Answer: Case Mix.
Case-mix involves patient classification as a tool to improve financial and clinical management in a clinical facility. The term case-mix refers to the type or mix of patients treated by a hospital or unit.
What term is used to describe the types and categories of patients treated by a health care facility or provider O...
Describe how the health care provider and facility can be respectful of the cultural norms and practices of individuals in the Polish populations. Describe specific cultural norms and practices of these groups in your discussion. what barriers to health care exist among these population.
Describe how the health care provider and facility can be respectful of the cultural norms and practices of individuals in the Polish and Puerto Rican populations. Describe specific cultural norms and practices of these groups in your discussion.
Question1 As a stakeholder in health care (i.e., provider, patient, etc.), what health care indicators are important to you? Why is important to monitor these indicators using data analytics? Question 2 Describe a current health care problem or health care indicator and discuss how data analytics can be a part of the solution.
1. What does health care financing mean? 2. Medicare finances medical care for what three categories of people? 3. What services is Medicare Part A designed to cover? 4. What is the main difference between retrospective and prospective methods of reimbursement?
Question from: Essentials of Health Care Finance By William Cleverley and James Cleverly Describe/Explain the requirements for Medicare benefits and Medicare payments (pages 40-41) 1 Four Basic Medicare Benefit Programs - Part A - Part B - Part C - Part D 2 Medicare Payments - Hospital Inpatient * PPS and five exclusions * Medicare subpayment split * Modifiers (6) * Primary Diagnosis and Secondary Diagnosis - Physicians * Participating physician and Nonparticipatign physician - Hospital Outpatient * Ambulatory payment...
Long-Term Care Hospitals S Check Your Understanding 11.z Answer the following questions. 1. How is the principal diagnosis assignment made in an LTCH? a. LTCH physician documentation b. Case management documentation c. STACH documentation d. Home caregiver documentation used in 2. True or False: The health record content in the LTCH setting is consistent with that a short-term acute-care facility oses than patients with a 3. Why do LTCHs patients have several more secondary diagn STACH stay? a. Longer length...
Chapter 12 Review Exercises 1. The overall goal of facility-based long term care services is to help patients do what? a. Maximize their independence and functioning b. Provide meal preparation c. Assist with money management d. Achieve better ambulation True or False: A SNF and a NF are defined differently Care provided in SNFs is regulated by which of the following? a. Medicare Conditions of Participation and State Operations Manual b. Law enforcement agencies c. County regulations d. Commercial insurance...
As a health care manager, you may have the opportunity to interact with patients who are faced with making decisions about advance care planning, for themselves, or a loved one. For this assignment, you will define and describe the various forms of advance care planning available to most patients. Using a table or similar organized layout in a Word document, create a handout for your patients. Include a minimum of four types of advance care planning in your handout. For...
Long-Term Care What is long-term care? What types of services are available along the spectrum of long-term-care settings? What is an ethical will? What are advanced directives? Consider that death and dying are part of life and are not a sign of failure; within the context of health and wellness, and successful aging, what role does long-term care play?
A health care provider wants to rate its members' satisfaction with physical therapy. A questionnaire is mailed to 800 members of the health plan selected at random from the list of members who were prescribed physical therapy in the past 12 months. Only 212 questionnaires are returned. (a) What is the intended population in this study? Be careful: What group does the health care provider want information about? O the 212 members who returned the questionnaire O all members who...