Laws governing medicare - Study guides, Class notes & Summaries

While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction information, the actual provisions in those areas are specified by: 1. American National Standards Institute (ANSI) 2. Occupational Safety and Health Administration (OSHA) 3. Life Safety Code (LSC) 4. Uniform Building Codes (UBC) - Answer-3. Life Safety Code Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expects in an...

Compliance Program - Answer Following rules and regulations Integrity Program - Answer Values doing the right thing Current Compliance activities in many organizations - Answer Equal Employment Opportunity Commission (EEOC), Employee Retirement Income Securities Act (ERISA), Wage and Hour Rule, Occupational Safety and Health Administration (OSHA), Nuclear Regulatory Commission, Joint Commission on Accreditation of Healthcare Organization (JCAHO), Research Compliance What is a C...

NR 661- Professional Issues ACTUAL EXAM LATEST EXAMS ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A liability policy that pays claims even after the policy is no longer active is termed -claims made policy' -tail coverage -liability protection -"all protect" - CORRECT ANSWER tail coverage A nurse practitioner's scope of practice in influenced by a number of factors. Which one does not influence scope of practice? -code of ethics...

Political Science (Final Exam) Latest Update Graded A Government is the leadership of a country, territory, or city; a group of people with the power to make decisions and carry them out, and make laws and enforce them. (The vehicle in which laws are made; the governing body of a nation, state community.) Purpose: to protect the individual rights of its citizens. lobbying Effort by an interest or advocacy group to influence the behavior of a public official/ gov policy. political socialization...

CPCS - Credentialing and Privileging Questions and Answers Rated A+ TJC Phone PSV What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, TJC - DNV - HFAP Accreditatio...

When presenting long-term care or Medicare Supplement plans, it is necessary to provide the prospect with a: - Answer-A Shoppers Guide for the product presented For an insurance contract to be complete, it must comply with which of the following? - Answer-A copy of the contract, all attached riders and a copy of the application must be give to the insured What type of benefits are paid under a hospital indemnity policy? - Answer-Specified sum of money for the length of the hospital stay ...

CPCS Exam 2023 Latest Update MCO acronym for - Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - National Association of Medical Staff Services CPCS acronym for - Certified Provider Credentialing Specialist CVO acronym for - Credential Verifications Organization HEDIS acronym for - Healthcare Effectiveness Data Information Set CAHPS acronym for - Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - Director - Contract Sales - Credentialing ...

What is the current state of the healthcare industry? correct answer: We grade it by four different criteria, health, quality, cost, and access What is the health of the U.S. like? correct answer: we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income levels, genders and age, but that may not be the healthcare system's fault. We...

2023 AHIP Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare coverage. Juan is a naturalized citizen and has contributed to the Medicare system...

CPMSM HFAP stands for? - correct answer Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? - correct answer Governing Body or Board Which NCQA-required committee makes recommendations regarding credentialing decisions? - correct answer Credentialing Committee What primary source verification is required by NCQA prior to temporary privileges/...