CAHIMS Exam prep Latest Update -

CAHIMS Exam prep Latest Update - Actual Exam from Credible Sources with 90 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

ACA - CORRECT ANSWER: Patient Protection and Affordable Care Act of 2010,

improves access to health insurance for children, young adults, and people who have been denied insurance due to a preexisting condition. Insurance companies are no longer allowed to impose lifetime limits on most benefits

Adult day care - CORRECT ANSWER: provides meals and activities during the day

Ambulatory surgery centers (ASC) - CORRECT ANSWER: 60% US surgeries are

outpatient. Equipped to handle surgery, pain management and certain diagnostic procedures that do not require overnight hospitalization. May be part of a hospital, specialty hospital, or own facility

APC - CORRECT ANSWER: ambulatory payment classification, U.S. government's way

of paying for facility outpatient services for Medicare. Outpatient prospective payment system applicable to only hospitals, code determines amount paid

ARRA - CORRECT ANSWER: American Recovery and Reinvestment Act of 2009,

"stimulus package", funding to states for infrastructure and jobs and increased funding for healthcare research

Assisted living - CORRECT ANSWER: separate apartments or private rooms in a

common building where a number of services, such as personal care, medication administration, meals, and housekeeping are provided

Authorization for service - CORRECT ANSWER: commonly known as preauthorization

or precertification, the process of preapproving a patient for coverage of a specific medical procedure, such as surgery of prescription drug 1 / 2

Board of directors - CORRECT ANSWER: authorizes actions and oversees all business affairs of the hospital. Role is to ensure the hospital's mission, vision, and values are carried out. Also establish broad policies and objectives, select CEO, review performance, approve annual budgets, ensure financial resources are sufficient and in order

Capitation - CORRECT ANSWER: MCOs may also employ capitation- type of

reimbursement in which there is a single "capitated" payment made for the covered member, regardless of services used. Provider received the same amount from the third-party payer per length of time (month), for the care provided at the HCO to all members- a preset amount per enrolled patient each month (PMPM- per member per month)

CEO - CORRECT ANSWER: chief executive officer, leads a healthcare organization

and may report to a board of directors or trustees

CFO - CORRECT ANSWER: chief financial officer, manages the fiscal aspects of the organization, including the operating budget, contracts, income, expenditures, billing, and compensation

CHIP - CORRECT ANSWER: Children's Health Insurance Program, covers children

whose families cannot afford private insurance, may also be covered under Medicaid, includes preventive care ie vaccines, doctor visits, emergency care, hospital care, prescription drugs, vision, hearing, dental care. Other services offered at low premiums and deductibles

CIO - CORRECT ANSWER: chief information officer, leader of health IT department. In charge of planning, choosing, installing, and supporting a healthcare organization's computer and information-processing operation

CMIO - CORRECT ANSWER: chief medical information officer, liaison between

clinicians and IT services. Reports to CIO, CMO, or CEO

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