What act established npdb Study guides, Class notes & Summaries

NHA CEHRS Chapter 5 Questions with Answers All Correct Who's in charge of credentialing? - Answer-HIM department. What Act established NPDB? - Answer-Healthcare Quality Improvement Act of 1986. Can you create ad hoc templates on EHR systems? - Answer-No, but during installation consultants and tech experts from EHR vendor are on-site and have to work with department who is going to use it. (You can ask questions then.) Who mandates medical records to be accounted for? When should it...

CPMSM Ultimate Study Set 03 2019NPDB - correct answer National Practitioner Databank NPDB Contains: (what type of info) - correct answer - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - correct answer - Professional revie...

systematic sampling - A procedure in which the selected sampling units are spaced regularly throughout the population; that is, every n'th unit is selected. Developing record retention program steps - Conduct an inventory of the facility's records; determine the format and location of record storage; assigning each record a retention period; and destroying records that are no longer needed. episode-of-care reimbursement - Healthcare payment method in which providers receive one lump sum ...

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...

CPMSM PreparationWhy is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? - correct answer Licensure According to NCQA standards, an organization that discovers sanction information, complain...

CPMSM Study Questions 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 credentials must be tracked on an ongoing basis? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events r...

CPMSM Preparation Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? - correct answer Licensure According to NCQA standards, an organization that discovers sanction information, compla...

CPCS Exam 2023 Questions and Answers Rated A+ TJC (The Joint Commission) Definition of Credentialing The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. NCQA (National Committee for Quality Assurance) definition of credentialing process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. Should you u...

CPMSM Preparation Questions and Answers Graded A+ 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 following credentials must be tracked on an ongoing basis? Licensure Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 1...

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER a. A facility could lose its accreditation if it does not do so b. It is required by Medicare Conditions or Participation c. The facility won't get paid for treating patients unless service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? - ANSWER a. Post gradua...