Hcqia - Study guides, Class notes & Summaries

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HEALTH LAW AND COMPLIANCE FINAL Question and answers 100% correct  2023/2024
  • HEALTH LAW AND COMPLIANCE FINAL Question and answers 100% correct 2023/2024

  • Exam (elaborations) • 41 pages • 2024
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  • HEALTH LAW AND COMPLIANCE FINAL Question and answers 100% correct 2023/2024 ________________ malpractice is negligent or unethical conduct on the part of an elected official: (ch 7) - Medical - Public - Political - Ethical - correct answer Political ______________ forbids Medicare-participating hospitals from "dumping" patients out of emergency departments: (ch 7) - HIPAA - AHRQ - EMTALA - HCQIA - correc
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CPCS/CPMSM Sample Questions
  • CPCS/CPMSM Sample Questions

  • Exam (elaborations) • 22 pages • 2024
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  • CPCS/CPMSM Sample Questions Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to the Joint Commission, who may amend the medical staff bylaws? - Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? - 5 years According to NCQA what policy must an organiza...
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MEDOP 20  Question and answers rated A+ 2024/2025
  • MEDOP 20 Question and answers rated A+ 2024/2025

  • Exam (elaborations) • 43 pages • 2024
  • MEDOP 20 Question and answers rated A+ 2024/2025 MEDOP 20-70: Healthcare Essentials - Chapter 5 Learning outcomes: 5.1 Differentiate between laws and ethics 5.2 Identify the responsibilities of the patient and physician in a physician-patient contract, including the components for informed consent that must be understood by the patient 5.3 Describe the four elements of negligence that must be satisfied in order to prove malpractice, and explain the four C's of malpractice preven...
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Healthcare Law and Ethics Clinical Operations Midterm Question and answers rated A+ 2023/2024
  • Healthcare Law and Ethics Clinical Operations Midterm Question and answers rated A+ 2023/2024

  • Exam (elaborations) • 30 pages • 2024
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  • Healthcare Law and Ethics Clinical Operations Midterm Question and answers rated A+ 2023/2024Professional Board Disciplinary Actions - correct answer ● Individual disciplinary proceedings are governed by a state's ● administrative procedures act which provides for due process and hearing rights to the individual ● Examples of board complaints include: ○ Deviation from accepted standards of care ○ Prescription without establishing proper patient relationship ○ Failure to diagnos...
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CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass
  • CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass

  • Exam (elaborations) • 15 pages • 2023
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  • CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? Five years According to the...
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NAMSS CERTIFICATION EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
  • NAMSS CERTIFICATION EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED

  • Exam (elaborations) • 8 pages • 2024
  • AHRQ - Agency for Healthcare Research and Qualtiy - ACCURATE ANSWERS An agency within DHHS established in 1989 to improve quality, appropriateness and effectiveness of US Healthcare AHRQ - ACCURATE ANSWERS Agency for Healthcare Research and Qualtiy 1989 Medicare Program - ACCURATE ANSWERS Established by an amendment to the Social Security Act in 1965 SMDA - ACCURATE ANSWERS Safe Medical Device Act of 1990 HCQIA - ACCURATE ANSWERS Provides immunity from liability for damages from good...
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CPCS – CREDENTIALING QUESTIONS AND ANSWERS
  • CPCS – CREDENTIALING QUESTIONS AND ANSWERS

  • Exam (elaborations) • 8 pages • 2024
  • What is the verification time limit for licensure per NCQA CVO standards? - Answer- 120 days According to the joint commission, initial appointments to the medical staff are not to exceed what time period? - Answer- Three years In the hospital environment, what body has the ultimate authority for granting privileges? - Answer- Board or governing body According to the HCQIA at what times must the hospital query the NPDB for a physician, dentist or other healthcare practitioner? - Answer-...
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HCQIA and NPDB questions with correct answers 2023
  • HCQIA and NPDB questions with correct answers 2023

  • Exam (elaborations) • 5 pages • 2023
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  • HCQIA and NPDB
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CPMSM Cards, CPMSM Study (MCO), CPMSM questions n answers rated A+2023
  • CPMSM Cards, CPMSM Study (MCO), CPMSM questions n answers rated A+2023

  • Exam (elaborations) • 28 pages • 2023
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  • CPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Records had information on many lawsuits agains podiatrist Patrick vs Burget - correct answer Anticompetitive Peer Review - Led to development of HCQIA Gonzales vs Nork & Mercy Hospital - correct ...
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CPMSM Knowledge Check Questions With Complete Solutions
  • CPMSM Knowledge Check Questions With Complete Solutions

  • Exam (elaborations) • 101 pages • 2023
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  • Medicare requires providers to perform what process every 3-5 years? correct answer: Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? correct answer: 36 months / 3 years T/F: The Joint Commission standards require that the applicant's participation in continuing education is evaluated and considered on initial appointment to the medical staff. correct answer: False. Participating in continuing education must be c...
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