Match the following terms to the correct definitions.
-The United States Congress required CMS through the Balanced Budget Act of 1997 to begin applying a slightly different payment methodology when transferring patients from the acute care to the postacute care setting
A)Complication
B)Comorbidity
C)Quality Improvement Organization (QIO)
D)PEPPER-Program for Evaluating Payment Patterns Electronic Report
E)Postacute Transfer Policy

Question

Quizplus · Accepted Answer

The Postacute Transfer Policy was required by Congress through the Balanced Budget Act of 1997.

Answer: B 
 Comorbidity refers to the presence of one or more additional medical conditions co-occurring with a primary condition.

Answer: C 
 Quality Improvement Organizations (QIOs) are entities contracted by CMS to improve the quality of health care provided to Medicare beneficiaries.

Answer: D 
 PEPPER (Program for Evaluating Payment Patterns Electronic Report) is a report that compares a hospital's Medicare claims data to national and state data to identify areas where a hospital may be an outlier in Medicare billing practices.

Answer: A 
 A complication is an adverse medical event that occurs during or after a procedure or hospital stay that prolongs or worsens the patient's medical condition.

Match the Following Terms to the Correct Definitions