• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/14

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

14 Cards in this Set

  • Front
  • Back

Public Agency

1. Federal - VA hospitals, public health service hospital, Indian Health Services



2. State - Correctional facilities, mental health centers, medical school hospital



3. County - county hospitals/clinics, rehab facilities



Private Not-For-Profit

- Receive special tax exempt


- Hospitals/clinics with religious affiliations


- Private teaching hospitals


- Includes organizations, such as Easter Seals or United Cerebral Palsy

Private For Profit

- Owned and operated by individuals or a group of investors


- In business to make a profit


- Includes hospitals, SNFs, out-pt. clinics

Continuum of Care

Acute


Subacute


Long-Term Care


Home-Health


Outpatient

Diagnosis Related Groups (DRGs)

Paid pre-determined fixed fee regardless of services provided

Prospective Payment System (PPS)

- Introduced the DRG system which determined how hospitals would be reimbursed


- Resulted in hospital stays being shortened

Minimum Data Set (MDS)

- Core set of screening, clinical, and functional status elements reported on all residents of nursing facilities certified to participate in Medicare/Medicaid


- What leve the pt. is functioning at; given a numerical value

Resource Utilization Groups (RUGs)

- Based on the LTC MDS


- Used to determine the amt of time in a therapy a patient will receive over the course of a week


Units

1 unit = 15 min block of time

Medicare

Part A = Hospital Insurance



Part B = Medical Insurance



Part C = Medicare Advantage; Allows one to choose to receive all of care services through a provider organization and/or your may get extra benefits for an additional fee. Must have both parts (A & B) to enroll in Part C.



Part D: Prescription drug coverage that is voluntary

Biological Practice Settings

Hospital, Clinic, & Home Health

Social Practice Settings

Schools/Special Education, Day Tx Centers, Workshops

Psychological Practice Settings

Insitutions/State Hospitals, Community Mental Health Centers, Supervised Living

All-Inclusive Settings - Non-Traditional Settings

Correctional facilities, industrial settings, hospice, HMOs, community transition settings, therapeutic riding, aqua-therapy, senior citizen centers, etc...