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Medical Facility Terminology Exam Questions and Answers, Exams of Nursing

A list of terms related to medical facilities and their definitions. It also includes exam questions and verified answers. The terms covered include acute care facility, CORF, cost report, diagnostic laboratory services, medical documentation, and more. useful for students studying healthcare administration or medical billing and coding.

Typology: Exams

2022/2023

Available from 11/18/2023

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Download Medical Facility Terminology Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! 1 [Date] COC EXAM CHAPTER 1 TERMS EXAM QUESTIONS WITH VERIFIED 2 [Date] ANSWERS LATEST UPDATED  Acute Care Facility (ACF) - Correct answer A healthcare facility that provides continuous professional medical care to patients who are in an acute phase of illness. 5 [Date] request of another qualified provider.  CORF - Correct answer comprehensive outpatient rehabilitation facility. A physical rehabilitation facility that provides at least, physician services, physical therapy services and social, or psychological services.  Cost Report (Medicare) - Correct answer An annual report 6 [Date] required of facility contractors participating in the Medicare program. The report details the cost and charges the provider incurred in rendering services to all patients and the Medicare payments received during a specific reporting period. Cost and reporting procedures are defined by the Medicare program.  Diagnostic Laboratory Services - Correct answer Lab services 7 [Date] required in the diagnosis of a disease or injury, regardless of where the services are rendered. For Medicare purposes, these services are paid under a separate fee schedule. These services include clinical lab tests performed on automated multichannel analyzers.  Diagnostic Services - Correct answer An examination or procedure performed on a patient 10 [Date] emergency department to provide an appropriate medical screening exam to any patient that requests such an exam.  Facility - Correct answer Building designated to serve a particular purpose. Facilities include hospitals and ambulatory Surgical centers.  Medical Documentation - Correct answer Includes the 11 [Date] following types of patient care records; operative notes, physical, occupational, and speech- language pathology notes, progress notes, physician certification and recertification, emergency room records, and the patients medical record in it's entirety.  Medicaid Carriers Manual - Correct answer A manual that encompasses Medicare s policies 12 [Date] regarding billing and reimbursement. This document is created and maintaned by CAMS, which provides it to Medicare administrative contractors (MACs) (Local Part B Carriers and fiscal intermediaries) to assist with uniform reimbursement.  Medicare Hospital Manual - Correct answer Manual containing information issued to hospitals participating in the Medicare 15 [Date]  MPFS - Correct answer Medicare physician fee schedule. Fee schedule set up by CMS to pay Physician Services and other fees paid under the physician fee schedule.  non patient services - Correct answer services rendered to a patient not admitted as an inpatient or outpatient at the hospital. This term typically refers 16 [Date] to laboratory tests performed on samples sent to the hospital's laboratory from an outside source to process. The account is established but the services are rendered on the specimen rather than to a patient seen at the hospital.  observation services - Correct answer medical and other services provided by the hospital or other qualified supplier which 17 [Date] are either diagnostic or Aid the provider in treating the patient outpatient services are covered under Medicare Part B and include the rental or purchase of DMV prescribed by a doctor for use in the home devices other than Dental to replace all or part of an internal body organ certain ambulance services laboratory services X-ray and other Radiology Services ER and Outpatient Clinic services medical 20 [Date] days weeks months of the services to be provided. An active treatment plan must identify the diagnosis the anticipated goals of the treatment the date the plan was established and the type of modality or procedure used.  Radiology services - Correct answer services that include Diagnostic and therapeutic Radiology nuclear medicine CT scan procedures magnetic 21 [Date] resonance imaging Services ultrasound and other Imaging procedures. Medicare reimbursement for outpatient Radiology procedures is based on APC's CPT codes and HCPCS II codes are required for billing outpatient Radiology procedures.  Swing beds - Correct answer rural hospitals with fewer than 100 beds can provide post-hospital extended care services to 22 [Date] Medicare beneficiaries. Swing bed facilities can swing their beds from hospital to Skilled Nursing Facility levels of care.  Urgent Care - Correct answer Services furnished within a short period of time to avoid the likely onset of an emergency medical condition.