CAHIMS Exam Study Guide 200 Questions And Answers Set 01
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Terms in this set
200
COO(Chief Operating Officer)
handles day-to-day operations
CMIO: Chief Medical Information/Informatics Officer
Liaison between CIO and CMO
CMO
chief medical officer, usually a physician serving as a liaison between upper management and the medical staff at a HCO. Responsible for clinical care, quality improvement, and sometimes graduate medical education
CIO
Chief Information Officer: oversees all uses of IT and ensures the strategic alignment of IT with business goals and objectives
Joint Commission accredits both
medicare and medicaid
Insurance paid for by govenment
Single payer
HOPD(Hospital Outpatient Department)
medicare parts
PPO (Preferred Provider Organization)
Choose your own specialist
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.
Bundles payments
a single funding amount to a healthcare provider specific to a certain patient's treatment and recovery; episodes of care
URAC
An acronym for Utilization Review Accreditation Commission. One of the accrediting bodies of health plans.;