CDPMA flashcards
CDPMA · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Span of control
- The number of employees reporting directly to one supervisor. Wide spans suit routine standardized work; narrow spans suit complex, high-risk, or highly regulated roles requiring close oversight.
- Policy versus procedure
- A policy states the required rule or outcome and is approved by leadership; a procedure states the step sequence, responsible roles, and documentation produced to carry out that policy.
- FTE workload calculation
- Required full-time equivalents equal annual workload hours divided by annual productive hours per employee, where productive hours exclude paid time off, holidays, and training time.
- Progressive discipline sequence
- The escalating steps applied for repeated or serious conduct issues: verbal counseling, written warning, final written warning, suspension, termination. Each step requires contemporaneous documentation and consistent application.
- Risk management control options
- Four ways to handle an identified exposure: avoid the activity, reduce its frequency or severity, transfer the financial risk through insurance, or retain the risk with documented acceptance.
- Job description core elements
- A job description states the title, reporting relationship, essential functions, required qualifications and credentials, physical demands, and performance standards, and forms the basis for appraisal and hiring decisions.
- Incident report purpose
- An internal, non-punitive document recording an unexpected event, its circumstances, and immediate actions. It supports system improvement and is generally not placed in the patient record or released without legal review.
- Emergency drill documentation
- A written record of a conducted drill, including date, scenario, participants, evacuation time, identified deficiencies, and corrective actions assigned with responsible persons and completion dates.
- Addendum correction rule
- An error in a record is corrected by a new dated and signed entry referencing the original. The original entry is never erased, altered, or backdated, preserving the record's integrity.
- Valid authorization elements
- A release requires patient identity, the specific information covered, recipient, purpose, expiration date or event, signature and date, and a statement of the right to revoke.
- Minimum necessary standard
- The requirement to limit uses and disclosures of protected health information to the least amount needed for the purpose. It does not apply to disclosures to the patient or under a valid authorization.
- Accounting of disclosures
- A log of disclosures made outside treatment, payment, and operations, recording date, recipient, and purpose. Patients may request an accounting covering the prior six years.
- Three safeguard categories
- Administrative safeguards include risk analysis, training, and access authorization; physical safeguards include locked storage and device disposal; technical safeguards include unique user IDs, encryption, automatic logoff, and audit logs.
- Business associate agreement
- A written contract required before a vendor handles protected health information, specifying permitted uses, safeguard obligations, breach reporting duties, and return or destruction of data at contract end.
- Breach notification deadline
- Affected individuals must be notified without unreasonable delay and no later than 60 days after discovery of a breach. Regulator notification follows the same outer limit, with media notice for large breaches.
- Record retention rule
- Retain records for the longest applicable period among state statute, payer contract, and liability exposure; records of minor patients are kept until majority plus the limitation period.
- Destruction log contents
- A record of destroyed information showing the date, method used, range or description of records destroyed, and the person performing and witnessing destruction, confirming information is unreadable and unrecoverable.
- Gross collection ratio
- Total payments divided by total charges. It reflects both reimbursement levels and collection performance, so it is compared against the net ratio to separate fee-schedule effects from collection problems.
- Net collection ratio
- Total payments divided by total charges minus contractual adjustments. It measures how much of the legitimately owed amount was actually collected, independent of fee-schedule level.
- Accounts receivable days
- Total accounts receivable divided by total charges, multiplied by the number of days in the period. A rising value indicates slower payment or billing delays rather than higher revenue.
- AR over 90 days
- The dollar or percentage share of receivables older than 90 days. It is the primary liquidity indicator, and older balances require documented collection follow-up before any write-off.
- Adjustment categories
- Contractual adjustments reflect allowed amounts below charges; bad debt reflects uncollected patient balances after collection effort; administrative adjustments include charity care, small balances, and unappealable denials.
- Clean claim rate
- Claims accepted on first submission divided by total claims submitted. Low rates point to registration, eligibility, coding, authorization, or medical necessity defects upstream in the revenue cycle.
- Payer mix effect
- Payer mix is each payer's share of total payments. A shift toward lower-paying payers changes break-even visit volume even when total visit count stays constant.
- Break-even volume formula
- Fixed costs divided by the difference between revenue per unit and variable cost per unit. Fee-schedule or payer-mix changes alter revenue per unit and therefore the required volume.
- Budget variance meaning
- A favorable variance is revenue above or expense below budget; unfavorable is the reverse. Analysis separates volume effects from rate effects before corrective action is assigned.
- Behavior-based feedback model
- State the observed behavior, describe its impact, and specify the expected behavior. Feedback addresses behavior rather than personality and is delivered close to the event.
- Thomas-Kilmann conflict modes
- Five approaches to conflict: competing, collaborating, compromising, avoiding, and accommodating. Collaborating suits high-stakes issues with time available; avoiding suits trivial issues or needed cooling periods.
- Active listening components
- Attending, paraphrasing, reflecting feeling, clarifying with open questions, and summarizing. Open questions surface concerns; closed questions confirm specific facts.
- Team development stages
- Forming, storming, norming, performing, and adjourning. Conflict during storming is expected and is resolved by clarifying roles and ground rules rather than by reassigning staff.
- Effective meeting elements
- A stated purpose, timed agenda, assigned facilitator, note-taker and timekeeper, documented decisions, and action items each with an owner and due date.
- Appraisal acknowledgment signature
- The employee signs the appraisal to confirm receipt and discussion of its contents, not agreement with the rating. Disagreement is documented separately in the record.