| Question | Answer |
| What are the two main governing bodies affecting healthcare change? | 1. Centers for Medicare & Medicaid Services (CMS)
2. Office of Inspector General (OIG) |
| What does CMS stand for? | Centers for Medicare & Medicaid Services |
| What does OIG stand for? | Office of Inspector General |
| What does HHS stand for? | U.S. Department of Health and Human Services |
| What does the U.S. Department of Health and Human Services do? | The are the U.S. government's principal agency for protecting the health of all Americans and provide essential human services. |
| What are the HHS Operating Divisions? | 1. NIH
2. FDA
3. CDC
4. ATSDR
5. IHS
6. HRSA
7. SAM-HSA
8. AHRQ
9. CMS
10. ACF
11. ACL |
| What does NIH stand for? | National Institutes of Health |
| What does FDA stand for? | Food and Drug Administration |
| What does CDC stand for? | Centers for Disease Control and Prevention |
| What does ATSDR stand for? | Agency for Toxic Substances and Disease Registry |
| What does IHS stand for? | Indian Health Service |
| What does HRSA stand for? | Health Resources and Services Administration |
| What does SAM-HSA stand for? | Substance Abuse and Mental Health Services Administration |
| What does AHRQ stand for? | Agency for Healthcare Research and Quality |
| What does the QIO Program do? | It is a program that monitors and improves utilization and quality of care for Medicare beneficiaries. |
| What does ACF stand for? | Administration for Children and Families |
| What does ACL stand for? | Administration for Community Living |
| What agencies impact healthcare revenue cycle staff on a daily basis? | CMS, QIO, OIG |
| What does QIO stand for? | Quality Improvement Organization Program |
| What is Title XVIII? | CMS Medicare Program |
| What is Title XIX? | CMS Medicaid Program |
| What does CMS have oversight of? | Medicare, Medicaid, States Children's health Insurance Program, the Health Insurance marketplace, and related quality assurance activities. |
| What is CMS responsible for (simple terms)? | They are responsible for developing rules and regulations that govern Medicare and Medicaid. They also contract with entities who administer Medicare benefits in various regions of the country. |
| What does the Office of Inspector General do? | It protects the integrity of HHS programs and the health and welfare of the beneficiaries of those programs. Major role in investigating fraud and abuse. |
