What was the purpose of certificate of need CON laws quizlet?
Certificate of Need (C.O.N.) programs are aimed at restraining health care facility costs and allowing coordinated planning of new services and construction. Laws authorizing such programs are one mechanism by which state governments seek to reduce overall health and medical costs.
Which of the following organizations is the leading accrediting body for health plans?
The Joint Commission accredits and certifies over 22,000 health care organizations and programs in the United States.
What is the primary purpose of certificate of need statutes?
What is the primary purpose of certificate-of-need statues? To control capital expenditures by health facilities.
In which of the PAC payment systems is the adjusted rate multiplied by the patient's number of Medicare days to determine the reimbursement amount?
Principals of HC Reimbursement AHIMAQuestionAnswerIn which of the PAC payment systems, is the adjusted rate multiplied by the patient's number of Medicare days to determine the reimbursement amount?Long term care hospital95 more rows
What is the role of The Joint Commission in health care?
What is The Joint Commission? Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.
How does The Joint Commission advocate for healthcare policy?
The Joint Commission supports allowing staff to bring their own face masks or respirators to wear at work when their health care organizations cannot provide them with adequate protection commensurate with the risk of infection to which they are exposed by the nature of their work.
What is a con in healthcare?
A Certificate of Need (“CON”) is a formal permit issued by a state department of health or other state regulatory agency and grants a company or organization the ability to provide specific healthcare services.
What is Con medical term?
certificate of need (CON) a document issued by a health systems agency or local health planning agency, giving formal permission for construction and modification of health agencies, major equipment expenditures, or new health services. An institution or individual health care provider can apply for such a certificate.
Why should the United States control the rising costs of health care?
Why should the United States control the rising costs of health care? Rising health care costs consume greater portions of the total economic output (rising health care costs mean that Americans have to forgo other goods and services when more is spent on health care).
What classification system is used in the SNF PPS to adjust for resource intensity?
Per diem rates for SNF PPS patients are determined for various cases by using the RUG classification system. This system uses the nursing component, therapy component, and noncase-mix-adjusted component to drive the rates.
What is the payment system used by Medicare?
The resource-based relative value scale (RBRVS) is the physician payment system used by the Centers for Medicare & Medicaid Services (CMS) and most other payers.
How has DRG changed hospital reimbursement?
The introduction of DRGs shifted payment from a “cost plus profit” structure to a fixed case rate structure. Under a case rate reimbursement, the hospital is not paid more for a patient with a longer length of stay, or with days in higher intensity units, or receiving more services.
Zipcode to Carrier Locality File
This file is primarily intended to map Zip Codes to CMS carriers and localities. This file will also map Zip Codes to their State. In addition, this file contains an urban, rural or a low density (qualified) area Zip Code indicator.
Provider Center
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) providers, including physicians, other practitioners and suppliers, go to the Provider Center (see under "Related Links" below).