What is a certified EHR and why is it important?
Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure needed to reform the health care system and improve health care quality, efficiency, and patient safety.
How does a hospital demonstrate meaningful use of an EHR?
In 2012, EPs, eligible hospitals and CAHs seeking to demonstrate meaningful use must electronically submit clinical quality measures selected by CMS directly to CMS (or the States) through certified EHR technology. CMS recognizes that for clinical quality reporting to become routine, the administrative burden of reporting must be reduced.
What is the Medicare EHR Incentive Program?
The Medicare EHR incentive program will provide incentive payments to eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that are meaningful users of certified EHR technology.
What does the American Recovery and Reinvestment Act mean for EHRs?
The Centers for Medicare & Medicaid Services (CMS) today announced a final rule to implement provisions of the American Recovery and Reinvestment Act of 2009 (Recovery Act) that provide incentive payments for the meaningful use of certified EHR technology.
What is meaningful use quizlet?
Meaningful Use is using electronic health records (EHRs) in a meaningful manner, which includes, but is not limited to: (4) 1)electronically capturing health information in a coded format. 2)using that information to track key clinical conditions, 3)communicating that information to help coordinate care.
Which managed care model is the most restrictive?
HMOs tend to be the most restrictive type of managed care. They frequently require members to select a primary care physician, from whom a referral is typically required before receiving care from a specialist or other physician. HMOs usually only pay for care within the provider network.
Which was introduced in 2000 as a way to encourage individuals to locate the best health care at the lowest possible?
health plan introduced in 2000 as a way to encourage individuals to locate the best health care at the lowest price possible with the goal of holding down health care costs.
Which was the first commercial insurance company in the United States provide private healthcare coverage for injuries not resulting in death?
Franklin Health Assurance Company of Massachusetts1860. Franklin Health Assurance Company of Massachusetts became the first commercial insurance company in the United States to provide private healthcare coverage for injuries that did not result in death.
What are the three main types of managed care?
There are three types of managed care plans:Health Maintenance Organizations (HMO) usually only pay for care within the network. ... Preferred Provider Organizations (PPO) usually pay more if you get care within the network. ... Point of Service (POS) plans let you choose between an HMO or a PPO each time you need care.
Is Medicare a managed care plan?
Medicare is a national health insurance program for seniors or those with disabilities. Medicare Advantage is Medicare's managed care program. If you join Medicare Advantage, you get all your care through an HMO or PPO that has a contract with Medicare.
Which of the following is an advantage of Ehrs?
The benefits of electronic health records include: Better health care by improving all aspects of patient care, including safety, effectiveness, patient-centeredness, communication, education, timeliness, efficiency, and equity.
Which was introduced as a way to encourage individuals to locate the best healthcare at the lowest possible price?
Consumer-driven health plans (CDHPs) are introduced as a way to encourage individuals to locate the best health care at the lowest possible price with the goal of holding down healthcare costs.
What are the most important elements of the Affordable Care Act in relation to community and public health?
Key Federal Provisions Provisions included in the ACA are intended to expand access to insurance, increase consumer protections, emphasize prevention and wellness, improve quality and system performance, expand the health workforce, and curb rising health care costs.
What health care providers are the major players in the US health care system?
The main players in the U.S. health service system are the physicians, administrators of health service institutions, insurance executives, large employers, and the government.
Which legislation provides civilian employees of federal government with medical care survivors benefits and compensation for lost wages?
1916 FECA The Federal Employees' Compensation Act (FECA) replaced the 1908 workers' compensation legislation, and civilian employees of the federal government were provided medical care, survivors' benefits, and compensation for lost wages.
Which type of insurance has as its goal providing every individual with access to health coverage?
Universal health coverage means that all people have access to the health services they need, when and where they need them, without financial hardship. It includes the full range of essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care.
What is certified EHR?
Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure needed to reform the health care system and improve health care quality, efficiency, and patient safety. The Office of the National Coordinator for Health Information Technology ...
What is Medicaid EHR incentive?
The Medicaid EHR incentive program will provide incentive payments to eligible professionals and hospitals for efforts to adopt, implement, upgrade or meaningfully use certified EHR technology. This fact sheet summarizes CMS’ final definition of meaningful use.
What is EHR incentive?
The Medicare EHR incentive program will provide incentive payments to eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that are meaningful users of certified EHR technology. The Medicaid EHR incentive program will provide incentive payments to eligible professionals and hospitals for efforts to adopt, ...
What is an exclusion in EHR?
If an exclusion applies to an EP or eligible hospital, then such professional or hospital does not have to meet that objective/measure in order to be determined a meaningful EHR user.
What is meaningful use criteria?
The meaningful use criteria is the culmination of an intensive process that involved input from several Federal Advisory Committees (the National Center for Vital Health Statistics, the HIT Policy Committee, and the HIT Standards Committee) and a notice of proposed rulemaking (NPRM) published on January 13, 2010.
What is medical care?
Medical care. Includes the identification of disease and the provision of care and treatment to persons who are sick, injured, or concerned about their health status. Health care. Expand the definition of medical care to include preventative services.
What is the E/M section of CPT?
The American Medical Association (AMA) and HCFA (now CMS) implemented major revisions of CPT, creating a new section called Evaluation and Management (E/M), which describes patient encounters with providers for the purpose of evaluation and management of general health status. 1992: RBVS.
What is the purpose of HIPAA?
The primary intent of HIPAA is to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs.
What was the first commercial insurance company in the United States to provide private healthcare coverage for injuries not resulting in death?
The Franklin Health Assurance Company of Massachusetts was the first commercial insurance company in the United States to provide private healthcare coverage for injuries not resulting in death. 1908: FELA.
What is socialized medicine?
Socialized medicine. A type od single-payer system in which the government owns and operates healthcare facilities and providers (e.g. physicians) receive salaries.
What is a third party payer?
A person who signs a contract between with a health insurance company and who , thus , owns the health insurance policy. The insured or enrollee. Third-party payer. Healthcare insurance company that provides coverage. Health insurance coverage statistics.
Why did employers pay monthly fees to medical service bureaus?
Employers wanted to provide medical care for their workers, so they paid monthly fees to medical service bureaus, which were composed of groups of physicians. 1940: group health insurance. To attract wartime labor during WWII, group health insurance was offered for the first time to fulltime employees.