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10 Cards in this Set
- Front
- Back
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Who does Medicare cover?
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Medicare covers health care services for people age 65 and over, those receiving Social Security disability payment for more than 2 years, and all who have end stage renal disease
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List examples of Medicare fraud charges.
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Billing for services not provided or billing for services not covered
Misrepresenting a diagnosis to justify payment Soliciting, offering, or receiving a kickback Unbundling or “upcoding” charges Miscoding Waiving of a co-paymentFalsifying records Falling below standards for quality of care Providing services by a person who is less qualified than is required |
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Who does Medicaid cover?
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Joint federal/state reimbursement program providing health care to low-income families
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List 2 facts about HIPPA
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Health Insurance Portability and Accountability Act of 1996
Enacted to streamline & standardize administration of health care insurance. HIPAA rules apply only to providers who submit electronic claims |
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List the governance of ASHA
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Executive board (EB) & Legislative Council (LC) share governance elected by general membership
Legislative council - one councilor elected for every 150 members in the state Establish various groups (task forces, committees) to assist with responsibilities |
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What is the purpose of ASHA's special interest divisions?
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Promote specific professional interest
Develop communication & networking Identify needs to EB & LC Produce newsletters Currently 16 SIDs |
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What is the purpose of Specialty recognition?
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Helps consumers locate practitioners who provide specialized services
Allows clinicians to be recognized for advanced knowledge. Currently only fluency and child language |
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True or False. State licensure is voluntary in order to practice.
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False
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List the requirements to obtain a certificate of clinical competence
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1. Master’s or doctoral degree
Education completed in accredited program 2. 400 clock hours of supervised observation & practicum (as of 2005) 3. Passing of Praxis 4. Completion of full-time, supervised professional experience |
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List ASHA's censures and penalties.
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Censure
Reprimand Suspension Annulment of the license to practice Monetary fine Performance of public service May receive criminal penalties |
