What was the Medicare and Medicaid Act of 1965 Quizlet?
On July 30, 1965, President Lyndon B. Johnson signed the Medicare and Medicaid Act, also known as the Social Security Amendments of 1965, into law. It established Medicare, a health insurance program for the elderly, and Medicaid, a health insurance program for people with limited income.
What is Medicare/Medicaid?
In 1965, the passage of the Social Security Amendments, popularly known as Medicare and Medicaid, resulted in one basic program of health insurance for persons aged 65 and older, and another program providing health insurance for people with limited income funded by state and federal sources, respectively.
When did Medicare start?
Key Concepts: Terms in this set (112) What is Medicare? Federal health insurance coverage created in 1965 for people ages 65 and older. Medicare started with what programs? Started with Parts A & B benefit programs What happened to Medicare in 1972? Expanded in 1972 to cover people under age 65 with permanent disability. Still Parts A & B
Who is the agency that administers Medicare and Medicaid programs?
CMS is an agency of the Department of Health and Human Services that administers the Medicare and Medicaid programs. In order for a facility to receive federal healthcare funding what must they meet?
Which federal legislation enacted the Medicare and Medicaid programs?
On July 30, 1965, President Lyndon B. Johnson signed into law the Social Security Act Amendments, popularly known as the Medicare bill. It established Medicare, a health insurance program for the elderly, and Medicaid, a health insurance program for the poor.
What is the name of the act that introduced the meaningful use program?
The U.S. government introduced the Meaningful Use program as part of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, to encourage health care providers to show "meaningful use" of a certified Electronic Health Record (EHR).
What is the Medicare Integrity Program quizlet?
Medicare Integrity Program (MIP) authorizes CMS to enter into contracts with entities to perform cost report auditing, medical review, anti-fraud activities, and the Medicare Secondary Payer (MSP) program. Medicare Shared Savings Program.
Which of the following agencies publishes the coding rules for Medicare and Medicaid?
CMS was formerly known as the Health Care Financing Administration (HCFA). contains CMS rules and regulations that govern the Medicare program.
What is the HITECH Act and meaningful use?
Under the HITECH (Health Information Technology Economic and Clinical Health) Act, an EHR incentive program has been established through which individual physicians and hospitals can qualify to receive incentive payments if they achieve “meaningful use” of “certified” EHR technology.
What is the importance of the HITECH Act?
The HITECH Act encouraged healthcare providers to adopt electronic health records and improved privacy and security protections for healthcare data. This was achieved through financial incentives for adopting EHRs and increased penalties for violations of the HIPAA Privacy and Security Rules.
What is the goal of the Medicare Integrity Program MIP )?
The Medicare Integrity Program was created as part of the Health Care Fraud and Abuse Control (HCFAC) program. The purpose of the MIP program is to ensure that Medicare outlays are made to the appropriate provider on behalf of eligible beneficiaries for covered services.
What is the goal of the Medicare Integrity Program MIP quizlet?
The goal of the Medicare Integrity Program (MIP) is to identify and reduce excessive Medicare costs. Under HIPAA guidelines, an outside billing company that manages claims and accounts for a medical clinic is known as a covered entity.
What does CCP stand for quizlet?
Unexpected illness or injury that requires immediate treatment. CCP is the abbreviation for. Medicare coordinated care plans.
What is the CMS 1500 form used for?
The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of ...
What is the name of the document that contains the CMS Health and safety standards?
Brief description of document(s): 42 CFR 482 contains the health and safety requirements that hospitals must meet to participate in the Medicare and Medicaid programs.
What is the acronym for the federal agency responsible for managing Medicare and Medicaid programs?
The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS).
What is Medicare and Medicaid?
Describe medicaid. Medicaid is a joint state and federal healthcare program for qualified individuals who lack resources to pay for healthcare.
What is the acronym for Accreditation Association for Ambulatory Health Care?
Accreditation Association for Ambulatory Health Care (AAAHC) An organization committed to developing Standards that advance and promote patient safety, quality healthcare, and value in ambulatory healthcare settings. Commission on Accreditation of Rehabilitation Facilities (CARF)
What is the OIG?
The Centers for Medicare and Medicaid Services (CMS) is an agency of the Department of Health and Human Services. Office of Inspector General (OIG) The Office of Inspector General monitors and tracks the use of taxpayer dollars through audits, inspections, evaluations and investigations.
What is NCQA in healthcare?
An accrediting organization for rehabilitation facilities. National Committee for Quality Assurance (NCQA) An organization that provides an assessment of the quality of managed care plans. Developed the Health Plan Employer Data and Information Set (HEDIS) that is a tool for measuring quality of care.
Does Det Norske Veritas have a separate certification?
they are deemed to be in compliance with the Conditions of Participation and do not have to undergo a separate certification process.
How much does the federal government pay for medicaid?
The federal government pays an average of between 57 - 60% of Medicaid program costs and as high as 75% in some states. 4.) States have large discretion over who is eligible and what services are covered. Therefore, states largely determine how much federal subsidies they will/are willing to receive.
Which is the primary payer for inpatient hospital services?
4.) While Medicare is the nation's primary payer of inpatient hospital services to the elderly and people with ESRD, Medicaid is the nation's primary public payer of acute health, mental health, and long-term care services.
What to do if you delete a permanent record?
if you inadvertently delete part of the permanent records, type an explanation into the computer file with the date, the time, and your initials, and submit an explanation in writing to your manager.
What is Rand card system?
a Kardex or Rand system is a: card system that contains patient's orders and care needs. an incident report is a form required for: any event that is not consistent with routine patient care.
What is the appraisal of the manner in which an individual nurse conducts practice, education, or research by a professional
is the appraisal of the manner in which an individual nurse conducts practice, education, or research by a professional coworker is: Nurse's notes. is the form on the patient's chart on which nurses record their observations, care given, and the patient's responses. institutions reimbursed by insurance companies or government programs only for ...
Why are patient charts audited?
patient's charts are audited for these reasons. quality of care, peer review, and quality assurance. the section of the patient's chart that contains observations, care given, and patient's responses is: nurse's notes. this is not a basic rule for charting: marking through the error several times so it is not legible.
Why is documentation important in nursing?
documentation is botht the quality control and the justification for reimbursement from medicare, medicaid, or private insurance companies. home health care documentation has unique problems because of the need for different health providers to access the medical record.
Can Erros be interpreted as evidence of unprofessional behavior or poor quality of care?
it is possible that it could be interpreted as evidence of unprofessional behavior or poor quality of care. erros in recording often lead to errors in treatment. it could lead to misinterpretation that could lead to a law suit. specific information about the patient's condition or case could be overlooked or deleted.
Do health care providers have to keep patient records private?
health care personnel must respect the confidentiality of the patient's record. the patient's bill of rights and the law guarantee that the patient's medical information will be kept private, unless the information is needed in providing care or the patient gives permission for others to see it.
Teach with this document
This document is available on DocsTeach, the online tool for teaching with documents from the National Archives. Find teaching activities that incorporate this document, or create your own online activity.
Transcript
To provide a hospital insurance program for the aged under the Social Security Act with a supplementary medical benefits program and an extended program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes.