for DR.SAMUELSON only!!!

MHCM 6310 Strategic Management of Health Services Organizations

Key Terms

 Statutory accounting practices  Generally accepted accounting practices  Securities and Exchange Commission (SEC)

 Medical Loss ratio (MLR)  Coordination of benefits (COB)

 Community rating  Experience rating

 Core administration system  Electronic data interchange  Customer service system

 Medical Management system  Data Warehousing

 EHR (Electronic Health Record)  MMA (Medicare Modernization Act)  CMS (Centers for Medicare and Medicaid Services)

 Medicare Advantage