Hcqia - Study guides, Class notes & Summaries

National Practitioner Data Bank (NPDB) Question and answers rated A+ 2023/2024Who can report to the HCQIA? - correct answer Medical malpractice payers Boards of medicla/dental examiners Hospitals Other health care entities Professional societies with formal peer review DEA HHS OIG What information is available from the HCQIA to all health care practitioners? - correct answer Medical malpractice payments Adverse actions against DEA certification Medicare/Medicaid

CPCS CPMSM ExamApplicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identified above. Signature stamps are n...

CPCS/CPMSM Exam Questions and Answers Graded A+ Applicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identi...

AHRQ - Agency for Healthcare Research and Qualtiy correct answer: An agency within DHHS established in 1989 to improve quality, appropriateness and effectiveness of US Healthcare AHRQ correct answer: Agency for Healthcare Research and Qualtiy 1989 Medicare Program correct answer: Established by an amendment to the Social Security Act in 1965 SMDA correct answer: Safe Medical Device Act of 1990 HCQIA correct answer: Provides immunity from liability for damages from good-faith pee...

Name three organizations that influence either education, licensure practice or discipline of physicians - ANSWER-1. American Medical Association (AMA) 2. Joint Commission on Accreditation Health care organization (JCAHO) 3. Federation of State Medical Boards (FSMB) From the three listed above are they state, federal or privately managed? - ANSWER-1. Private 2.Private 3.Private What are the three federal branches of government? - ANSWER-Legislative, Executive and Judicial Which Bran...

CPMSM Knowledge Check 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 continu...

Can a patient successfully sue a doctor if there is no physician-patient relationship? – ANSWER No If there is no prior physician-patient relationship, are you legally obliged to respond to a call from a patient for treatment? – ANSWER No Does being on call give rise to a physician-patient relationship? – ANSWER No How can one terminate a physician-patient relationship, without abandonment if there is ongoing treatment? – ANSWER 30 days written notice; must provide fo...

CPMSMDarling v. Charleston Memorial Community Hospital - correct answer Failure to have proper supervision; Case set aside the Charitable Immunity Doctrine. Hospital liable for negligent treatment resulting in amputation of teenager's leg nurses failed to monitor; physician failed to consult; hospital claimed that charitable immunity doctrine limited damages to its insurance. Johnson v. Misericordia Community Hospital - correct answer Negligent credentialing; Failure of initial credential...

CPMSM Case StudiesDarling v. Charleston Memorial Community Hospital - correct answer Hospital liable for negligent treatment resulting in amputation of teenager's leg. Nurses failed to monitor; physician failed to consult; hospital claimed that charitable immunity doctrine limited damages to its insurance Failure to proper supervision; Case set aside the Charitable Immunity Doctrine Johnson v. Misericordia Community Hospital - correct answer Hospital liable to patient injured by physician wh...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? correct answers Yes According to TJC, who may amend the medical staff bylaws? correct answers Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? correct answers The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? correct answers Five years According to the NCQA what p...