the current dollar value of the therapy cap.
What is 1920?
300
Is a network of rehabilitation leaders including: Directors, managers, and administrators responsible for the provision of physical therapy, occupational therapy, and speech language pathology services across the continuum of care (inpatient through ambulatory care) within academic medical centers, community hospitals, and integrated health systems.
What is Health Systems Rehabilitation Community?
300
This entity audits payments to Medicaid and Medicare C/D providers.
Who are Recovery Audit Contractors (RACs)?
300
The number of chairs in this room.
What is 64?
400
When individuals enroll and disenroll in different insurance programs or become uninsured due to income changes.
What is Churning?
400
This many measures are required to be completed for at least 50% of the clinic's Medicare Part B FFS patients in order to be eligible for the PQRS incentives program.
What is 3?
400
A single fee paid related to a treatment or condition and is being used to encourage coordination across providers and to promote more efficient care.
What are Bundled Payment Models?
400
Terminating the participation of individuals or entities under Medicaid and the Children's Health Insurance Program if they have been terminated under Medicare or any other Medicaid state plan.
What is provider participation?
400
This is the decade that Texas Woman's University changed it's name from Texas State College for Women.
What is the 1950's (1957)?
500
To help states fund Medicaid expansion, the federal government agreed to pay 100 percent of the costs for the new Medicaid eligible population from 2014 through ____.
What is 2016?
500
G codes must be addressed every ___th visit in order to receive payment for each visit.
What is 10?
500
All non-hospice Part A and B services during the initial inpatient stay, post-acute period and readmissions.
What are services covered in Model 2 of the Bundled Payment Model?
500
Range of activities that target the various causes of improper payments.
What are Error, Waste, Abuse, and Fraud?
500
This is the name that Texas Woman's University was originally called in 1901.
What is Girls Industrial College?