NAHQ CPHQ Exam Study Guide with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
1. Balance
Score-card Provides an ongoing snapshot of how the organization is performing on
strategic goals.
1. Financial
2. Customer
3. Business Process
2. Board of Direc-
tor's Quality 4. Learning and growth
Role (Governing
Body) 1. Setting Policy
2. Quality of care
3. Financial and strategic direction
4. Goals and objectives
3. Hoshin Planning Strategy Implementation:
Japanese term for policy deployment, one approach for integration in a quality,
safety and performance improvement system.
Involve every department to assure that everything implemented has
considered anyone attected.
4. Healthcare
Reim- Providers receive payment for each service
bursement provided. Ex: if I am given an exam, I am
Fee for Service paying for the exam,
5. Healthcare
Reim-
bursement Pays providers after services have been provided.
Traditional Ex: if I put the billing code in, I am paid for that code.
Retro-spective
Payment
6. Healthcare
Reim- 3rd party payers manage cost of healthcare and episodes of care.
bursement
Managed Care
Reimbursement
1/
16
,NAHQ CPHQ Exam Study Guide with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
7.
2/
16
, NAHQ CPHQ Exam Study Guide with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
Healthcare Reim- Providers receive one lumpsum for all services related to a
bursement
Episodes of condition/disease. Ex: Bundle Payment
Care
Reimbursement
8. Healthcare
Reim- 3rd party payer reimburses providers a fixed per capita amount for a period
bursement (PMPM or per member per month).
Captation
9. Healthcare
Reim- DRG (Diagnosis Related Groups)
bursement Payment rates established in advance for a specific time period; predetermined
Prospective rates based on average levels of resources use.
Pay-ment
system to classify hospital cases into one of the approximately 500 groups
referred to as DRGs.
10. Patient Protec-
tion and Afford-
Commonly known as the Attordable Care Act.
able Care Act
(PPACA) PPACA established value-based purchasing program for Medicare to pay
hospitals based on performance on quality measures.
11. Hospital Ac-
quired Condi-
tions (HAC)
ACA related.
12. Hospital Reduces Medicare payments to hospitals for certain hospital acquired
Read-mission conditions.
Reduc-tion
Program
(HRRP)
Preventable readmissions.
13. Quality Medicare payments that would otherwise be made to hospitals by specified
Payment
Program per-centage to account for preventable hospital readmissions.
Rewards value
Created by CMS.
Merit-based Incentive Payment System (MIPS)
Advanced Alternative Payment Models (APMs)
3/
16
Latest Version |Already Graded A+
1. Balance
Score-card Provides an ongoing snapshot of how the organization is performing on
strategic goals.
1. Financial
2. Customer
3. Business Process
2. Board of Direc-
tor's Quality 4. Learning and growth
Role (Governing
Body) 1. Setting Policy
2. Quality of care
3. Financial and strategic direction
4. Goals and objectives
3. Hoshin Planning Strategy Implementation:
Japanese term for policy deployment, one approach for integration in a quality,
safety and performance improvement system.
Involve every department to assure that everything implemented has
considered anyone attected.
4. Healthcare
Reim- Providers receive payment for each service
bursement provided. Ex: if I am given an exam, I am
Fee for Service paying for the exam,
5. Healthcare
Reim-
bursement Pays providers after services have been provided.
Traditional Ex: if I put the billing code in, I am paid for that code.
Retro-spective
Payment
6. Healthcare
Reim- 3rd party payers manage cost of healthcare and episodes of care.
bursement
Managed Care
Reimbursement
1/
16
,NAHQ CPHQ Exam Study Guide with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
7.
2/
16
, NAHQ CPHQ Exam Study Guide with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
Healthcare Reim- Providers receive one lumpsum for all services related to a
bursement
Episodes of condition/disease. Ex: Bundle Payment
Care
Reimbursement
8. Healthcare
Reim- 3rd party payer reimburses providers a fixed per capita amount for a period
bursement (PMPM or per member per month).
Captation
9. Healthcare
Reim- DRG (Diagnosis Related Groups)
bursement Payment rates established in advance for a specific time period; predetermined
Prospective rates based on average levels of resources use.
Pay-ment
system to classify hospital cases into one of the approximately 500 groups
referred to as DRGs.
10. Patient Protec-
tion and Afford-
Commonly known as the Attordable Care Act.
able Care Act
(PPACA) PPACA established value-based purchasing program for Medicare to pay
hospitals based on performance on quality measures.
11. Hospital Ac-
quired Condi-
tions (HAC)
ACA related.
12. Hospital Reduces Medicare payments to hospitals for certain hospital acquired
Read-mission conditions.
Reduc-tion
Program
(HRRP)
Preventable readmissions.
13. Quality Medicare payments that would otherwise be made to hospitals by specified
Payment
Program per-centage to account for preventable hospital readmissions.
Rewards value
Created by CMS.
Merit-based Incentive Payment System (MIPS)
Advanced Alternative Payment Models (APMs)
3/
16
