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[Show more]When developing clinical privileges the following are important to evaluate? 
Established standards of practice such as, specialty board recommendations. 
 
 
 
What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? 
To protect patient safety by...
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Add to cartWhen developing clinical privileges the following are important to evaluate? 
Established standards of practice such as, specialty board recommendations. 
 
 
 
What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? 
To protect patient safety by...
Why it is important to check that the practitioner is not currently excluded suspended the board or in eligible to participate in federal healthcare programs 
The facility won't get paid for treating patients unless service is provided by authorized provider 
 
 
 
Which of the following credential...
Preview 3 out of 18 pages
Add to cartWhy it is important to check that the practitioner is not currently excluded suspended the board or in eligible to participate in federal healthcare programs 
The facility won't get paid for treating patients unless service is provided by authorized provider 
 
 
 
Which of the following credential...
HFAP 
Refers to a CVO as a Professional Credentialing Organization (PCO) 
 
 
 
HFAP Appointment time frame 
2 years 
 
 
 
TJC Appointment time frame 
No longer than every 2 years 
 
 
 
NCQA Appointment time frame 
3 years (to the month) 
 
 
 
URAC Appointment time frame 
3 years 
 
 
 
AAAHC App...
Preview 3 out of 26 pages
Add to cartHFAP 
Refers to a CVO as a Professional Credentialing Organization (PCO) 
 
 
 
HFAP Appointment time frame 
2 years 
 
 
 
TJC Appointment time frame 
No longer than every 2 years 
 
 
 
NCQA Appointment time frame 
3 years (to the month) 
 
 
 
URAC Appointment time frame 
3 years 
 
 
 
AAAHC App...
Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? 
The facility will not get paid for treating patients unless service is provided by an authorized provider 
 
 
 
Which of the following cr...
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Add to cartWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? 
The facility will not get paid for treating patients unless service is provided by an authorized provider 
 
 
 
Which of the following cr...
Where must accreditors submit their standards for approval? 
CMS 
 
 
 
When is deemed status given? 
After approval by CMS 
 
 
 
What are requirements set by forces outside the organization? 
External criteria 
 
 
 
What factors are defined by the hospital's medical staff and governing body or t...
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Add to cartWhere must accreditors submit their standards for approval? 
CMS 
 
 
 
When is deemed status given? 
After approval by CMS 
 
 
 
What are requirements set by forces outside the organization? 
External criteria 
 
 
 
What factors are defined by the hospital's medical staff and governing body or t...
1. assists organizations in monitoring and improving quality of care 
2. Deemed status 
3. Marketing reasons - shows that expectations for providing safe, quality health care are met 
4. may favorably influence liability insurance premiums 
5. for a hospital, may be required in order to obtain manag...
Preview 1 out of 3 pages
Add to cart1. assists organizations in monitoring and improving quality of care 
2. Deemed status 
3. Marketing reasons - shows that expectations for providing safe, quality health care are met 
4. may favorably influence liability insurance premiums 
5. for a hospital, may be required in order to obtain manag...
Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? 
The facility will not get paid for treating patients unless the service is provided by an authorized provider. 
 
 
 
Which of the followin...
Preview 3 out of 16 pages
Add to cartWhy is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? 
The facility will not get paid for treating patients unless the service is provided by an authorized provider. 
 
 
 
Which of the followin...
Healthcare Facilities Accreditation Program (HFAP) 
Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previ...
Preview 1 out of 3 pages
Add to cartHealthcare Facilities Accreditation Program (HFAP) 
Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previ...
What does HCQIA stand for? 
Health Care Quality Improvement Act 
 
 
 
When was HCQIA enacted by congress? 
1986 
 
 
 
What is the purpose of HCQIA? 
HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. 
 
 
 
What ...
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Add to cartWhat does HCQIA stand for? 
Health Care Quality Improvement Act 
 
 
 
When was HCQIA enacted by congress? 
1986 
 
 
 
What is the purpose of HCQIA? 
HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. 
 
 
 
What ...
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